HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE Irs FO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED /
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Date: 051AiSCANNED Permit Number. '
BY RECENEO
St. Lucie County
Building Permit Application MAY 2 4,1018
Planning and Development Services permitting Department
Building and Code Regulation Division It, WC10 County
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Window/door
PROPOSED IMPROVEMENT LOCATION:
Address: 5055 N HIGHWAY A1A UNIT 303-C, FORT PIERCE, FL. 34949
Legal Description: BRYN MAWR OCEAN TOWERS BUILDING C UNIT 303 (OR 3808-914)
Property Tax ID #: 1414-601-0117-000-2 Lot No.
Site Plan Name: OCEAN TOWERS Block No.
Project Name: BOOTY RESIDENCE
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
REMOVE AND REPLACE (2) SH4000 IMPACT WINDOWS AND (2) SGD7000 IMPACT DOORS.
CONSTRUCTION INFORMATION: . III
HVAC L==I Gas Tank UGas Piping
Electric 0 Plumbing ❑Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $ ILILS DOD. OD
Shutters ✓❑Windows/Doors
Generator O Roof = Roof pitch
S Ft. of First Floor: _
Utilities: Sewer O Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name LISAB MIKE BOOTY
Name: DAVID LAPRADE
Address:5055 N HIGHWAY A1A UNIT 303-C
Company: THE GLASS PROFESSIONALS
City: FORT PIERCE State:FL
Zip Code: 34949 Fax:
Phone No.561-9084645
Address: 3570 SE DIXIE HWY
City: STUART State: FL
Zip Code: 34997 Fax: 772-286-0459
Phone No. 772-286-0459
E-Mail: DELRAYSANDPIPER@GMAIL.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.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name•usA 3 mlI BOOTY
MORTGAGE COMPANY: _ Not Applicable
Name:OAVIDWFAOE
Add reSS"'B55 N HIGHWAYAIA UNrr 30 , FORT PIERCE, FL.34949
Address: 5MNHIGHWAYAIAUN1T303C
City: FORTPIERCE State:
Zip: Phone
City: STUART State:
Zip: Phone:
FEE SIMPLE TITLEHOLDER: _ Not Applicable
Name:
BONDING COMPANY: _Not Applicable
Name:
Address: 357o SE ONE HWY
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 on the jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
comm or riKprcIipgj4oLtr Notice of Commencement
Signa r o wner/ Lessee/Co ractor as Agent for Owner
Signa o Contra icens older
F ORIDA P o v i I
STATE OF FLORIDA �y j p
COUNTY l/�
COUNTY OF
The fQX9Ing instru en s acknowled before me
this day of 20LO by
The for Ing inst u enIt wa acknowI dggggefore me
this�g day of 20J� by
)d InProdle
ui �auae
Name of perspn aking statement
Name of perso'making statement
Personally Known 11 OR Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of Identification
Produced
Im
Produced
(Signature of Notary P
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(Signature of Notary Public- Stat
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Commission No.
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REVIEWS
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SEATURTLE
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REVIEW
DATE
RECEIVED
DATE
COMPLETED
(¢)
Rev.8/2/17