HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUS BE COMPLETED FOR APPLICATION TO BE ACCEPTED I
Date:ytl:�' �' ' �q Permit Number: 1 0 I V
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-- — Building Permit Applicati Dn W 0 8 20119
Planning and Development Services
Building and Code Regulation Division Q I 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 Windows & Door
PROPOSED IMPROVEMENT LOCATION:
Address: 4100 N. Hwy A1A#312, Fort Pierce, FL 34949
Property Tax ID#: 1423-502-0013-000-7 Lot No.
Site Plan Name: Treasure Cove Dunes Block No.
Project Name: Cordova Residence
DETAILED DESCRIPTION OF WORK:
Remove and replace(2)CGI impact single hung windows(NOA#17-1018.08)and(1)CGI impact sliding glass door
(NOA# 19-0603.03)
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit-check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters v/ Windows/Doors
Electric _Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction:$ 5,000 Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Oscar E Cordova Sr Name: David LaPrade
Address: 6305 W 8th Ave Company: The Glass Professionals
City: Hialeah State: Address: 3570 SE Dixie Hwy
Zip.Code: 33012 Fax: City: Stuart State:FL
Phone No.350-8.15-3330 Zip Code: 34997 Fax: 772-286-0461
E-Mail: Ot3Pckwo-&C9iW;nAWJ5rCom Phone No 772-286-0459
Fill in fee simple Title Holder on next page(if different E-Mail permits.glasspros@gmail.com
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 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 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 JOB SITE BEFORE THE FIRST INSPECTION. IF YgWINTEND TO OBTAIN FINANCING, CONSULT
WITH YO DER OR AN ATTORNEY BEFORE RECORDING OTIC OFC MENT."
Signature of er/Less /CU
tractor as Agent for Owner Sign atur -ef-Co tractor/Lice se Holder
STATE OF FLO D 1 STATE OF FLORIDA
COUNTY OF COUNTY OF MC1, hYl
The fogoing instrumen was acknowledgedbefore me The forgoing instrument was acknowledged before me
this day of 20by this day of 1 rl�l) i✓ 20 by
Name of person making statement. Name of person makingstatement.
Personally Known V OR Produced Identification Personally Known V/ OR Produced Identification
Type of Identification Type of Identification
Produced Produced
AIUM QJ 4m,
(Signature of Notary Publ" -State of Florida) (Signature of Notary Public-S6e of Florida)
Commission NoGG2244DZ_53- (Seal) Commission No.66'Pqu-63 (Seal)
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev.
BRENDALOPER tiRENDALOPER
*` ;dly COMMISSION#GG 234007 ?,;
.�; MY COMP>1:MSSION#GG 234007
tionclea 111ru Notary Public UndeWtetsBonded Yhru No
brYPublic Underwrite,,