HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: a Permit Number: 1 O
=- R E C EVE D
Building Permit Application FEB 2 7 2012
Planning and Development Services PER114IITiING
Building and Code Regulation Division
St. Lucie County, FL
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line aAO
PROPOSED IMPROVEMENT LOCATION:.
Address: 9400 S Ocean Dr Unit 305
Legal Description: Ocean Towers Condo B Unit 305 and undiv share in common elements
Property Tax ID#: 3535-702-0020-000-3 Lot No.
Site Plan Name: Ocean Towers B Block No.
Project Name: Roll up shutter installation on one window
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION:OF
Install one roll-up shutter on master bedroom window
CONSTRUCTION,INFORMATION
Additional work to be nerrormed under this permit—check all appy:
HVAC Gas Tank ❑Gas Piping _Shutters ❑Windows/Doors
11 Electric ❑ Plumbing F]Sprinklers ❑Generator ❑ Roof Roof pitch
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction:$ 1600.00 Utilities: Sewer F]Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
NameStacey Hetherington Name: John Zervopoulos
Address:9400 S Ocean Dr Unit 305 Company: Advanced Hurricane Protection
City: Jensen Beach State:Fl Address: 4517 SE Commerce Ave
Zip Code: 34957 Fax: City: Stuart State:FL
Phone No.772-263-0025 Zip Code: 34997 Fax:
E-Mail: Phone No. 772-220-1200
Fill in fee simple Title Holder on next page(if different E-Mail:john@advancedhurricane.net
from the Owner listed above) State or County License: CBC1259339
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION
DESIGNER/ENGINEER: _Not Applicable
MORTGAGE COMPANY: Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
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 thepermit 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
commencing work or recordin ur Notice of Commencement.
s
Si atur o wner/Le ee/Contractor as Agent for Owner gnat a Contract r/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF _4L nyP7, COUNTY OFA , 1 4 )(11t,
The forgoing instr t was acknowledgedefore me The forgoing instruen as acknowledged before me
this day of _ 20 Lsm
by this 14 day of 20 L"I by
(Name of person acknowled ng) (N�1e of person ac now ging
(Signaturd of Nc ary Public-State of lorida) (Signature of Notary Public-State of Florida)
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Produced /_ �.),, Type of Identification Produced 42�—E 0L,
"����"'O KAREN S. NS@h�EN
Commission � .p•��a�., Commission No. •�������� KARE � NIELSEN
Commission# FF 115637 ;;�`� °�
Commission# FF 115637
a? My Commission ExpiresMy Commission Expires
June 12, 2018 %i�EOFit�Q�•�` June 12, 2018
Revised 0
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DATE
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