HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED FF
Date:/��i9 Permit Number: l
RECEIVED
Building Permit Applicatio FEB 19 2019
Planning and Development Services
Building and Code Regulation Division ST. Lucie County, permitting
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT TYPE:REPLACEMENT DOORS
PROPOSED INPROVEMENT LOCATION:
Address: 12434 Harbour Ridge Blvd#1-1, Palm City FL 34990
Property Tax ID#: 4426-510-0001-000-3 Lot No.
Site Plan Name: Block No.
Project Name: Martin Residence
DETAILED DESCRIPTION OF WORK:
Remove and replace(1)impact ThermaTru Front Entry Door(FL PA#10537.3)
remove and replace (1) impact ThermaTru entry Door(FL PA#8871.5)
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit–check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters Windows/Doors
_Electric _Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction:$ 4,400 Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Beverly Martin Name: David LaPrade
Address:12432 Harbour Ridge Blvd Company: The Glass Professionals
City: Palm City State: Fil Address: 3570 SE Dixie Hwy
Zip Code: 34990 Fax: City: Stuart State: FL
Phone No. 865-356-1949 Zip Code: 34997 Fax: 772-286-04561
E-Mail: Phone N0772-286-0459
Fill in fee simple Title Holder on next page(if different E-Mail
from the Owner listed above) State or County License 19363
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
If value of HVAC is$7,500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAWI'NFOR'MATION:
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: _Not Applicable
Name: Name:
Address: 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 the permit 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 w' lender or an attorney before
commen ' 'w reWdinkyWr Notice of Commenceme
Sign atyJ— wn—e'r7re-siW/contractor as Agent for Owner Signat of Contrac ice se Holder
ATE OF FLOR . STATE OF FLORIIW
UNTY OF � ' ici.el COUNTY OF �f.1.���•
o� a forgoing instr ent was acknowledged before me The forgoing instr ment was acknowledged before me
c 's Al day of e 20A by this LL day of- 2010 by
J
Dam d 1
me of person making statement. Name of person making statement.
"I sonally Known OR Produced Identification Personally Known '✓ OR Produced Identification
e of Identification Type of Identification
duced Produced
BOIJ4 1161
(Signature of No//tary Public-State f Florida) (Signature of Notary Public-Itate of Florida)
Commission NoA:JQy40b' (Seal) Commission NAI (Seal)
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
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