HomeMy WebLinkAboutPermit Application.pdf All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 09/22/20 Permit Number:
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ova Building pp Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial X Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: poor Replacement
PROPOSED IMPROVEMENT LOCATION:
Address: 10044 SOCEAN DR 502, JENSEN BEACH FL 34957
Property Tax ID#: 4502-804-0034-000-8 Lot No.
Site Plan Name: SEA WINDS CONDOMINIUM APT 502 Block No.
Project Name: GUZ RESIDENCE
DETAILED DESCRIPTION OF WORK:
REMOVE AND REPLACE (1) CGI SLIDING GLASS DOOR (NOA# 19-0603.03)
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: $ 6,200 Utilities: --Sewer _Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Melissa T Guz, Ronald F Guz Name: David LaPrade
Address:1958 Lanchester CT Company:The Glass Professionals
City: Chesterfield, MO State:_ Address:3570 SE Dixie Hwy
Zip Code: 63017 Fax: City: Stuart State:FL
Phone No. Zip Code: 34997 Fax: 772-286-0461
E-Mail: Phone No772-286-0459
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 MCGLA01777
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 MORTGAGE COMPANY: _ Not Applicable
Name: i 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.
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 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 lender or an attorney before commencing work or recording our Notice of Commencement.
Signature of Owne essee/Contractor as Agent for Owner Signature of Contra ctor/Lic Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF—,a-.1 DCte COUNTYOF it-LLJ-ClC.- _
Sw rn to(or affirmed)and subscribed before me of 5w rn to(or affirmed)and subscribed before me of
Physical Presence or Online Notarization Pf�ysical Presence or Online Notarization
this day of Sc'Dt rYll e�`.202D by this F1`L dayof 2020 by
I ' V1d 6..4-6u--1 David WW e.
Name of person making statement. Name of person making statement./
Personally Known ✓ OR Produced identification Personally Known I✓ OR Produced Identification
Type of identification Type of Identification
Produced Produced
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g NotaryFlorida) (Signature of Notary Publi -State of Florida)
(Signature of Nota Pu lic-State of Florida
Commission No. 6G 23 q Dc,�--� (Seal) Commission No.C-762 3qob-i- (Seal)
REVIEWS FRONT ZONING SUPERVISOR FLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. BRENDA LOFEK
BRENDA LQPER `, ' t_ MY CCJt�9MISSIQ^i#GIG'23dC0i
EXPIRES:July 1,2022 ` on ru Notary Public Under�Tftar
Bonded Thru Notary Public Wndenxriter.
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