HomeMy WebLinkAboutPermit application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 07/15/20 Permit Number:
Fa LP1
044W Building Permit Application
Planning and Development Services
Building and Code Regulation DivisionCommercial Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone:(772) 462-1553 Fax:(772)462-1578
PERMIT APPLICATION FOR: Taormina Residence
PROPOSED IMPROVEMENT LOCATION:
Address: 12408 HARBOUR RIDGE BLVD 6-2, PALM CITY FL 34990
Property Tax ID#: 4426-807-0042-000-3 Lot No.
Site Plan Name: South Shore Village Unit 6-2 (OR810-1963) Block No.
Project Name: Taormina Residence
EETAILED DESCRIPTION OF WORK:
Remove and replace(4) impact PGT picture windows- PW5520(NOA#19-1126.10)
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:$ 5,500 Utilities: —Sewer _Septic Building Height:
OWNERAESSEE: CONTRACTOR:
Name John V Taormina Name: David LaPrade
Address: 12408 Harbour Ridge Blvd Company-.The Glass Professionals
City: Palm City State: Address: 3570 SE Dixie Hwy
Zip Code: 34990 Fax: City: Stuart State:FL
Phone No.772-336-0171 Zip Code: 34997 Fax: 772-286-0461
E-Mail: taorjt@gmail.com Phone No 772-286-0459
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 19363
If value of construction is Z500 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 LAIN 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.
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 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 inspectio ou intend to obtain financing, consult
with n r or an iattorney before commencing work or recordi your,Ng
tice o Commencement.
a
Signatu a Owner/Lessee/Contractor as Agent for Owner Signature of C n ractor/License older
STATE OF FLORIDA STATE OF FLORID
COUNTY OF COUNTY OF LLk i
Sworn to(or affirmed)and subscribed before me of Sworn to(or affirmed)and subscribed before me of
Physical Presence or Online Notarization �V/ P ysicai Presence or Online Notarization
this W day of - 2020 by this day of 2020 by
Name of person making statement_ Name of person makingstatement.
Personally Known OR Produced Identification Personally Known v/ OR Produced Identification
Type of Identification Type of Identification
Produced Produced
t,. 9JG
(Signature of Notary Publi State of Florida} (Signature of Notary+ Publ" -State of Florida}
Commission No. 3 W� (Seal) Commission No.C-2 3L{l.OUT (Seal)
REVIEWS FRONT ZONING SUPERVISOR PLANS V GETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMP
[3R NUALOPER
BRENDALOPER
3v1Y CO3/MIS590N#GG 2.34 7 o`" °,'. A �pay /) �yy O�+.23 T
✓�INIIVII.7JI'UN it�V Ca7"�GGI
n p�;. on ru otaty public urwemlffs itrrF :
;,_ r F •' Bond d Tbru Notary Public Undew t m It