HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 07/22/19 SCANNED Permit Number: \"141-�Sa3
BY RECEIVED
St. Lucie County
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Building Permit Applic tion JUL 2 3 2019
ST. Lucie County, Permitting
Commercial X Residential
PERMITTYPE: Window/ Door replacement
PROPOSED IMPROVEMENT LOCATION:
Address: 8650 S OCEAN DR 506
Property Tax ID #: 3534-501-0024-000-1
Site Plan Name: REGENCY ISLAND DUNES
Project Name: Filewicz Residence
DETAILED DESCRIPTION OF wORK:
Lot No.
Block No.
Remove and replace (2) impact PGT PW5520 (NOA# 17-0614.09) and (1) impact PGT DH5560 (NOA# 17-063010)
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: $ 2,200
_ Generator
Sq. Ft. of First Floor:
JWindows/Doors
Roof Pitch
Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:.
NameChadyn Filewicz
Name: David LaPrade
Address:8650 S Ocean Dr#506
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 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 11566
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:
EER: Not
Name:
City: State:
Zip: Phone
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY: _Not Applicable
Name:
Address:
Zip:
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 IMPROVEMEOB NTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSWIT TF�O.tllz\LENDHR OR AN BEFORE
A�FORNEY B FORE RECO DING YO R;;NOTICE'OF COME CN EMENYNCING, CONSULT
SignaltuA of Owner/ Lessee/Co actor as Agent for Owner
Signatu of Con ctor/License Ho er .
STATE OF FLO%
STATE OF FLORIDA
qh
COUNTY OF IVIt�V�I If 1
COUNTY OF MGIY"YIY)
The fo,rg,going instrum�nt was acknowledged before me
The fgg,rgg,oing instru�gnt was acknowledged before me
'1�'(�day
this 2 day of , I l 201g by
this of )I1 LU 20AOJ by a
JI 0
�'d���
► a 'C1 UDWP, o
Name of person making statement.
Name of person making statement.
m
Personally Known OR Produced Identification
Personally Known v/ OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
;6af
(Signature of NotaryPublic- Skate of Florida)
(Signature of Notary Public- St to of Floridait )
Commission No.l'1l7 `NDO-4 (Seal)
Commission No.1�0C;+ (Seal)
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