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All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 02/11/19
Permit Number:
i
SCANNED
. BY
St uVie Count F
uiding �ermit Application,, "Z29
Planning and Development Services Shi4i �10j
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982 a coo gory
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential h %t
PERMIT TYPE: WindoW/Doors
PROPOSED INPROVEMENT LOCATION:
Address: 11000 S OCEAN DR 5-E, JENSEN BEACH, FL 34957
Property Tax I D #: 4512-701-0069-000-7
Site Plan Name: VILLA DEL SOL CONDOMINIUM
Project Name: HALLMAN RESIDENCE
Lot No.
Block No.
DETAILED DESCRIPTION OF WORK:
Remove and replace (4) impact CGI single hung windows (NOA# 17-1018.08), (1) impact CGI sliding glass door
{NOA# 17-1218.20)
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit —check all that apply:
_Mechanical
Electric
_ Gas Tank
_ Plumbing
Total Sq. Ft of Construction: _
Cost of Construction: $ 10,000
_Gas Piping _Shutters
_Sprinklers _Generator
Sq. Ft. of First Floor:
Utilities: _Sewer _Septic
Windows/Doors
_ Roof Pitch
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Susan Hallman & Nelson Hallman
Name: David LaPrade
Address-11000 S Ocean Dr. 5-E
Company: The Glass Professionals
City: Jensen Beach State: FL
Zip Code:34957 Fax:
Phone No. 703-298-6280
Address: 3570 SE Dixie Hwy
City: Stuart State: FL
Zip Code: 34997 Fax: 772-286-0461
Phone No 772-286-0459
E-Mail: nelson.hallman@yahoo.com
Fill in fee simple Title Holder on nett page ( if different
from the Owner listed above)
E-Mail gp•permits2@gmail.com
State or County License 19363
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
El-?
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY: _Not Applicable
Name:
Address:
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 Countyy 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 inspection. If you intend to obtain financing, cons finder or an attorney before
commenci� atgrlLor rewrding-vnur_Notice of Commenceme \ .7, A
Signature f Owner/ Lessee/Co tractor as Agent for Owner
Signatu o Contractor ice se Ho e
FLORIDA
STATE OF FLORID
OF MIAY'I1'()
COUNTY OFMM 11g
instru ent was acknowledged before me
The forgoing mstrve�nt�wa�s ackn�owled ed before me
ay of 20 I by
this � day of Yt;l)YULtYU_ , 20�` 1 by
d "
oa ( oerson
making statement.
k
Name of person making statement.Known
OR Produced Identification
Personally Known OR Produced Identification
ntification
Type of Identification
Produced
An dj��
o—
(Signature of Notary Public -State Florida )
(Signature of Notary Public- State df Florida) t.'•
Commission No.r 0'1— (Seal)
Commission No. 2 (Seal)
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.9/26/18