HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
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1iM11- ° > Building Permit Application
St.,Lucle County
Planning and Development Services Permitting
Building and Code Regulation Division Commercial ✓ Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 CBDG Funding
PERMIT APPLICATION FOR: Remove and replace sliding glass door
PROPOSED IMPROVEMENT LOCATION:
Address: 13432 HARBOUR RIDGE BLVD 813, PALM CITY FL 34990
Property Tax ID #: 4436-605-0016-000-3
Site Plan Name: PALMETTO VILLAGE BUILDING 2 UNIT 8B
Project Name: PHELAN RESIDENCE
DETAILED DESCRIPTION OF WORK:.,
REMOVE AND REPLACE (1) IMPACT SLIDING GLASS DOOR (PGT SGD 770 - NOA# 20-0429.09)
New Electrical Meter Second Electrical Meter (Affidavit required)
CONSTRUCTION INFORMATION.:
Lot No.
Block No.
Additional work to be performed under this permit —check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters X Windows/Doors _ Pond
Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 9,000 Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:,
Name Daniel D Phelan, Lisa A Phelan
Name: David LaPrade
Company: The Glass Professionals
Address: 3570 SE Dixie Hwy
Address: 621 SW Bay Pointe CIR
City: Palm City State: FL
Zip Code: 34990 Fax:
Phone No. 404-432-9617 E-
Mail: phelan9993@gmail.com
City: Stuart State: FL
Zip Code: 34997 Fax: 772-286-0461
Phone No 772-286-0459
E-Mail gp•permits2@gmail.com
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
State or County License 19363
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-.CONS,TRUCTION..LIEN.,LAW INFORMATION.-,
DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name:
Name:
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:
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 conflicts with any applicable Homeowners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Homeowners 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 paying twice for
improvements to your property. A Notice of Commencement must be recorded in the public records of St.
Lucie County and posted on the jobsite before the first inspection. If you intend to obtain financing, consult
with lender or an attorney before commencing work or recording your Notice of Commencement.
Signature of Contractor - or - Owner Builder as
applicable
STATE OF FLORIDA
COUNTY OF Saint Lucie
Sworn to (or affirmed) and subscribed before me of X
Physical Presence or Online Notarization
this 8th day of December 20 zi by
David LaPrade
Name of person making statement.
Personally Known X OR Produced Identification
Type of (Identification Produced
(Signature of Notary Public- State of Florida)
BRENDALOPER
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Commission No. (Seal)
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EXPIRES. July 1, 2MP;,t,`•°r'
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Rev 10/12/21