HomeMy WebLinkAboutBuilding Permit Applicationr �
ALL APPLICABLE INFOMUSTBE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: U- to, I I �n Permit Number:
Building Permit Application
Planning and Development Services
JUNS 21,01?
Building and Code Regulation Division PEI3!viI_17I,t'G
2300 Virginia Avenue,Fort Pierce FL 34982 St. Lucie County, FL
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 ,``\ A)
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PRQPOSED IMPROVEMENT LOCATION „
Address: 10200 S OCEAN DR APT 203 ,JENSEN BEACH FL 34957
Legal Description: ATLANTIS III BY THE SEA UNIT 203 AND PRO RATA DATA SHARE IN COMMON ELEMENTS(OR 3703-540)
Property Tax ID#: 4511_518-0011-000-1 Lot No.
Site Plan Name: WELLS Block No.
Project Name: WELLS
Setbacks Front N/A Back: N/A Right Side: N/A Left Side: N/A
DETAILED DESCRIPTION OF WQRK t _ 1` 15
e
WINDOW & DOOR REPLACEMENT
2 WINDOWS NON IMPACT WITH EXISITING SHUTTERS
2 SLIDING GLASS DOORS NON IMPACT WITH EXISITING SHUTTERS
CONSTRUCTION INFORMATION F
__..:.e. _ . .., . . _
Additmonal wor toa e orme un er this permit—check ha apply:
❑HVAC 11Gas Tank ❑Gas Piping in _Shutters Windows/Doors
_
❑Electric El Plumbing O Sprinklers Generator ❑ Roof Roof pitch
Total Sq. Ft of Construction: Sq.L.of First Floor:
Cost of Construction:$ 8000.00 Utilities: _Sewer Septic Building Height:
O"WNERJLESSEE4' CONTRACTORm
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.
Name WELLS,RICHARD&TERRI Name: MICHAEL GOODWIN
Address:10200 S OCEAN DR APT 203 Company: JENSEN BEACH ALUMINUM
City: JENSEN BEACH State:FL Address: 1720 NW FEDERAL HWY
Zip Code: 34957 Fax: City: STUART State:FL
Phone No.815-867-3445 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.
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SUPPLEMENTAL>C0NSTRUCTI�N LIEN LAW iNF�RMATiON
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: SUNCOAST ALUMINUM ENGINEERING LLC Name:
Address:13630 58TH STREET NORTH SUITE 101 Address:
City: CLEARWATER State: FL City: State:
Zip: 33760 Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: _NotApplicableBONDING 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 NE/Yr
o Record a Notice of Commencemen ay esul aying twice for
improveme s t youNotice of Commencement must r c e n ted on the jobsite
before th first i s eintend to obtain financing, cons w' n o attorney before
comme cin w orour Notice of Commencement.
s
Signature of wner/Lesse as Agent for OwnerSigna re of Contract r/ ' ens Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF Sj� 40CZ.E COUNTY OF S7—
The forgo' g instrument was acknowledged before me The forgoing instrument was acknowledged before me
thiY of 201�by this��` ay of �C>�U.� 201 by
(Name of person acknowledging) (Name of person acknowledging)
�
(Signatur oMotary PubIc-State of Florida) (Signatu tary Public-State oYFtorida)
Personally Known _/OR Produced Identification Personally Known 4-� OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. Commission No.
;�s ey''•.� ANN M.GAOMOND q��""°yam; ANN M.GAUMOND
v r ,a 173907 ? MY COMMISSION FF 17390
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r 7,2018 EXPIRES:December 7,201UnderwrRers Bonded Thru Notary Public Underwriters
Revised 07/15/201
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE i
COMPLETE
INITIALS