HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO 13p,ACCEPTED
Date: 02/21/20 4PermNumber: ®���
AVA
FBV9
Building Permit Applicatio �,�®�,� o
Planning and Development Services C61
Building and Code Regulation Division n.
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial X Residential
PERMIT TYPE: Window / Door replacement
PROPOSED IMPROVEMENT LOCATION:
Address: 10200 S OCEAN DR 304, Jensen Beach FL 34957
Property Tax ID#. 4511-518-0022-000-1 Lot No.
Site Plan Name: Atlantis III By The Sea Block No.
Project Name: Bozzo Residence
DETAILED DESCRIPTION OF WORK:
Remove and replace(6)PGT single hung series 5500 windows (NOA#17-0630.05)and (2)PGT sliding glass doors
series 5570(NOA# 17-0420.06)
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: Sq. Ft.of First Floor:
Cost of Construction:$ 15,450 Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name tWhsle 'Aaw Name: David LaPrade
Address. 10200 S Ocean Dr Apt 304 Company: The Glass Professionals
City: Jensen Beach State: IFL Address: 3570 SE Dixie Hwy
Zip Code: 34957 Fax: City: Stuart State-F'L
Phone No. 647-220-9963 Zip Code: 34997 Fax: 772-286-0461
E-Mail: bozzonatale@gmail.com Phone N0772-286-0459
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 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 O A BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH Y DER O TTORNEY BEFORE RECORDING YOUWAO.VCE CO E CEMENT."
Signature o 4wner'1Te—sske/C6fi-t7ra—cr3ras Agent for Owner Signatur o tr Lic nse Holder
STATE OF FLOR DA STATE OF FLORIDA
COUNTY OF r1 COUNTY OFfN
The forgoing instrLim nt was acknowledggd�before me The forgoing instrt was acknowledged before me
this day of 1'f?i ( 20%0 by thisu en
day t 20_2D by
VOW W(641.1 l.a&&
Name of person making statement. Name of person making statement.
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Type of Identification
Produced Produced
— i 68f 946L AMII�
l rdy^�
(Signature of Notary Publicl State of Florida) (Signature of Notary Public-Stnte of Florida)
Commission No. (Seal) Commission No.W2234n T (Seal)
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. Y;
`ii�VP�e�•., - - BRENDALOPER vb4•%, BRENDALOPER
MY c0mmissION#GG 234007 ? iAY COMMISSION#GG 234007
`Ya. Y:
EXPIRES:Jury 1,2022 t,,. EXPIRES:July 1,2022
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