HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 08/06/19
COUNT7L'
F L O R 1A
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Permit Number:
Building Permit Application
Commercial Residential X
PERMIT TYPE:Window/Door Replacement
PROPOSED IMPROVEMENT LOCATION:
Address: 1516 NW LANCEWOOD TER
Property Tax ID #: 4426-803-0018-000-4
Site Plan Name: HARBOUR RIDGE
Project Name: DAVIS RESIDENCE
Lot No.
Block No.
DETAILED DESCRIPTION OF WORK:
REMOVE AND REPLACE IMPACT PGT SH5500 (NOA# 17-0630.05), PGT AR5520 (NOA# 17-0614.09),
WINDOOR SGD 7000 (NOA# 17-1219.06), THERMATRU ENTRY DOOR (FL PA# 10975.4)
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit — check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters J( Windows/Doors
Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 50,600 Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Carl R Davis
Name: David LaPrade
Address:1516 NW Lancewood Ter
Company:The Glass Professionals
City: Palm City State:o,
Zip Code: 34990 Fax:
Phone No. 772-336-5968
Address:3570 SE Dixie Hwy
City: Stuart State: FL
Zip Code: 34990 Fax:
Phone No772-286-0459
E-Mail:carldvs@hotmail.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail permits.glasspros@gmail.com
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 LAW INFORMATION:
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 JOBS BEFORE THE FIRST INSPECTION. IF YOU INTM TO QBTAIN FINANCING, CONSULT
WIT ND R'O AN ATTORNEY BEFORE RECORDING YOURNWCE OF O "
i
Signat o Owner/ Lessee/Contractor as Agent for Owner
Signature'o ntra is e o er
ATE OF FLORIDA
STATE OF FLORIDA.,
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=,I e forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
u is l4 day of VI V� 20� by
this day of �t�,LiaLl S 20161 by
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