HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 02/21/20 Permit Number:
- a
- _ Building Permit Applicatign
Planning and Development Services �t� s �lOj
Building and Code Regulation Division �4r�AO0;'0' 0
2300 Virginia Avenue,Fort Pierce FL 34982 �Q��1��hF
Phone: (772)462-1553 Fax: (772)462-1578 Commercial X Residential
PERMIT TYPE: Window replacement
PROPOSED IMPROVEMENT LOCATION:
Address: 10200 S OCEAN DR 604,Jensen Beach FL 34957
Property Tax ID#: 4511-518-0052-000-0 Lot No.
Site Plan Name: Atlantis III By The Sea Block No.
Project Name: Bracciodieta Residence
DETAILED DESCRIPTION OF WORK:
Remove and replace(3) PGT impact single hung series 5500 windows (NOA# 17-0630.05)
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 —Sp rinklers; _Generator Roof Pitch
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction:$ 3,600 Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Daniel R Bracciodieta Name: David LaPrade
Address: 10200 S Ocean Dr Apt 604 Company: The Glass Professionals
City: Jensen Beach State:VL Address: 3570 SE Dixie Hwy
Zip Code: 34957 Fax: City: Stuart State:FL
Phone No. Zip Code: 34997 Fax: 772-286-0461
E-Mail: 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 �g3(13
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 ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WlTffl-XGWLENJQER OR AN ATTORNEY BEFORE RECORDING YOU IC OF ENCEMENT."
Signature of Owner/Le ee/Contractor as Agent for Owner Signature f Contractor License Holder
STATE OF FLO9 (N
A STATE OF FLORIDA
COUNTY OF COUNTY OF JnAA A
The for oing instrurrijent was acknowledged before me The forgoing instru ent was acknowledged before me
this 2day of 20 V by this Iq,. day of ULO 20_S*by
'Dnun`d ( u�raid� �os, d LPradb
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
"a(A- !&1M L V"
(Signature of Notary Public- ate of Florida) (Signature of Notary Public--,Sato of Florida)
Commission No. 34004` (Seal) Commission No 23 w't (Seal)
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.
BRENDALOPER
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My COMMISSION#GG 234007 Piny COMMISSION#GG 234007
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a EXPIRES:July 1,2022 EXPIRES:July 1 2
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