HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:"� I�I�2o Permit Number:
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-" Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT TYPE: Window replacement
PROPOSED IMPROVEMENT LOCATION:
Address: 13002 NW HARBOUR RIDGE BLVD, PALM CITY FL 34990
Property Tax ID #: 4426-830-0015-000-7
Site Plan Name: HARBOUR RIDGE
Project Name: VOSSEKUIL RESIDENCE
DETAILED DESCRIPTION OF WORK:
REMOVE AND REPLACE (10) PGT SINGLE HUNG SERIES 5500 (NOA# 17-0630.05)
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit — check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters
Electric _ Plumbing _ Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $ 14,300
Generator
Sq. Ft. of First Floor:
Lot No._
Block No.
J Windows/Doors
Roof Pitch
Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Bryan M & Ann R Vossekuil
Name: David LaPrade
Address: 13002 Harbour Ridge Blvd.
Company: The Glass Professionals
City: Palm City State:
Zip Code: 34990 Fax:
Phone No. 772-343-8158
Address: 3570 SE Dixie Hwy
City: Stuart State: FL
Zip Code: 34997 Fax: 772-286-0461
Phone No 772-286-0459
E -Mail:
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 $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
Name:
MORTGAGE COMPANY: Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY: Not Applicable
Name:
Address:
City:
Address:
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
WITH,a "R LENDER OR AN ATTORNEY BEFORE RECORDING YOUR-WTICE OF CO1MMEWMENT."
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Sign atu o Owner/ Les ee Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF_ N'IGt��-hn
STATE OF FLORIDA ,
COUNTY OF
The forgoing instrument was acknowledged before me
this 0 day of 1 2020 by
The forgoing instrument was acknowledged before me
this t.P of tv,�2g020, by
i 'd r e -l
'ffday
la ci lG� T I GtL l
Name of person making/statement.
Name of person making statement.
Personally Known ✓ OR Produced Identification
Personally Known V OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
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(Signature of Notary Public- State/of Florida )
(Signature of Notary Public- SStte of Florida)
Commission No. 1-A&IJ-23�1W (Seal)
Commission No. ft-72N0ca (Seal)
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 2/7/1
I; _''• •.'': GREP;DALOPF_R s�`'Yn,;'' 6R&JDALOFER
:,,, MY CG llbi!SSION # GG 234G07 F i Sj MY C"' - '•S3!0N ;# Cr G 234007
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