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HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED.FOR APPLICATION TO BE ACCEPTED I Date: �' v 1 Permit Number:a 10 © 9 O o , RECEIVED ` Building Permit Application APR 2 8 2.021 Planning and Development Services Building and Code Regulation Division Commercial X Resid r$falucie-County, Permitting 2300 Virginia Avenue,Fort Pierce FL 34982 Phone:(772)462-1553 Fax:(772)462-1578 PERMIT'APPLICATION FOR:Replacement of Sliding Glass Door PROPOS°E© IMPROVEMENT LOCAITI Address: 10310 S Ocean Drive Unit 301 Jensen Beach FL 34957 Property Tax ID#: 4511-515-0019-000-8 Lot No. Site Plan Name: 0 y�nA ►ern Block No. Project Name: Quinn 1 J Ul1n ®'ETAILED ®E�SCRIFTIO OF WORK: Replacement of Sliding Glass Door with Impact �c0 New Electrical Meter Second Electrical Meter C®NSTRUCTI©N INFORMATION: Additional work to be performed under this permit—check all that apply: _Mechanical _Gas Tank —Gas Piping _Shutters Windows/Doors _Pond _Electric _Plumbing _Sprinklers _Generator _Roof Pitch Total Sq. Ft of Construction: Sq.Ft. of First Floor: Cost of Construction:$ 6,930.00 Utilities: —Sewer _Septic Building Height: OWNER/LE=�S`521E: C NTR�ICT©R: NameJohn Quinn Name:Jeffrey Walsh Address:10310 S Ocean Drive Unit 301 Company:Liberty Impact Windows&Doors City: Jensen Beach State: T7-L Address:257 Monterey Rd Zip Code: 34957 Fax: City: Stuart State:FL Phone No.772-229-2065 Zip Code: 34994 Fax: E-Mail:N/A Phone No772-444-7112 Fill in fee simple Title Holder on next page(if different E-Mail info@libertyimpactwindows.com from the Owner listed above) State or County License CGC; 1528257 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:James Philip Drago Name: Ad d ress:333 NE 24th Street Address: City: Boca Raton State: FL City: State: Zip: 34957 Phone 561-361-7161 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 YOUR PAYING TWICE FOR IMPROY ENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON T B ITE BEFORE THE FIRST INSPECTION. IF Y U ND TO OBTAIN FINANCING, CONSULT WITH YOUR D RAN ATTORNEY BEFORE RECORDING YOU*-NDtPCE OF COMMENCEMENT." Ygnalure of r/Lessee/Contractor as Agent for Owner Signatur o on ractor/License Holder TAT F FLORIDA STATE OF FLORIDA COUNTY OF Martin COUNTY OF Martin The for ring instr men was acknowledged before me The forgoing instrument was acknowledged before me this_day of '!1 20�( by this day of 1QQ,T1 262 by Jeffrey Walsh jefrrey Walsh Name of person making statement. Name of person making statement. Personally Known x OR Produced Identification Personally Known x OR Produced Identification Type of Identification Type of Identification Produce Personally Known Prod a Personalty Known (Signat Notary Public- f;F0'i# CHRISTINA FORTIN �SI ure of Notary Public-Stat O ) CHRISTINA FORTIN Notary Public State of F or a •'x°;h:; Notary Public State of FI ri G 3 y(� €�• Y� ` Commission#GG 937 64 //�� : 3ga' (commission#GG 9374 Commission No. + all1 lC' '.'a �(� 'Qomm.Expires Dec 5, 0 'FOFMY Comm.Expires Dec 5 2(1 fission NO. of .• P Bonded through National Nota Assn. Bonded through National Notary s REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev.