HomeMy WebLinkAboutAPPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 03/10/20 Permit Number:
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Building Permit Application
Commercial X Residential
PERMIT TYPE: Window / Door Replacement
PROPOSED IMPROVEMENT LOCATION:
Address: 9900 S OCEAN DR 509, JENSEN BEACH FL 34957
Property Tax ID #: 4502-503-0053-000-3
Site Plan Name: OCEANA OCEANFRONT CONDOMINIUM II
Project Name: Ottley Residence
Lot No.
Block No.
DETAILED DESCRIPTION OF WORK:
Remove and replace (3) CGI impact single hung series 110 windows (noa# 17-1018.08) and (2) CGI impact
sliding olass doors series 150 (noa# 19-0603.03)
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: $ 12,300
Sq. Ft. of First Floor:
Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Steven R Ottley Talya B Ottley
Name: David LaPrade
Address: 4348 Star Ruby BLVD
Company: The Glass Professionals
City: Boynton Beach State:
Zip Code: 33436 Fax:
Phone No. 561-385-1300
Address: 3570 SE Dixie Hwy
City: Stuart State: FL
Zip Code: 34997 Fax: 772-286-0461
Phone No 772-286-0459
E-Mail: ottleydesign@hotmail.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 52500 or more, a RECORDED Notice oT Lommencemeni is requireu.
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:_
Address:
City:
Zip:
Phon
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone:_
State
Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY: _Not Applicable
Name:
Address:
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
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WIT14 Yn11iR I FNnFR nR AN ATTnRNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
dow4n6t-f
i
Signatu Lessee/Contractor as Agent for Owner
Signature of Con ractor/License Holder
STATE OF FLORIDA
COUNTY OF NVaf nO
STATE OF FLORIDA
COUNTY OF Mo,(-hy-%
The forgoing instrument was acknowledged before me
this VO day of 20 E0 by
The forgoing instrument was acknowledged before me
this 16 day of M0'YVn 20 ZOby
�Omd IAT-Ci2
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
�Ar" a Ao�
A &!�
(Signature of Notary Public- Statk of Florida )
(Signature of Notary Public State of Florida)
Commission No.66'Z311oy`l-- (Seal)
Commission No.(J(72)g0r+_ (Seal)
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 2/7/19
BRENDA LOPER
1P ... BRENDA ,.• o�
MY COMMISSIONES: JJuly 1, 2022 007 ^� Ml EXPRES:OJuly 1, 022 007
EXPIRES: