HomeMy WebLinkAboutLierz Signed Permit AppAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
COU N'I
L Z7- R
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (7721 462-1578
PERMIT TYP E: win dows/doo rs
PROPOSED IMPROVEMENT LOCATION:
Address: 10102 S Ocean Dr. Unit
Property Tax ID #: 4502-802-0013-000-9
Site Plan Name:
Project Name: Donna Lierz
Permit Number:
Building Permit Application
Commercial Residential
Jensen Beach, FL 34597
:�ri90C.1
Block No.
DETAILED DESCRIPTION OF WORK: I
Install 3 Impact windows and 2 Doors
I CONSTRUCTION INFORMATION:
Additional work to be performed underthis permit — check all that apply:
_Mechanical _ Gas Tank _ Gas Piping Shutters
Electric _Plumbing _Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $ 16,978
Generator
Sq. Ft. of First Floor:
Utilities: _Sewer _Septic
OWNER/LESSEE:
No meDonna Lierz
Address:10102 S Ocean Dr, Unit 206A
City: Jensen Beach State: FL
Zip Code: 34597 Fax:
Phone No.704-408-3834
E- M a i I: lierzd@gm ail.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
CONTRACTOR:
Name: Ronald Heath
Windows/Doors
Roof Pitch
Building Height:
Company: Max Guard Hurricane Windows LLC
Address:2253 Vista Pkwy, Ste 12
City: West Palm Beach State:FL
Zip Code: 33411 Fax:
Phone No 561-276-7100
E-Ma ilRheath@maxguardhurricane.com
State or County License SCC131151738
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:
Ad d ress:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
UYv1YCKj UUN I KALI UK AFI•IUVII : 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 cove rants that may restrict or prohibit such
structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
inconsideration ofthe 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 Amend menu.
The following building permit applications are exernptfrom undergoing afull 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
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT:
Signature of Owner/ Lessee ontractor as Agent for Owner Signature of Contractor/Ccense �Ho
STATE OF FLORMA STATE OF FLOR A
COUNTYOF 1, COUNTY OFFfuIPA _
The fing instru ent was cknowledged before me The forgoing instrument wa acknowledged before me
thisday of _1�, 2p Eby this day of2 by
Name of person making statement. Name of person making statement.
�-.
Personally Known _ OR Produced Identifcatlon Personally Known _ t� OR Produced Identification _
Type of Identification Type of Identification
ProducedProduced
(Signature of Notary Public-5t (Signature of Notary Pu ic-State of FI
�{ -y�N McGRORY �N 1�cGRORY
Commission No. !�i���1N1 ,L'SS10N4G0359242 Commission No. �°
EXPIRES: July 25, 2023 ` L , ISSION 4 G6359242
"Eo�svae EXPIRES July 25, 2023
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
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