HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFOMUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED a�04-0
1�Date: -C c �a l��' Permit Number: uu
b�IC��I RECEIVED
- -f
° Building Permit Application APR 2 8 2021
Planning and Development Services ST. Lucie County, Permitting
Building and Code Regulation Division Commercial x Residbritial
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax:(772)462-1578
PERMIT APPLICATION FOR:Windows and Doors
PROPOSED IMPROVEMENT LOCATION:
Address: 9650 S Ocean DR Apt 205,Jensen Beach, FL 34957
Property Tax ID#: 4502-610-0015-000-4 Lot No.02
Site Plan Name: W Qn yet Block No. 37S
Project Name: Weigel
DETAILED DESCRIPTIONCIF WORK:
Replacement of Window and Doors with Impact FL NOA 20-0427.11 FL NOA 17-1114.07,
� �n doh 4 `)
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 l Windows/Doors _Pond
Electric _Plumbing _Sprinklers _Generator _'Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
v
Cost of Construction:$ o��', I�� o Utilities: —Sewer _Septic Building Height:
OWNERf LESSEE: CONTRACTOR:
Name Richard A Weigel, Patricia A Weigel Name:Jeffrey Walsh
Address:9650 S Ocean Dr#205 Company:Liberty Impact Windows and Doors
City: Jensen Beach FL State:FL, Address:257 SE Monterey Road East
Zip Code: 34957 Fax: City: Stuart State:FL
Phone No.530-721-2991 Zip Code: 34994 Fax:
E-Mail: Phone No772-444-7112
Fill in fee simple Title Holder on next page(if different E-Mail 10 Q lbc(t'y I/MPGI&Wi n 601,k%S. I rim
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 PhilipDrago Name:
Address:333 NE 24th Street Address:
City: Boca Raton State: FL City: State:
Zip: 34957 Phone 587-361-7161 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 IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED O E JOB SITE BEFORE THE FIRST INSPECTION. IF ND TO OBTAIN FINANCING, CONSULT
WITH YOVVtf4PER OR AN ATTORNEY BEFORE RECORDING Y U NOT E OF COMMENCEMENT."
Sig ature of r essee/Contractor as Agent for Owner Sig ko Contractor/License Holder
AT F FLORIDA STATE OF FLORIDA
TY OF Martin COUNTY OF Martin
The for oing instru ent was acknowledged before me The forgoing instru ent was acknowledged before me
this day of I 20 oZ I by this day of 20_.9/by
Jeffrey Walsh Jeffrey 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 I entification Type of Identification
Produc Personally Known f--- Produced Pecs Hy Known
(Signature of Notary Public-S e• on a
� ' uB•.• CHRISTINA FORTIN ignature of Notary Public-State sa CHRISTINA FORTIN
Notary Public-State of Floric a
Commission No. 93?y et a Se mmission ;GG 9374b4 C13 toy h� Notary Public-State of F�r
,F '°F.( mmission No. 4• Sealkommission#GG 9374 4
cFF`. My Comm.Expires Dec 5,2023oFF�°•' My Comm.Expires Dec 5, 0
Bonded through National Notary As n. "
Bonded through National Notan A
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev.