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HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED � > © Date: ZZ'1"/1/ Permit Number: ?v Building Permit Application Planning and Development Services FEB 2 2 2017 Building and Code Regulation Division 2300 Virginia Avenue,Fort Pierce Fl 34982 PERMITTING Phone:(772)462-1553 Fax:(772)462-1578 Commercial ReSidentfti�cie county, FL PERMIT APPLICATION FOR: Window/door PROPOSED IMPROVEMENT LOCATION: Address: 10200 S Ocean Dr#403,Jensen Beach Legal Description: Atlantis III By the sea unit 403 and pro-rata share in common elements Property Tax ID#: 4511-518-0031-000-7 Lot No. Site Plan Name: Block No. Project Name: Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK: Replace (6)windows and (2)doors with nonimpact-rated products. Existing accordion shutters to remain in place [C:O:NSTRUCTION INFORMATION: Additional work toe e orme under this permit-check a appy: HVAC 1,Gas Tank ❑Gas Piping _Shutters Q Windows/Doors 11 Electric 0 Plumbing Sprinklers Generator Roof Roof pitch Total Sq. Ft of Construction: Sq. Ft.of First Floor: Cost of Construction:$ 12362.00 Utilities:Sewer El Septic Building Height: OWNER/LESSEE: 'CONTRACTOR: Name Kyle Starkey Name: /Lt;Ke_ 66v,Z.e.I Address:10200 S Ocean Dr#403' Company: M-T we-hZe Go.,S�ruc.-f, . City: Jensen Beach State:FL Address: yY! AL'y;SSI,,,,; 4ve- Zip Code: 34957 Fax: City: St C_1<9,J of I State: Phone No.567-525-1192 Zip Code: 3 y 7 6 9 Fax: E-Mail: Phone No. 1/07- Z- 8 Fill in fee simple Title Holder on next page(if different E-Mail: c-�ter•. K; yy 0 C-kP��`�Pe�"^'� •c-� from the Owner listed above) State or County License: L 0 C- (sa 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: l Zip. Phone: Zip: Phone: FEE.SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable i I } f Name: Name: Address: . ... Address: City: City: Zip: Phone: Zip: Phone: I certifythat 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 WARN ING:TO OWNER:Your:failure to Record a Notice of.Commencement may result in your paying twice-for improvements to your property. A Notice ofCommencement 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 wokaWecording0our Notice of Commencement. I s Si re ner/Le ee/Contractor as Agent for Ownerig r Contra or/License Holder STA TE'OF FLORIDA SATE OF FLORIDA COUNTY OF '54- Lt,--�Z e— COUNTY OF !!�F Zuc e Theforgoing instrument was acknowledged before me The forgoing instrument was,acknowledged before me this o day of. roa p 20 �1 by this day of 20 by y4e- Cv-R (Name of person ackn ;(Name ofperson acknowled J Si tur o (Signa!aPo -state of.Florida R Personally Known OR Produced Identification rsonally Known. X, OR:Produced Identification ( Type of Identification Produced Type of Identification Produced — it Commission No. (Seal Commission No. QNATHON($ THOMAS it JONATHO�ALLEN THOMAS o'`' ods NOTARY PUBLIC Jots 0, NOTARY PUBLIC gSTATE FLORIDA STATE OF FL o 0 Revised 07115/201.41-W9 Comm#FF055234 =Comm#FF055234 N ex fires 9/1812017 •SINCE ��e Expires 9/1812017 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW. REVIEW DATE COMPLETE INITIALS