HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: ri o SCANNED Permit Nu
�- - --- BY
• St. Lucie County
Building Permit Applicati i
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
AUG 2 4 2018
Permitting Department
St. Lucie County, FL
I PERMIT APPLICATION FOR: Window/door 10-1 III
PROPOSED IMPROVEMENT LOCATION: III
Address: 9940 S. OCEAN DR. #1203, JENSEN BEACH, FL 34957
Legal Description: OCEANA OCEANFRONT CONDOMNIUM ONE APT 1203 AND.7875 PERCENT INTIN COMMON ELEMENTS (OR 3981460)
Property Tax ID #: 4502-502-0120-000-1
Site Plan Name: OCEANA OCEANFRONT CONDOMINIUM
Project Name: WEBSTER RESIDENCE
Setbacks Front Back: X Right Side:
Left Side:
Lot No.
Block No.
I DETAILED DESCRIPTION OF WORK: III
REMOVE AND REPLACE (2) PGT SGD770 (NOA# 17-0420.14)
I CONSTRUCTION INFORMATION:
1:3HVAC
LiGasTank
0GasPiping
UShutters
✓❑Windows/Doors
Electric
1:1Plumbing
Sprinklers
0 Generator
11
Roof
=
Roof pitch
Total Sq. Ft of Construction: _
Cost of Construction: $ 3,300
S Ft. of First Floor: _
Utilities:llSewer Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name James M Webster Suzann R Webster
Name: David LaPrade
Address:102 Crosby AVE
Company: The Glass Professionals
City: Kenmore State: NY
Zip Code: 14217 Fax:
Phone No.772-229-3010
Address: 3570 BE Dixie Hwy
City: Stuart State: FL
Zip Code: 34997 Fax: 772-286-0461
Phone No. 772-286-0459
E-Mail:—prdmomdad@aol.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: JBmeaMwebter Si nRwebser
MORTGAGE COMPANY: _ Not Applicable
Narne:De diaPmde
Add ress: SUB S. OCEAN DR. #1203,JENSENBEACH, FL94%7
Address: 1=crosbrnvE
City: xee State:
Zip: Phone
City: smen State:
Zip: Phone:
FEE SIMPLE TITLEHOLDER: _ Not Applicable
Name:
BONDING COMPANY: _Not Applicable
Name:
Add ress: ssro sE Dboe H"
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 th 'r ect' . If tend to obtain financing, con Ind r an attorney before
comm ci ork o r c r In o Notice of Commenceme
Signa ure o caner L ssee/coniractor as Agent for Owner
Signatur ntra or License Holder
STATE OF FLORIDA y
STATE OF FLOR1%.,,
COUNTY OF NUflln
COUNTY OF_
The f,Qr�oing instru ent was acknowledged before me
this�dayofaJA 20j by
The foSgdoing instrument was acknowledg efore me
this�l day of fYlAQ20by
1yid Lac A -ad e.
Doan wPic cde,
Name of persorymaking statement
Name of persgn making statement
Personally Known V OR Produced Identification
Personally Known d OR Produced Identification
Type of Identification
Type of Identification ..
Produced
Produced
Producednµn"ln
(Signature of Notary Publ - State of Florida )
(Signature of Notary ate of Florida )
Commission No. 2300D-+ (Seal)
//P//u..�blic-
Commission No. �-30+ (Seal)
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
7-711,
DATE
817,
I
COMPLETED
Rev. 8/2/17
LG BREWALOPER
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