HomeMy WebLinkAboutBuilding permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date
COUNTY
F 1 n R 1 r
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Permit Number:
Building Permit Application
Commercial Residential 1`
PERMIT TYPE: Replacement of Door with IMpact
PROPOSED IMPROVEMENT LOCATION:
Address: 10701 S Ocean Dr #670 Hutchinson Isle, FL 34957
Property Tax ID #: 4511-805-0071-000-0
Site Plan Name: Englesbe
Project Name:
Enqlesbe
DETAILED DESCRIPTION OF WORK:
Replacement of Door with Impact
FL NOA 22363.6
CONSTRUCTION INFORMATION:
Lot No. 71
Block No. 41 E
Additional work to be performed under this permit —check all that apply:
Mechanical Gas Tank _Gas Piping _Shutters —Windows/Doors
Electric _Plumbing _Sprinklers
Total Sq. Ft of Construction: _
Cost of Construction: $ 2,420
Generator Roof Pitch
Sq. Ft. of First Floor:
Utilities: —Sewer Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Mary Ann Englesbe
Name: Jeffrey Walsh
Address: 595 Seton Cir
Company:Liberty Impact Windows & Doors Inc
City: Lakewood State:NT
Zip Code: 08701 Fax:
Phone No. 908-216-6610
Address: 257 SE Monterey Road
City: Stuart State: FL
Zip Code: 34994 Fax: 772-324-8578
Phone No 772-444-7112
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail info@libertyimpactwindows.com
State or County License CGC 1528257
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:
X Not
City: State:
Zip: Phone
MORTGAGE COMPANY: )( Not Applicable
Address:
City:
Zip: Phon
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 YOUR PAYING
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED ON THE .JOB BEFORE THE FIRST INSPECTION- IF YOU INTEND TO OBTAIN FINANCING, CONSULT
wrist YM an a FYnFD n6 AN�errnimFY RFmim RFrnRniNG YOUR NOTIM OFM MMENCEMENT."
Si er Lessee/ tractor as Agent for Owner
Signat Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA M��
COUNTY OF /I%Cl/
COUNTY OF /"
The f rgoing instru it was acknowled ed before me
The fo o'ng instru ent was acknowledged before me
this D o 0 by
this y t?M� ✓ J by
Name rson ma in sta nt.
Na per n ma sing st temen .
Personally Known
Personally Known �dumd dLoati£.= tin
Type Of Identification ,QP" °d•.. CHNI571NA FOIITIN
Type of Identification ; y�jiv'i"' ., CNRISTINA F00.TIN
Produc• Notary Public - State of Florida
ed•=
Produced !��? NotaryPublic - State of Florida
ommission M7464
1 937464
'•.. ,ornMy Comm. Expires Dec 5. 2023
4 s Dec5. 2
Commission Expires
a n,' M Comm.. Expires c 5, 2023
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_ Banded through National Notary Assn.
Bonded through National Notary Assn.
(Signature of Notary Public -State of Florida)
(Signature of Notary Public -State of Florida )
Commission No. 3 (Seal)
Co m m ission No. OS (Seal)
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.2/7/19
Llb=I< I Y
IMPACT WINDOWS & DOORS
Window/Door Schedule
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