HomeMy WebLinkAboutBUILDING PERMIT APPLICATION.i
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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED �7
Date: 11/26/18 SCANNED Permit Number:
f3Y
St. Lucie County
RECEIVED
Building Permit Application NOV z
Planning and Development Services 8 ZO)B
Building and Code Regulation Division Pam tin Lucie apartment
2300 Virginia Avenue, Fort Pierce FL 34982 County
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial K Residential
PERMIT APPLICATION FOR: Window/door
PROPOSED IMPROVEMENT LOCATION:
Address: 7380 S OCEAN DR. #320-A, JENSEN BEACH FL 34957
Legal Description: DUNE WALK BY THE OCEAN a/k/a SAND DOLLAR NORTH BLDG A UNIT 320 (OR 4098-1293)
Property Tax ID #: 3522-607-0016-000-0
Site Plan Name:
Project Name: LARSON RESIDENCE
Setbacks Front Back:
Right Side: Left Side:
Lot No.
Block No.
I DETAILED DESCRIPTION OF WORK: III
REMOVE AND REPLACE (3) IMPACT CGI SH WINDOWS (NOA# 17-1018.08) AND (1) IMPACT CGI
HR WINDOW (NOA# 17-0918.09).
CONSTRUCTION INFORMATION:
onaiworKtooe
HVAC
Electric
eriormea
Gas Tank
Plumbing
unaerimspermn—cnecKaii
[]GasPiping
Sprinklers
apply:
_Shutters
11 Generator
✓Windows/Doors
Roof = Roof pitch
0
Total Sq. Ft of Construction:.
Cost of Construction: $ 6500
S Ft. of First Floor:
Utilities:Sewer0Septic Building Height:
OWNER/LESSEE:
CONTRACTOR: ,
Name EARL F. LARSON
Name: DAVID LAPRADE
Address:169 Appian WAY
Company: THE GLASS PROFESSIONALS
City: Coventry State: CT
Zip Code:06238 Fax:
Phone No.860-250-2699
Address: 3570 SE DIXIE HWY
City: STUART State:FL
Zip Code: 34997 Fax: 772-286-0461
Phone No. 772-286-0461
E-Mail:
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
It value of Construction is SZ50a or more, a RECORDED Notice of commencement Is required.
t�
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: _ Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER:
Name:
Address: 3570 SE DIME HWY
Not Applicable I BONDING COMPANY: _Not Applicable
Name:
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 inspeekn. If you integd to obtain financing, consult with lender or an attorney before
commencing wf redotdifigypUr Notice of Commencemepf..—X�\ /'\ '--�
,o
Signature of 0 r ee/Con rac or as Agent for Owner
Signa e o r/Li ense Holder
TATE OF FLORIDA
STATE OF FLORIDAOUNTY
OF j l[t1Y1
COUNTYOF ,he
forgoinginstr��urm�ent was cknowledged before me
is, l day of f�IbV?Jl�1 2pJ$ by
The forgoing instrument was acknowledged before me
this day of i�lt�VCYY1bPX .20 byDowid
� kad�
Nameofperso9 makingstatement
I
Name of person making statementersonally
Known �/ OR Produced Identification
Personally Known' OR Produced Identification
zype
of Identification
Type of Identificationroduced
Produced
Signature of Notary Public- State of horicla )
(Signature of Notary Public- Statelof Florida ) ttf•. �I
Commission No. 1723 _O;} (Seal)
Commission No.ffi23LI (Seal)
REVIEWS
FRONT
ZONING
SUPERVISOR
PLAN
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
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REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
IZ( 18
Rev. 8/2/17