HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 5/27/20 Permit Number:
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Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residentia
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:Window / Door Replacement
PROPOSED IMPROVEMENT LOCATION:
Address: 2465 LAKERIDGE DR, PALM CITY FL 34990
Property Tax ID #: 4425-702-0003-000-3
Site Plan Name: LAKERIDGE
Project Name: SWANSON RESIDENCE
X
Lot No.
Block No.
DETAILED DESCRIPTION OF WORK:
REMOVE AND REPLACE IMPACT PGT SINGLE HUNG WINDOWS SERIES 7700A (NOA# 18-0430.06),
IMPACT PGT ARCH PICTURE WINDOWS (NOA# 18-0430.05), AND A PLASTPRO FRONT ENTRY DOOR
(FL PA# 17184.10)
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit— check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters "/' Windows/Doors _ Pond
Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 21,800 Utilities: _ Sewer _ Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Jamie Marie Swanson
Name: David LaPrade
Address: 2465 NW Lakeridge Dr
Company:The Glass Professionals
City: Palm City State: rl—
Zip Code: 34990 Fax:
Phone No. 772-919-5603
Address: 3570 SE Dixie Hwy
City: Stuart State. FL
Zip Code: 34997 Fax: 772-286-0461
Phone N0772-286-0459
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 HAVC 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:
Address:
City:
Zip: Phone:
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 thepermit 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 paying twice for
improvements to your property. A Notice of Commencement must be recorded in the public records of St.
Lucie County and posted on the jobsite before the first inspection. If you intend to obtain financing, consult
with lencjp�or an attorney before commencing work or record y g fir Notice,af Commencement.
BRENDALUrtK
h 1L`c� _ MY C0 ^J ;'6 GG 234007 =2Jt' �` MY COMMISSION # GG 234007
1, 2022 0: . ' cvnioCc• 1.4" 7 9099
Bonded Thiu Notary
1
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License older
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF r1 a,)/hA
COUNTY OF VIA(L'y"l-i i
Swyrn to (or affirmed) and subscribed before me of
S%Z7h to (or affirmed) and subscribed before me of
✓
✓ Physical Presence or Online Notarization
Physical Presence or Online Notarization
this day of '2020 by
this d(aay of 2^020 by
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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
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(Signature of Notary Public- Sta of Florida)
(Signature of Notary Public- Aate of Florida )
Commission No.r' 112 3C1c70--J— (Seal)
Commission No. CICF (Seal)
REVIEWS
FRONT
ZONING SUPERVISOR
PLANS
VEGETATION SEA TURTLE MANGROVE
COUNTER
REVIEW REVIEW
REVIEW
REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
BRENDALUrtK
h 1L`c� _ MY C0 ^J ;'6 GG 234007 =2Jt' �` MY COMMISSION # GG 234007
1, 2022 0: . ' cvnioCc• 1.4" 7 9099
Bonded Thiu Notary