HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED L�
Date: 10-13-17 Permit Number:
RECEIOCT 13 101'
Building Permit Application
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 Residential X
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
Address: 10410 S Ocean Drive Unit 123
Legal Description: Windmill village by the sea condominium not unit 123 and pro rata share in common
elements (or 1768-1916: 3848-302)
Property Tax I D#: 4511-810-0130-000-8 Lot No. 123
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
ME II- M IM
REPLACE EXISTING RUSTED OUT 150 AMP 120/240 VOLT RV PEDESTAL/LIKE FOR LIKE
Additional work toe nerrormeci under 5is permit-check all that appy:
HVAC Gas Tank ❑Gas Piping _Shutters a Windows/Doors
0Electric F-1 Plumbing []Sprinklers FIGenerator Roof
Total Sq. Ft of Construction: S . Ft.of First Floor:
Cost of Construction:$ $400.00 Utilities. Sewer 0 Septic Building Height:
Name Giovanni Lasalandra /Carmela Lasalandra Name: Kenneth Geremia Jr.
Address: 10410 S Ocean Drive#801 Company: Gerelco Electrical
City: Jensen Beach State: FL Address: 560 NW Enterprise Drive
Zip Code: 34957 Fax: City: Port St Lucie State. FI
Phone No. 772-288-0173 Zip Code: 34986 Fax: 772-340-7475
E-Mail: Phone No. 772-201-2194
Fill in fee simple Title Holder on next page(if different E-Mail: bwillard@gerelco.com
from the Owner listed above) State or County License: EC 13003415/SLC 29628
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
DESIGNER/ENGINEER: X Not Applicable MORTGAGE COMPANY: X Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: 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,1 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 w rk or recording our Notice of Commencement.
s
_Signature of Owner/Lessee/Agent Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF Sl• Lae"'I e__ COUNTY OF e_
Theforgoing instrume t was acknowledged before me The forgoing instrument was acknowledged before me
this —day ofy�jJ��- 20 aby this of rXi70 20/Z by
✓1 df t,,_ 4-. �. ' l �=- �A 1-4• - C�4 ne�1`l2 J/-,
(Name 6T person acknowledging) (Name of person acknowledging)
Tg'ignature of Notaryry ublic-State of Florida) (Signature of Notary Public-State of Florida)
Personally Known. OR Produced Identification Personally Known -/ OR Produced Identification
Type of Identification Produced Type of identification Produced
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Commission No.G(> 0 0 I �J� (Seal) Commission No. (Seal)
BlLLIE F DEL NG .r�;"�� ; BILLIE F®EL('
MY COMMISSION#GG009156 ?� - MY COMMISSION#'
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Revised 07/15/2014 •;y oF'c�". EXPIRES July 06,2020 ,;to�St�+: EXPIRES July r:
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
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DATE
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