HomeMy WebLinkAboutBuilding Permit Application All APPLICAALE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 12/02/19 Permit Number: 1 "� 0 0(04
I
RECEIVED
DEC.0 4 2019
Building Permit Application
Planning and Development Services Permitting Departrnent
Building and Code Regulation Division @t: 64@1e
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial X Residential
PERMITTYPE: Window Replacement
PROPOSED IMPROVEMENT LOCATION:
Address: 4100 N HIGHWAY Al 313
Property Tax ID#: 1423-502-0014-000-4 Lot No.
Site Plan Name: TREASURE COVE DUNES UNIT 313(OR 2976-1736) Block No.
Project Name: Heim Residence
DETAILED DESCRIPTION OF WORK:
Remove and replace(7)impact CGI single hung windows(NOA#17-1018.08)
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit—check all that apply: /
_Mechanical _Gas Tank d_Gas Piping _Shutters Windows/Doors
_Electric _Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction:$ 9,800 Utilities: _Sewer _Septic Building Height:
OWNERAESSEE: CONTRACTOR:
Name David M Heim Name: David Laprade
Address:3198 Woodland Court South Company: The Glass Professionals
City: North Tonawanda State:t�l Address: 3570 SE Dixie Hwy
Zip Code: 14120 Fax: City: Stuart State: FL
Phone No.716-694-2800 ext: 124 Zip Code: 34997 Fax: 772-286-0459
E-Mail: daveheim52@gmail.com Phone No 772-286-0459 ext. 217
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.
l
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 JOKS SITE BEFORE THE FIRST INSPECTION. IF YOU END TO BTAIN FINANCING, CONSULT
W1TFVfQM4ENDE0 OR AWATTORNEY BEFORE RECORDING YOU OT E F C M ENCEMENT."
Signa e o wner es ee/Contractor as Agent for Owner Signature of Contractor/License-Holder
STATE OF FLO STATE OF FLORIDA
COUNTY OF Y� COUNTY OF
The fo going instcument was acknowled a before me The forgoing instr ment was acknowledge before me
this day of 20 by this Z day of 20 by
Name of person making ssta ement. _Name of person making statement.
Personally Known V OR Produced Identification Personally Known OR Produced Identification i
Type of Identification Type of Identification
Produced Produced
Lot—,
(Signature of Notaryn�Publi State of Florida) (Signature of Notary Public-Sta a of Florida
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Commission No. � 6b_T (Seal) Commission Nob (�� 01 (Seal)
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLET
ev. tii�Y> BRENDALOPER ;
p4�E s `BRENDALOPER
_t: 07 PAY COMMISSION#GG 234007 ;*, *_. MY COMMISSION#GG 2340
EXPIRES:July 1.2022 Q EXPIRES:Jul 1,2022 l
Bonded7l�mNotaryPublicUndeMrltel5 �: FFyO�.