HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED r �/
Date: I3 I Iq Permit Number: O v
SCA/V/Vc
Sy 41,
UC/G C �4090 ID!
Built@ kPermit Application " 0, �
Planning and Development Services �94- 04F
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential
PERMITTYPE:
PROPOSED IMPROVEMENT LOCATION:
Address: 9600 S. OCEAN DR #804
Property Tax ID #: 4502-620-0058-000-8
Site Plan Name: EMPRESS CONDOMINIUM
Project Name: GRAUSO RESIDENCE
DETAILED DESCRIPTION OF WORK:
REMOVE AND REMOVE (2) PGT IMPACT SGD'S (NOA #17-0420.06)
G 1V%03 A l ass boolizo
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit— check all that apply:
Lot No.
Block No.
_Mechanical _Gas Tank _Gas Piping _Shutters Windows/Doors
_ Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction: _
Cost of Construction: $ 14,800
Sq. Ft. of First Floor:
Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Ralph A Grauso & Linda Grauso
Name: David LaPrade
Address: 9600 S Ocean Blvd #804
Company: The Glass Professionals
City: Jensen Beach State: L
Zip Code:34957 Fax:
Phone No. 570-242-1627
Address: 3570 SE Dixie Hwy
City: Stuart State: FL
Zip Code: 34997 Fax: 772-286-0461
Phone No 772-286-0459
E-Mail:rgraujo@trust-asc.com
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: _ 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 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 COMMENCEMEND TO NT MUST BE RECORDED AND
WIT POSTED OU N EN JOB SITE BEFORE THE FIRST AR O�tIAN ATTBRNEY BEFORE RECORDING YO Y NOTICE OF COi�II�ENCEMENTTAIN NCING, CONSULT11
Signat e o w s Co as Agent for Owner
Signature o on racto L' ense Holder
STATE OF FLORID
STATE OF FLORIDA
COUNTY OF a•r- In
COUNTY OF Mctyhn
The forgoing instrume was acknowledged before me
The forrgoing instrument was acknowledged before me
this � day of me 20_0 by
this N day of 71r1'f)e, 20A by
'David V&oc'
JGk.Vici 1 ofadP,
Name of person making statement.
Name of person making statement.
Personally Known ✓ OR Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
n
JJ--E
'8mm a 94/n1
(Signature of Notary Public State of Florida)
(Signature of Notary Pu lic-State of Florida )
Commission No.l7 Z_NC6+ (Seal)
Commission NO.C-C-a3UOOi- (Seal)
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev.
>; BRENDALOPER
MY COMMISSION # GG 234007 ��^VP�•'• BRENDALOPER
EXPIRES: July1,2022
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