HomeMy WebLinkAboutPermit Application - Bruhn All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 7/27/2021 Permit Number:
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Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential X
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1S53 Fax: (772)462-1S78
PERMIT APPLICATION FOR: Replacement of Windows & Doors
PROPOSED IMPROVEMENT LOCATION:
Address: 9550 S OCEAN DR#305 Jensen Beach, FL 34957
Property Tax ID#: 4502-601-0019-000-4 Lot No.
Site Plan Name: Bruhn, Joe Block No.
Project Name:
DETAILED DESCRIPTION OF WORK:
Replacement of Windows& Doors
FL NOA 20-1118.06 FL NOA 22250.1
FL NOA 21461
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: $ 16,837.90 Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Joe Bruhn Name:Jeffrey Walsh
Address:9550 S Ocean Dr#305 Company:Liberty Impact Windows and Doors
City: Jensen Beach, State:� Address:257 SE Monterey Road East
Zip Code: 34957 Fax: City: Stuart State:FL
Phone No.810-923-2124 Zip Code: 34994 Fax:
E-Mail:NSA Phone No772-444-7112
Fill in fee simple Title Holder on next page(if different E-Mail libertypermitting@gmail.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: X Not Applicable MORTGAGE COMPANY: Not Applicable
Name: Narne:
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:
1 Zip: Phone: Zip: Phone:
OWNER/CONTRACTOR AFFIDVIT:Application is hereby made to obtain a permit to do the work and installationas 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 SITE RE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER ATTORNEY BEFORE RECORDING YOUR OTICE OF COMM NT."
Signature of V Wrier/Lessee/Contractor as Agent for Owner Signature of C tractor/License Holder
STATE OF FLORM STATE OF FLORIDA J
COUNTY OF ) ��l� ( i� ` COUNTY OF
Th rgoing instrum t w s a knowledge-d before me The fgrgoing instru ent w s acknowledggd)'before me
thiGL4s day Of 2QQjl by thi �day of 20 by
Name of person making statement. Name of person making statement.
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Type of Identification
Produced Produced
(Signature of Notary Public- t t (Sig/�'n^^atu a o]f Notary Pub - Notary Public Stale of Florida
~ � dr Notary Public State of Florida t.�5 1- 1 .� 1 . Steptl�rtin
Commission No. �P Stedamo Spuftin Commission No. W co HH 057731
+�,- my Comm,,$=HH 057131 Of Expires t0/2712024
Expires 1012712024
REVIEWS FRONT ZONING SUPERVISOR PLANS/ VEGETATION SEA ERTLE MPANGROVE
COUNTER REVIEW REVIEW
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DATE
RECEIVED
DATE
COMPLETED
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