HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE
+ INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: ' �• A CPermit Number:
Building Permit Application
Planning and Development Services APR Q $ 2Q19
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982 a ST. Lucie County, Pern
Phone: (772) 462-1553 Fax: (772) 462-1578 Commerci I Residential x
PERMIT APPLICATION FOR: Window/door
PROP05ED 1IPROU£„ NT,LOCATI `
�. �.
Address: 4100 N HIGHWAY A1A 321, FORT PIERCE, FL 34949
Legal Description: TREASURE COVE DUNES UNIT 321 (OR 3823-1133)
Property Tax ID #: 1423-502-0017-000-5
Site Plan Name:
Project Name: MARTIN GRAGLIA
Setbacks Front Back: _
Right Side:
�vI si-�d I G m �� wt ndo-uS ,
HVAC Gas Tank "Gas Piping
Electric 0 Plumbing ❑Sprinklers
Total Sq. Ft of Construction: c
Cost of Construction: $ � ro� I R o 9 -
Lot No.
Block No.
Left Side:
(rn
Shutters Z Windows/Doors
Generator 11 Roof = Roof pitch
S Ft. of First Floor: _
Utilities:"n Sewer 0 Septic
Building Height:
QU1/tUER/LFSSEE 4 -
�.. n u ip.
GONTRA1 OR , -, $ .r
Name MARTIN GRAGLIA
Name: Scott Berman
Address:4100 N HIGHWAY A1A 321
Company: Florida Window and Door
City: FORT PIERCE State: FL
Zip Code: 34949 Fax: N/A
Phone No.-716-791-6197 -- -- -- - -
Address: 7108 Fairway Drive Ste 120
City: Palm Beach Gardens State: FL
Zip Code: 33418 Fax: 561-624-8037
Phone No, 561-340-4300
E-Mail: MJG@CDTI.COM
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail: Howard@flo(dawindowanddoor.com
State or County License: CGC-1509450
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SIJPPL�MITRL �ONSTRU � �ION��,1� V1/�INFORMAT[ .
DESIGNER/ENGINEER: x
Name:
Not Applicable
MORTGAGE COMPANY:
Name:
x_ Not Applicable
Address:
Address:
City:
Zip: Phone:
State:
City:
Zip:" Phone:
State:
FEE SIMPLE TITLE HOLDER: x
Name:
Not Applicable
BONDING COMPANY:
Name:
x Not Applicable
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
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 jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
r
5
as Agent for Owner Signature of Con nse older
STATE OF FLORID �^n -/ �I STATE OF FLORID�1�
COUNTY OF G AVYI 1.�_t.C.l./' I COUNTY OF '71! �.•+C�C' �'►
The for� oingins
this la day of
MARTIN GRAGLIA
(N,arne of person
6
's- X, I/C
N Ot G
(Signature of Notary Public- State of Florida'jrrii j tii %W''
Personally Known OR Produced Identification 1 ✓�
Type of Identification Produced
Commission No. (Seal)
The foreoing instr ent w s acknowledged before me
this day of I ` 20 �?— by
Swtt Berman
(Name of person
of Notary
Personally Known V OR Prodi
Type of Identification Produced_
Commission No.6& Cl 3; I G
M
(Seal) "oaf
HOWARD SIMKOFF
Revised 07/15/2014 ;$� E ._:-Nvilst27,2020 II
Bmcj� ir.N Mgal Notary Serous
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
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REVIEW
DATE
COMPLETE
INITIALS