HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICA LE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: "Ji� SC BY
Permit Num
St. Lucie County
Building Permit Applicatiol
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X
PERMIT APPLICATION FOR: Window/door 7 II
PROPOSED IMPROVEMENT LOCATION:
Address: 7380 S OCEAN DR. UNIT 318, JENSEN BEACH FL 34957
Legal Description: DUNE WALK BY THE OCEAN alkla SAND DOLLAR NORTH BLDG A UNIT 318 (OR 4074-1105)
Property Tax ID #: 3522-607-0014-000-6
Site Plan Name: DUNE WALK BY THE OCEAN
Project Name: SCOTT RESIDENCE
Setbacks Front Back:
Right Side: Left Side:
Lot No.
Block No.
I DETAILED DESCRIPTION OF WORK: III
REMOVE AND REPLACE (1) HORIZONTAL ROLLER WINDOW AND (3) SINGLE HUNG WINDOWS.
I CONSTRUCTION INFORMATION: III
IJHVAC U Gas Tank Gas Piping U Shutters ✓❑ Windows/Doors
11 Electric ElPlumbing Sprinklers 0Generator Roof Roof pitch
Total Sq. Ft of Construction: ScFt. of First Floor:
Cost of Construction: $ 6,900 Utilities:Sewer Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
_NameDALE SCOTr _ _ _ _
Name:. DAVID LAPRADE
Address:7380 S OCEAN DR, # 318
Company: THE GLASS PROFESSIONALS
City: JENSEN BEACH State:FL
Zip Code: 34957 Fax:
Phone No.561.4605881
Address: 3570 SE DIXIE HWY
City: STUART State: FL
Zip Code: 34997 Fax: 772-286-0461
Phone No. 772-286-0459
E-Mail: dalefsoottl443@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
Na me• DALE BwTT
MORTGAGE COMPANY:
Name: DAVID W11ADE
Not Applicable
Address: 7388 S OCEAN DR UNIT 318. JENSEN BEACH FL M957
Address: 7380SOCEANDR.#318
City: JENSENBEACN State:
Zip: Phone
City: SnU T
Zip: Phone:
State:
FEE SIMPLE TITLEHOLDER: _ Not Applicable
Name:
BONDING COMPANY:
Name:
_Not Applicable
Address: 3570 SE DDBE HM
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 therJermit 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,
accessary 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 th 'rst inspection. If you intend to obtain financing, consult with lender or an attorney before
comme ins or or ecordins vour Notice of Commencement.
(110,
__
15
Signa r Ow sse /Contractor as Agent for Owner
—4 -
Signat a of Contract icen of er
STATE COUNT F FLORIDA, en r+ f n
COUNTY OF
STATE OF COUNTYOFORIDA q pn (/l; t/�
I"k.o 1 1 1/
r'(1 I I 1
The oing instn 9 t as acknowled before me
g
The r oing instr a as acknowled efore me
g
this day of 20 6y
this day of 20 by
Name of person m ing statement
Name of person 54ing statement
Personally Known OR Produced Identification.
Personally Known A Z OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
Am MAWC
(Signature of Notary Public- State offlorida )
(Signature of Notary Public -State off7Florida )
Commission No. 1 I 2 511 (Seal)
Commission No 1 iclt 5-'1 (Seal)
REVIEWS
FRONT
ZONING
SUPERVISOR PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW REVIEW
REVIEW
REVIEW
REVIEW
RECEIVED
:?G
DATE
G�
COMPLETED
Rev.8/2/17
SARAMAE STAGMILLER
WCOMMISSIONOGG 178VI
EXPIRES: January 24, 2022