HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED u
Date: 11/19/18 Permit Number-MA �3 I
RECEIVED
Building Permit Application NOV 19 2018
Planning and Development Services
Building and Code Regulation Division ST. Lucie CoLiMVc V0'( 1ltTlnU
2300 Virginia Avenue, Fort Pierce F!34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Window/door
El
�PROPOSEDIM��PROV�EMENT.LOCA_..I
Address: 854 Doubloon LN
Legal Description: OCEAN RESORTS COOPERATIVE SITE 241
Property Tax ID#: 1410-502-0241-000-4 Lot No.
Site Plan Name: Block No.
Project Name: Front Door Replacement
Setbacks Front Back: Right Side: Left Side:
:DETAILED DESCRIPTION'O'F.-WVORK
Replacing front door with an impact full lite door 72x80" with low-e glass
CONSTRUCTION ,INFORMATION v..
Additional work toe e orme under this permit—check a appy:
❑HVAC E]Gas Tank ❑Gas Piping _Shutters Windows/Doors
Electric ElPlumbingSprinklers ❑Generator 1:1 Roof Roof pitch
Total Sq. Ft of Construction: S Ft.of First Floor: 1410
Cost of Construction:$ 1000 utilitiesSewer Septic Building Height: 1 Story
OWNER/LESSEE CO- ACT
Name Andy Standish Name: Jeffrey Walsh
Address:4721 Pierce St Company: Liberty Home Builders
City: Hollywood State:FL Address: 4305 sw bimini cir s
Zip Code: 33021 Fax: City: Palm city State:fl
Phone No. Zip Code: 34990 Fax:
E-Mail: Phone No. 772-626-3179
Fill in fee simple Title Holder on next page(if different E-Mail: connor(-libertyimpactwindows.com
from the Owner listed above) State or County License: CGC 1504157
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CQ`NSTR,UCTION LIEN LAW INFORMATION: ;
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLEHOLDER: _Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address:4305 sw Win]cir s Address:
City: City:
Zip: Phone: Zip: Phone:
OWNER/CONTRACTOR AFFIDVIT:Application is hereby made to obtain a permit to do the work and installation as indicated.
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie County makes no representation that is granting a permit will authorize thepermit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules,bylaws or and covenants that may restrict or prohibit such
structure.Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In consideration of the granting of this requested permit,I do hereby agree that I will,in all respects, perform the work
in accordance with the approved plans,the Florida Building Codes and St. Lucie County Amendments.
The following building permit applications are exempt from undergoing a full concurrency review:room additions,
accessory structures,swimming pools,fences,walls,signs,screen rooms and accessory uses to another non-residential use
WARNING TO OWNER:Your failure to Record a Notice of Commencement may result in your paying twice for
improvements to your property.A Notice of Commencement must be recorded and posted on the jobsite
before the first inspection. If you intend to obtain financing,consult with lender or an attorney before
commencing work or recording Notice of Commencement.
Signat a ofr essee/Contractor as Agent for Owner Signature o or cense H der
1000,
STATE OF FLORIDA STAT OF FLORIDA
COUNTY OF COUNTY OF
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this Jqday of (��(�1*n' I /,20P� by this day of 20_ by
Name of pe�sg�►making statement Name of perso king statement
Personally Known :/ OR Produced Identification Personally Known OR Produced Identification
Type of Identification Type of Identification
Produced Produced �L
ignature of o a ) (Signa ure o
Notary Public State of Florida Notary Public State of Florida
Com i o pmgick A Romeo (S al) Commission a� Romeo (Seal)
My Commission GG 284001 +�r < My Commission GG 264001
a Expires 10/01/2022 �ija M1 ' Expires 10101/2022
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17