HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE IN O MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:' SCANNED Permit Number:
BY
Is W111111HIM _ St. Lucie County
Building Permit Applicati n AUG "4 iLGM
Planning and Development Services
Building and Code Regulation Division Perr'34a,1(Ig Department
2300 Virginia Avenue, Fort Pierce FL 34982 County, FL
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Re�ider4 f_
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT LOCATION: III
Address: 11000 S OCEAN DR 3-F, JENSEN BEACH FL 34957
Legal Description: VILLA DEL SOL-CONDOMINIUM UNIT F AND UND SHARE IN COMMON ELEMENTS TRACT 3 (OR 3767.871; 3798-1201)
Property Tax ID #: 4512-701-0030-000-5
Site Plan Name: VILLA DEL SOL
Project Name: JOHNSON RESIDENCE
Setbacks Front ✓ Back:
Right Side: Left Side:
Lot No.
Block No.
DETAILED DESCRIPTION OF WORK: III
REMOVE AND REPLACE (2) CASEMENT WINDOWS AND (1) PICTURE WINDOW. ALL IMPACT
WINDOWS. (CA NOA# 17-0918.11) (PW NOA# 17-0926.18) (MULL NOA# 18-0117.01)
CONSTRUCTION INFORMATION: III
❑HVAC U Gas Tank ❑Gas Piping
❑Electric El Plumbing []Sprinklers
Total Sq. Ft of Construction: _
Cost of Construction: $ 4,700
Shutters a Windows/Doors
Generator 0 Roof ❑ Roof pitch
S Ft. of First Floor: _
Utilities:ll Sewer ❑ Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Katie L Johnson
Name: David LaPrade
Address-11000 S. Ocean Dr. #3-F
Company: The Glass Professionals
City: Jensen Beach State:FL
Zip Code: 34957 Fax:
Phone No.574-360-0705
Address: 3570 SE Dixie Hwy
City: Stuart State: FL
Zip Code: 34957 Fax: 772-286-0461
Phone No. 772-286-0459
E-Mail: gregloujo@oomcast.net
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 Nonce of commencement is reguirea.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name:Kaea LJohnson
Name: David Ue de
Add reSS'14000 S OCEAN DR 3-, JENSEN BEACH FL 34957
Address: "w0s-c--Dcn3-F
City: JenseeBeaeh State;_
City; Swart State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLEHOLDER: _ Not Applicable
BONDING COMPANY: _Not Applicable
Name:
Name:
Add ress:3sr0 SE Dbde 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 ermit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws oran Scovenants 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
Commenci or or ' our Notice of Commencement.
natu fOwner/ Le e/ tractor as Agent for Owner
Signatureof Contractor/License Holder
I
'
ATE OF FLORID
UNTY OF Sa LUCI a
e for$ )In instrument was acknowledged before me
is � day of � 20A by
STATE OF FLORIDA
COUNTY OF s1 Luc'ie, `
The for oing instrume as acknowledge before me
this 7 day of 20 by
id e,
'Orvid La i'Gde,
Name of pers n making statement
rsonally Known V OR Produced Identification
Name of persgn making statement
Personally Known OR Produced Identification
pe of Identification
Type of Identification
.,.
oduced Q�
Produced �Q e
(Signature of NotaryPublic- tate of Florida )
(Signature of Notary Public- St a of Florida )
Commission No.n Qbn (Seal)
Commission No. 231012(Seal)
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
SM
COMPLETED
Rev.8/2/17