HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICA)KE INF :MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: i1-7 Permit Number:
Planning and Development Services
Building and Code Regulation Division -
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential
PERMIT APPLICATION FOR: Concrete
PROPOSED IMPROVEMENT LOCATION:
Address: 10044 S. Ocean Drive, Jensen Beach, FL 34957
Legal Description: SEA WINDS CONDOMINIUM— A CONDOMINIUM COMPRISING A PART OF SECTION 02 TOWNSHIP 37S RANGE 41 AS SHOWN IN DECLARATION OF CONDOMINIUM OR 395-658 (527 AC)45
Property Tax ID #: 4502-804-000-00/1
Site Plan Name:
Project Name: Sea Winds
Setbacks Front Back:
DETAILED DESCRIPTION OF WORK:
Right Side: _ Left Side:
Remove & Replace 18'x 24' Slab
GY/ etc, 0
Lot No.
Block No.
CONSTRUCTION INFORMATION:
CONTRACTOR:
Name Sea Winds Condominium Association
Name: Thomas J. Flynn
Company: The W Group, Inc.
Address: 1409 SW Albatross Way
City: Palm City State: FL
Zip Code: 34990 Fax:
Phone No. (772) 220-1930
Additional work to be nerformed under this permit— Check
0HVAC L =1 Gas Tank ❑Gas Piping_
all
that apply:
F_] Windows/Doors
F]
F]Electric Plumbing
OSprinklers
Ilenerator
F]Roof F-1 Roof pitch
Total Sq. Ft of Construction: 432
Sci. Ft. of First Floor:
Cost of Construction: $ 2,400.00
UtilitiesTiSewer
r_1
Septic
Building Height:
OWNERAESSEE:
CONTRACTOR:
Name Sea Winds Condominium Association
Name: Thomas J. Flynn
Company: The W Group, Inc.
Address: 1409 SW Albatross Way
City: Palm City State: FL
Zip Code: 34990 Fax:
Phone No. (772) 220-1930
Address: 10044 S. Ocean Drive
City: Jensen Beach State: FL
Zip Code: 34957 Fax:
Phone No. (772) 334-8900
E -Mail: tsuren@gmail.com
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E -Mail: -Tomflynn@twgcontractors.com
State or County License: CGC 1505177
iT vaiue or construction is�Z5UU or more, a RECORDED Notice Of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:'
DESIGNER/ENGINEER: x Not Applicable
MORTGAGE COMPANY: x Not Applicable
Name:
Name:
Address:
Address:
City: State:
Zip: Phone:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: X Not Applicable
BONDING COMPANY: X 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 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
commencing work or recording your Notice of Commencement.
Sig O Lessee/Contractor as Agent for Owner
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF PA -IST l COUNTY OF kMTI Iy
The forg.Q�.ng instrument was acknowledged before me
this _"flay of APRIL- , 20 1 by
Holder
The for og instrument was acknowledged before me
this 1 d% of A%IL . 20 f_�f by
/jIrocElIUurI.N6S a6U/G� A 1 &P QQ(kiR)GS—&Q1!F77
(Name of person acknowledging) I (Name of person acknowledging)
of Notary
Personally Known
Type of Identification F
Commission No. �^
Revised 07/15/201
uced
NICOLE MULLINGS -SQUIRE
Nota( 611c - State of Florida
Commission #f FF 210166
MV Expires Mar 15. 2019
Bonded through National Notary Assn.
(Signature
Personally
Tvoe of Id(
Commission No.
OR Produced Identification
Notary/=- State of Florida
Comjj�nlssion # FF 210166
My Comm. Expires Mar 15, 2011
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