HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: — 1 020,19 SCANNED Permit Number:
iBY
�`� St. Lucie County
Building Permit Appli
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34981
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X
PERMIT TYPE: Replacement windows/doors.
PROPOSED IMPROVEMENT LOCATION:
Address: 11000 S. Ocean Dr. #3-F, Jensen Beach FL 34957
Property Tax ID #: 4512-701-0030-000-5
Site Plan Name: Villa Del Sol Condominium
Project Name: Johnson Residence
DETAILED DESCRIPTION OF WORK:
Remove and replace (2) CGI impact SGD's (NOA# 17-0420.12)
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit —check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters
_ Electric _ Plumbing _ Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $ 12,200
_ Generator
Sq. Ft. of First Floor:
RECEIVED
FEB 1 9 2019
:le
County, permitting
Residential
Lot No.
Block No.
V Windows/Doors
Roof Pitch
Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Katie Johnson
Name: David LaPrade
Address-11000 S. Ocean Dr. #3-F
Company:The Glass Professionals
City: Jensen Beach State: _
Zip Code: 34957 Fax:
Phone No.574-360-0705
Address:3570 SE Dixie Hwy
City: Stuart State: FL
Zip Code: 34997 Fax: 772-286-0461
Phone N0772-286-0459
E-Mail:-gregloujo@comcast.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 Notice of Commencement is required.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
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SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER:
Name:
_ Not Applicable
MORTGAGE COMPANY:
Name:
_ Not Applicable
Address:
Address:
City:
Zip: Phone
State:
City:
Zip: Phone:
State:
FEE SIMPLE TITLEHOLDER:
Name:
_ Not Applicable
BONDING COMPANY:
Name:
_Not Applicable
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 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 JOB SITE BEFORE THE FIRST INSPECTION. IF YOU D TO OBTAIN FINANCING, CONSULT
WIfVOURJ_EN EE OI-AI11 TTORNEY BEFORE RECORDING Y R CEO COI M ME "
SighaiTeof Owner7lesseeyContractor as Agent for Owner
Sign atu t r/L nse older
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The forgoing inst ment was acknowledge before me
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(Signature of Notary Public- Statelof Florida)
(Signature of Notary Public -State df Florida)
Commission No. %30D_q- (Seal)
Commission No.euaqua (Seal)
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SUPERVISOR
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Rev.Z/7/19