HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: `ezQ6 Permit Number: t' 0 dy
CEIVED
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Building Permit Application JAN 0 6 ?0�'�
Planning and Development Services ST. Lucie County, permitting
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial _ C� Residential
PERMIT TYPE: Window
AR�POSED IMPROVEMENT L&AT'164
a:
Address: 10410 S Ocean Drive Unit 1007
Property Tax ID#: 4511-514-0079-000-3 Lot No.
Site Plan Name: Island Club Unit 1007 Block No.
Project Name: Island Club-Mays
DETAILED' 0ES'CRIPTION Of WORK ;
Replacement of Impact Window h P'r? j y7
CONSTRUCTION INFORiVIATIOfV:
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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: 1,452 Sq. Ft.of First Floor:
Cost of Construction:$ 3,800 Utilities: _Sewer _Septic Building Height:
Name Dale Mays Name:Jeffrey Walsh
Address:822 Fine Tree Drive Company:Liberty Home Builders
City: Girard State: Address:257 SE Monterey Road
Zip Code: 16417 Fax: City: Stuart State:FL
Phone No. Zip Code: 34994 Fax: 772-324-8578
E-Mail: Phone No 772-444-7112
Fill in fee simple Title Holder on next page(if different E-Mail info@libertyimpactwindows.com
from the Owner listed above) State or County License CGC 1504157
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 IM V ENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED ON T E B BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBT FINANCING, CONSULT
WITH YOUR R ATTORNEY BEFORE RECORDING YOUR NOTIC OF CO NCE NT:'
Si t400wner/Lessee/Contractor as Agent for Owner Sign tre of r or License Holder
STATE OF FLORIDASTATE OF
COUNTY OF -zo-Q/Kio COUNTY OF FLORIDA 23ja
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The forgoing instrument was acknowledged before me The forgoing instrumen was acknowledged before me
this day of�'�/T/per{) / 20 by this day of i��0� by
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Name of person maW ng statement.. Name of person rrAing statement.
Personally Known _OR Produced Identification Personally Known OR Produced Identification
Type of Identification Type of Identification
Produc Produced
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ignature of Notary Public- 1a yd gtary Public-State of FI riQ�' ature Notary Public- Commission at 899 fFoa
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.2/7119