HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: SI G Permit Number:
�® ED
Building Permit Application MAR 3 0 201
Planning and Development Services PERh1ITTING
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 x Residential
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED IIVIPRO'EMENT LOCATION
Address: 9400 S OCEAN DR 405,JENSEN BEACH
Legal Description: OCEAN TOWERS CONDO B UNIT 405 AND UNDIV SHARE IN COMMON ELEMENTS(OR 3666-2957)
Property Tax ID#: 3535-702-0028-000-9 Lot No.
Site Plan Name: DiSTEFANO Block No.
Project Name: DiSTEFANO
Setbacks Front N/A Back: N/A Right Side: N/A Left Side: N/A
DETAILED DESCRIPTION OF WORK
WINDOW & DOOR REPLACEMENTS (4 OPENINGS - 1 SLIDING GLASS DOOR/ 3 WINDOWS)
I MAPACT
CQNSTROCTION INFORMATION
Additiona I work toe performed under this permit—check a apply:
❑HVAC 11 Gas Tank Gas Piping _Shutters Windows/Doors
11 Electric 0 Plumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: SFt.of First Floor:
Cost of Construction:$ 9100.00 Utilities:n Sewer Septic Building Height:
C!UVNER/LESSEE CONTRACTOR
Name DiSTEFANO, FRANK&OFRANA Name: MICHAEL GOODWIN
Address:7447 WENTWORTH DR Company: JENSEN BEACH ALUMINUM
City: LAKEWORTH State:FL Address: 1720 NW FEDERAL HWY
Zip Code: 33467 Fax: City: STUART State:FL
Phone No.561-386-3910 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.
SUPPLEMENTAL CUNSTRUCTION LIEN LAW INPQRMATIQN - h
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: PAULwELCHINC Name:
Address:1984 SW BILTMORE ST Address:
City: PORTSTLUCIE State: FL City: State:
Zip: 34984 Phone: 772-785-9888 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:Yo lur to Record a Notice of Commencement may result in ur paying twice for
improvements to your pr rty. Notice of Commencement must b ecorde an osted on the jobsite
before first insp/ti f y u intend to obtain financing, cons w t en r o attorney before
co enci or r rd' our Notice of Commencement
711V
Signature of Owner/Les ee/Contractor as Agent for Owner< Signature of Contract License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF j COUNTY OF—S7-
The
FSTThe forgoing instrument was acknowledged before me The forgoing�instrument was acknowledged before me
th1S3/' ay of �li9dQCh' 20/Zstay by thze:; of 20/L by
(Name of person acknowledging) (Name of person acknowledging)
(Signatur Notary PubIc-State of Florida) (Signatu -4-Notary Public-State o Florida)
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. Commission No. (Seal)
;rQ4�r ey,Bc ANN M.GAUMOND 37 � Y,P�.,, ANN M.GAUMOND
110MIAISSION 11 FF 1739014
k, •, o€ EXPIRES:December 7,2018
Bonded Th.Notary Public Underwriters EXPIRES:December 7,2018
Revised 07/15/2014 Bonded Thru Notary Public Underwriters
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS