HomeMy WebLinkAboutKoerber Permit & Floor PlanAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 11/18/19
COUNTY
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 Replacement
PROPOSED IMPROVEMENT LOCATION:
Address: 1421 NW Winters Creek RD, Palm City FL 34990
Property Tax ID #: 4426-825-0013-000-7
Site Plan Name: Harbour Ridge
Project Name: Koerber Residence
DETAILED DESCRIPTION OF WORK:
Lot No. 12
Block No.
Remove and replace impact PGT single hung windows SH 7700A (NOA# 18-0430.06) and impact PGT picture
windows PW 7720A (NOA# 18-0430.05)
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: _
Cost of Construction: $ 10,700
Sq. Ft. of First Floor:
Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Jay A Koerber
Name: David LaPrade
Address: 1421 NW Winters Creed Rd.
Company: The Glass Professionals
City: Palm City State: f\-
Zip Code: 34990 Fax:
Phone No.772-341-9725
Address: 3570 SE Dixie Hwy
City: Stuart State: FL
Zip Code: 34997 Fax: 772-286-0461
Phone No 772-286-0459
E-Mail:jak1421@gmail.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
Name:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
Address:
City: State:
Zip: Phone
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
BONDING COMPANY: Not Applicable
Name:
Address:
City:
Zip: Phone:
City:
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
WITTED LE E qR OR AEBEFORE THE FIRST INSPECTIO.N-XrTORN Y BEFORE R CORDI GN 1 UR pTF OU'ICE (DD COMMENCEMENT."fTqOBTAIN NCING, CONSULT
Signatugl of Owner/ Lesste/Contractor as Agent for Owner I Signatb4:6 of Contractor/Licede Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF M(,(� Ii'� COUNTY OF MCS. —hl)
The f roing instru ent was acknowledged before me The for Ding inst'rujnent was acknowledged before me
this day of Nevem ber , 20)q by this day of -, 'WMWV 20A by
_�&V i d Lxpra& 70CLV i d Laf IAA b
Name of person making/ statement. Name of person making statement.
Personally Knowny OR Produced Identification Personally Known V OR Produced Identification
Type of Identification Type of Identification
Produced Produced
� 8/UAA.4& AV�1, "k,_
(Signature of Notary Public- 9tate of Florida) (Signature of Notary Public- Slate of Florida )
Commission No. U-2 2_3qh,)D+ (Seal) Commission No.l62-34D&I (Seal)
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLE-i
W COMMISSION # GG 234007 ;S�e. BRENOALOPER
MY COMMISSION # GG 234007
EXPIRES: Duty 1, 2022 Q
4W -d Thar Notary Public thrderwriters 'Fs EXPIRES: July 1, 2072
'''EpFF ° rord�ThruNotaryPubticlfidGVY�ftq
�,GLASS
�lInc.
Window / Door Schedule
#1 PGT SH 7700A 37" X 76"
#2 PGT SH 7700A 37" X 76"
#3 PGT SH 7700A 37" X 63"
#4 PGT SH 7700A 37" X 63"
#5 PGT SH 7700A 37" X 63"
#6 PGT PW 7720A 110" X 30"
#7 PGT PW 7720A 36" X 30"
#8 PGT PW 7720A 36" X 30"
#4 Exist. SOD
#3 #5 #1 #2
#6
#7 #8
Existing Front
Entry Door
PGT SH 7700A NOA# 18-0430.06
PGT PW 7720A NOA# 18-0430.05
Project flame: St. Lucie County License No.: 19363 Scale: N.T.S.
Koerber Residence 7/w C7&" Pwp"�o"& %KCS
1421 IIW winters creek Rd. 3570 S.E. Dinie tlwy • Stuart. f t 34997
Palm City. El 34990
ph: (772) (772) 286-0459 • glassproEesrionals@gmail.com