HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONle — v.%
ALL APPLICABLE INFO MUST BE COMPLETED FqR
,rApt?�Q%T1ON TO BE ACCEPTED
Date:_08fl4t2m BY Permit Number: -I(,) �% — Q ro
MT St. Lucie County RECEIVED
Building Permit Application SEP 10 2018
Planning and Development Services
Building and Code Regulation Division ST. Lucie County, Permitting_
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential
_
PERMIT APPLICATION FOR: Window/door
I PROPOSED IMPROVEMENT LOCATION: III
Address: 9940 S_ Ocean DriveUnit 1206 Jensen Beach FL 34957
Legal Description:
1206AND.7120
ELEMEPflS (OR 41324316)
PropertVTaxlD#: 4502-502-0123-000-2
Site Plan Name: Oceana Oceanfront Condominium
Project Name: Pardoyl Residence
Setbacks Front Back: X Right Side: Left Side:
Lot No.
Block No.
I DETAILED DESCRIPTION OF WORK: III
Remove and replace (2) Impact PGT SGD770 (NOA# 17-0420.13)
I CONSTRUCTION INFORMATION: III
HVAC L_1 Gas Tank
Electric El Plumbing
Total Sq. Ft of Construction: _
Cost of Construction: $ 13,400
Piping U Shutters Windows/Doors
nklers 11 Generator Roof = Roof pitch
5 Ft of First Floor:
Utilities'll SevverE]Septic Building Height:
OWNERAESSEE:
CONTRACTOR:
Name Raymond L Pardoyl
Name: David LaPrade
Adclres0940 S. Ocean Drive, Unit 1206
Company: The Glass Professionals
City: Jensen Beach State:FL
Zip Code: 34957 Fax:
Phone No. 772-229-3010
Address: 3570 SE 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'ritle Holder on next page (if different
from the Owner listed above)
E-Mail: permits.glasspros@gmaii.com
State or County License: 19363
if value of construction Is $2500 or more, a RECORDED Notice of Commencement Is required.
I SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: I
Name:Raymond L Paslc�l
Address: 9940 S. Ocesan D�Urdt 1206 Jensen Beach R 34W
City: Jensenseacin State:
Zip: Phone
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
Address:3570SEDbd.fty
City:
Zip: Phone:
MORTGAGE COMPANY: Not Applicable
N a me: Dawd La�ds
Add ress: sm $. oenan Da-, unit 1206
City: Stuart State:
Zip: _ Phone:
BONDING COMPANY: —NotApplicable
Name:
Address:
City:
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.LucieCoun makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in conlict 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 etion f you intend to obtain financing, cons n attorney before
a --'hce of Commencement.
commenc2er V=k a recc dina vo6ir No pl$7� V
Signature 6YOwner/ Lesse-eXontract5or as Agent for Owner
Signature oTtontractor/License Holdeil'-
STATE OF FLORIDA I
COUNTY OF
The f orgoing instrument wa acknowledged before me
this 20 by
_11
T �v i J "Laftolc�
STATE OF FLORID�,Xr�6,�
COUNTYOF
The forgoing instryment was acknowledged before me
this day of AVA U-S+ 20
I _ff by
noVIA �Apradp_
Name of person making statement
Personally Known V OR Produced Identification
Name of pers n making statement
Personally Known 7 OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
PMAALIA-__
Auld.4-
(Signature of Notary Pul5lic- State of Florida I
(Signature of Notary Publff State of Florida
Commission No. *VA" (Seal)
Commission No. &I 23q OD-+ (Seal)
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ic, 11%
Rev. 8/2/17