HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: z, Permit Number:
�V LE
Building Permit Applicati®n MAR 2 8 2017
Planning and Development Services
PEF;":4iT
Building and Code Regulation Division
5t. Lucie CountyUnty,
, FL
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT-LOCATION
Address: 10701 S OCEAN DR 685, JENSEN BEACH
Legal Description: VENTURE OUT-SECTION C-LOT 86(OR 1136-2820;3178-172)
Property Tax ID#: 4511-805-0086-000-8 Lot No.
Site Plan Name: GRIFFEN Block No.
Project Name: GRIFFEN
Setbacks Front N/A Back: N/A Right Side: N/A Left Side: N/A
DETAILED DESCRIPTION OF WORK
HURRICANE SHUTTERS (8 OPENINGS ACCORDIAN)
CONSTRUCTION INFORMATION
Additional work toe e Orme underd this permit—check a appy:
❑_HVAC E]Gas Tank Gas Piping Shutters Windows/Doors
❑Electric ❑ Plumbing Sprinklers ❑Generator ❑ Roof Roof pitch
Total Sq. Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ 5555.00 Utilities:SewerEl Septic Building Height:
OWNER/LSSE
EE CONTRACTOR
Name GRIFFEN,JOHN W Name: MICHAEL GOODWIN
Address:10701 S OCEAN DR LOT 685 Company: JENSEN BEACH ALUMINUM
City: JENSEN BEACH State:FL Address: 1720 NW FEDERAL HWY
Zip Code: 34957 Fax: City: STUART State:FL
Phone No.631-1811 Zip Code: 34994 Fax: 692-9744
E-Mail: Phone No. 692-0090
Fill in fee simple Title Holder on next page(if different E-Mail: MICHAELLGOODWIN@YAHOO.COM
from the Owner listed above) State or County License: CGC 1508437
If value of construction is$2500 or more,'a RECORDED Notice of Commencement is required.
SUI�PI:EMENTAL CbNSTR,IICTIQN LIED LAIN 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 cord a Notice of Commencement may r ult•n our paying twice for
improvements to your pr per . A is of Commencement must b reco ed posted on the jobsite
before the first inspecti . 1 yo a to obtain financing consul ith nd an attorney before
commenci or or r co i ur otice of Comme men
s
Signat re of Owner/Lessee/C tractor as Agent for Owner Signatur of Contr c cense Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF CST" /)r/-- COUNTY OF Z
The forgoi g instrument was acknowledged before me The forgoing instrument was acknowledged before me
th-��y of L 20/Zby tWaPX4&y of 20/�' by
(Name of person acknowledging) (Name of person acknowledging)
(Signa otary lic-State of Florida) (Signatu Notary Pub•--States b F o1orrida)
Personally Known OR Produced Identification Personally Known�_OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. Commission No. (Seal)
4�."••^tk-" ANN M.GAUMOND ���.P,Y PY0 ANN M,GAUMOND
'24 MY COMMISSION it FF 173907 0.• C;
' EXPIRES:December 7,2018 ;+; *1
'. Bonded Thru Notary Public Underwriters ^:. o EXPIRES:December 7,2018
Revised 07/15/201 s •'
oc . Bonded Thru Notary Public Underwriters
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS