HomeMy WebLinkAboutBUILDING PERMIT APPLICATION�r\
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: �'" - "tl9.s�1 SCANNED Permit Number: %1VJa-G%z
BY
St. Lucie County RECEIVED
Building Permit ApplicatiEnFEB 66 2019Planning and Development Services
Building and Code Regulation Division ucie Count Peffi�l€ lflg
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential
PERMITTYPE: Window/Door- cpy��ty
PROPOSED INPROVEMENT LOCATION:
Address: MOU S UULAN UK A-(U1, UtNSHN BEACH, FL 34957
PropertyTax ID #: 3534-501-0031-000-3
Site Plan Name: REGENCY ISLAND DUNES
Project Name: MCKENNA RESIDENCE
DETAILED DESCRIPTION OF WORK:
Lot No.
Block No.
Remove and replace (2) PGT impact picture windows (NOA# 17-0614.09) and (1) PGT impact double hung window
17-0630.1
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: $ 3,000
_ Gas Piping _ Shutters
_Sprinklers _Generator
Sq. Ft. of First Floor:
Utilities: _Sewer _Septic
✓ Windows/Doors
Roof Pitch
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Micheal McKenna & Letitia McKenna
Name: David LaPrade
Address: 8650 S Ocean DrA-701
Company: The Glass Professionals
City: Jensen Beach State:
Zip Code: 34957 Fax:
Phone No.
Address: 3570 SE Dixie Hwy
City: Stuart State: FL
Zip Code: 34997 Fax: 772-286-0461
Phone No 772-286-0459
E-Mail: flanj@icloud.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail pennits.glasspros@gmail.com
State or County License 19363
it value or construction is 52500 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 TITLE HOLDER:
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 jobsite
before the first inspection. If yo end to obtain financing, consult with lender or an attorney before
commenei is,warker rec6Yd' a vour tice of Commencement.,-- � r\
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Signat o caner Less on actor as Agent for Owner
Signature VCbMian e r
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF rl1Q 1''fl n
COUNTY OF MGfJ(tlY�
The fo going instrument was acknowledged before me
The fg�g��-��- oing instryyyyyymmmm!!nng��.nt was acknowledged before me
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this day of f 201cj by
this day of .20jg by
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Daarid k-A*aLde
avid e,
a
e of person making statement.
Name of person making statement. c zo
sonally Known OR Produced Identification
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Personally Known OR Produced Identification — `ay
e of Identification
Type of Identification °' O
duced
Produced Q
ignature of Notary Public-Stat of Florida)
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(Signature of Notary Public-Stat of Florida) ....• y'•
mmission No.12-AMI)Q (Seal)
Commission No.60u4I.c�F (Seal)
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SUPERVISOR
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DATE
RECEIVED
DATE
COMPLETED
Kev.9/2b/18