HomeMy WebLinkAboutBuilding Permit Application All APPLIC,A�B,LLE,,INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 4�' �' �• Permit Number: l/ C
JUN 0 9 2021
LF O ° ' ` St,Lucia County
Building Permit Application Permitting
Planning and Development Services
Building and Code Regulation Division Commercial Residential
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax:(772)462-1578
PERMIT APPLICATION FOR:Replacement on Doors with Impact
PR®POSED IIVI�PRO�/ aNTLOCATI®�N�; ,. N., *
Address: 10310 S OCEAN DR 401 Jensen Beach FL 34957
Property Tax ID#. 4511-515-0029-000-1 Lot No.
Site Plan Name: Aulisiol, David Block No.
Project Name: A J 1151 D , �lfi�
Replacement of Doors with Impact
FL NOA 20-0429.09
New Electrical Meter Second Electrical Meter
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:$ 15,000.00 Utilities: —Sewer _Septic Building Height:
WNE % S�SEE: - CONTR'AC*TO,R•
Name David J Aulisio(TR) Name:Jeffrey Walsh
Address: 83 Kilburn RD Company:Liberty Impact Windows and Doors
City: Garden City State:_ Address:257 SE Monterey Road East
Zip Code: 11530 Fax: N/A City: Stuart State:FL
Phone No.516-754-7086 Zip Code: 34994 Fax:
E-Mail:N/A Phone N0772-444-7112
Fill in fee simple Title Holder on next page(if different E-Mail 1(1 Q l i b(ffi j irn P f- -kA n joL...)J. Cu rw
from the Owner listed above) State or County LicenseCGC 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.
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SUPRLEMNTAL C48TRUCT10N it LAW7NFORMATION.
DESIGNER/ENGINEER: x
_Not Applicable ' '' -- •' F
Name; MORTGAGE COMPANY: �( Not Appllcable
Address. Name:
City: Address:
Zip: Phone State: City:
Zip: Phone: State:
FEE SIMPLE TITLEHOLDER: _Not Applicable BONDING COMPANY:
Name: Not Applicable
Address: Name:
City:. Address:
Zip: Phone: city.-
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 re
structure.Please consult with your Home Owners Association and review our deed for an restrictions which may apply.
In consideration of the granting of this requested permit,I do hereby agree that I will,in all respects, y strict or prohibit such
in accordance with the approved plans,the Florida Building Codes and St.Lucie County Amendments. y
p ,perform the work
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 SITE RE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER ATT RNEY BEFORE RECORDING YOUR OTICE OF COMM
NT"
Signature of ner/Lessee/Contractor as Agent for Owner Signature of C tractor/License Holder
STATE OF FLO STATE OF FLOF�(D'
COUNTY OF COUNTY OF l
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The f oda instr ent was a knowledged before me Thenqqrolng instr t was cknowledged before me
111
this day of 20 by thisday of I
zo�Z^I by
Name of a son malklog statement.
Name of per on Makin statement.
Personally Known _OR Produced Identification Personal) Known
Type of Identification Y OR Produced Identification
Produced Type of Identification
Produced
( igna ure KNotary Public-St of r' ature f Notary Public-Sae f Fl '
Commission No. 5 73 Putr11 S�°t�O" ° Sate m Florida
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orti Expires 10l27/2024 ��1 24 057731
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
DATE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
RECEIVED
DATE
COMPLETED
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