HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONr
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 03/28/19 SCANNED Permit Number: J �'
BY
St. Lucie Cnunty
Building Permit Application APR o
Planning and Development Services 1 1018
Building and Code Regulation Division Permitting Department
2300 Virginia Avenue, Fort Pierce FL 34982 St. Lucie County
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential
PERMIT TYPE: Window/Door Replacement
PROPOSED IMPROVEMENT LOCATION:
Address: 9940 S. Ocean Dr. #810, Jensen Beach, FL 34957
Property Tax ID #: 4502-502-0087
Site Plan Name: Oceana North I
Project Name: "Kim Johnson Residence"
DETAILED DESCRIPTION OF WORK:
Lot No.
Block No.
Remove and replace (1) PGT impact casement window (CA740) and (3) PGT non -impact sliding glass doors (SGD670HP)
L CfN"74n t Om* 14 -uu W .W) ( SCaI)MlfP tJOA* 4 - 0420.0)
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit —check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters X Windows/Doors
_ Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction: _
Cost of Construction: $ 18,100
Sq. Ft. of First Floor:
Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Kimberly Johnson
Name: David LaPrade
Address: 9940 S. Ocean Dr. #810
Company: The Glass Professionals
City: Jensen Beach State: ?L
Zip Code: 34957 Fax:
Phone No.772-229-3010
Address: 3570 SE Dixie Hwy
City: Stuart State: FL
Zip Code: 34997 Fax: 772-286-0459
Phone N0772-286-0461
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
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.
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 WTHE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WIT UR NENDER OR —AN -ATTORNEY BEFORE RECORDING YOURAMCE CIF -COMMENCEMENT."
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Sign re ner es ee/Contractor as Agent for Owner
Sig ure of Contrac or is se erg
STATE OF FLORID/� _"�
STATE OF FLORID
COUNTY OF _NI(�Y I 1 n
COUNTY OF I�I�G�A��i
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