HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONr ',
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 08/15/19 Permit Number:
Planning and Development Services
Building and Code Regulation Division
1300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
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1910 SCANNF�
Building Permit ApplAllonatmP�,
BY
Pe Stm`9ie` St. Lucie County
Commercial X Residential
PERMITTVPE: Door Replacement
PROPOSED IMPROVEMENT LOCATION:
Address: 9800 S OCEAN DR 209, JENSEN BEACH FL 34957
Property Tax ID #: 4502-504-0026-000-8
Site Plan Name: ISLAND BEACH CLUB
Project Name: ORWIG RESIDENCE
DETAILED DESCRIPTION OF WORK:
REMOVE AND REPLACE (1) PGT SGD 5570
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit —check all that apply:
_Mechanical _ Gas Tank —Gas Piping _ Shutters
Electric _ Plumbing _ Sprinklers
Total Sq. Ft of Construction: _
Cost of Construction: $ 9,100
_ Generator
Sq. Ft. of First Floor:
Utilities: _Sewer _Septic
Lot No.
Block No.
IWindows/Doors
Roof
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Peg And Ray LTD Part
Name: DAVID LAPRADE
Address:9800 S OCEAN DR 209
Company -THE GLASS PROFESSIONALS
City: JENSEN BEACH State: _
Zip Code: 34957 Fax:
Phone No.772-229-3006
Address:3570 BE DIXIE HWY
City: STUART State: FL
Zip Code: 34997 Fax: 772-286-0461
Phone N0772-286-0459
E-Mail: rayorwig@orwigproperty.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail PERMITS.GLASSPROS@GMAIL.COM
State or County License 19363
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLEHOLDER: _ Not Applicable
Name:
BONDING COMPANY: _Not Applicable
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 C SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH Y D A1114M0RNEY BEFORE RECORDING YOUR`A&6CE F [�M�11 [EMENT.°
U_
Signetur o er/ Les'see/ddntractor as Agent for Owner
Signat e r i1bdrisoolder
STATE OF FLORI•D
STATE OF FLO�tIp,Q�
COUNTY OF NIQy1hn
COUNTYOF NU,(Yj7j1
The for Ding instrument was acknowledged before me
thisZdayof US 20-1 by
The for�ggoing instrumnt was aacnowledge before me
this �7 dayoftTLlglAb't" ,20� by
Name of person making statement.
Name of person making statement.
Personally Known ✓ OR Produced Identification
Personally Known V/ OR Produced Identification
Type of Identification
Type of Identification
Producedi
N-da &'=
ed
(Signature of Notary P blic- State of Florida)
_Produced
(Signature of Notary Publi - State of Florida )
Commission No. C:t + (Seal)
Commission No.C1523z O-0—+ (Seal)
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Key. 21i/19
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