HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:712'4291"9"I`a6\Nt SCANNED Permit Number: 01-aGI
BY
iaft a 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
PERMIT TYPE:
PROPOSED IMPROVEMENT LOCATION:
=RECEIVEDBuilding Permit Applicati nST.
Commercial Residential
Address: 9650 OCEAN DR, Unit # 106 Jensen Beach, FL 34957
Property Tax ID #: 4502-610-0006-000-8
Site Plan Name:
Project Name: Da Silva
I DETAILED DESCRIPTION OF WORK:
Remove and replace windows and doors X)rr!-� T>� Dorf
Additional work to be performed under this permit— check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters
Electric _ Plumbing _ Sprinklers _ Generator
Total Sq. Ft of Construction: Sq. Ft. of First Floor: _
Cost of Construction: $ 26,753.95 Utilities: -Sewer _Septic
Lot No.
Block No.
/windows/Doors
Roof Pitch
Building Height:
'OWNER LESSEE:' ,
GONTRAefOR:
..:...a
NameAdley Da Silva
Name:Joseph Delvecchio
Address:9650 S OCEAN DR 106
Company: Monterey Glass
City: Jensen Beach State: _
Zip Cade: 34957 Fax:
Phone No.
Address:851 SE Monterey Rd
City: Stuart State: FL
Zip Code: 34494 Fax: 772-283-1919
Phone No772-283-1999
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail montereyglassspecialists@gmail.com
State or County License MCGLA02965
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. Q..t %6
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
Name:
Address:
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
Address:
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 you intend to obtain financing, consult with lender or an attorney before
comrrg-work or recording; vour Notice of Commencement._
Signature o caner/ Lessee/Contractor as Agent for Owner
ature ontractor/License Holder
STAT OF FLORIDA
TE OF FLORIDA
COUNTY OF
COUNTY OF
The for oing instrurrient was EICKnowleclized before me
this Z L day of otJ 264 by
The for ing instru ent w s cknowledgefjbefore me
this day of� 20 by
Name of person making statement.
Name of pe on making statement.
Personally Known OR Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
ON
Notary Public State of Flondo
+F-"� Lisa Greer Bharath
e ComON�lIQN �� �$3i19
< My Commission FF 962709
1812020
(Sign ure of Notary Pu i
(Signature o 4
C missio N ( al)
Co sio o (Seal)
9
S
6V1W
FRONT
ZONING
SUPERVIS R
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 9/26/18