HomeMy WebLinkAboutBuilding Permit ApplicationDESIGNER/ENGiNEER*
Name: _
Address:
City:
Zip:
Phone:
FEE SIMPLE TITLE MOLDER:
Name:
.Address:
City;
Zip: Phone: _
T Not Applicable
State:
Not Applicable
QN:
MORTGAGE COMPANY:
Name:
Address:
Citv:
Zip: Phone:
BONDING COMPANY:
Name:
Address:
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Zlp; Phone:
i certify that no work or installation has commenced prior to the issuance of a permit.
Not Applicable
State:
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St. Lucie Counttyy 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, byiaws or and covenants that may restrict or prohibit such
structure. Please consult with your Dome 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 intend to obtain financing, consult with 1 er or orney before
commenck wo�r recor,�Vour Notice of Commencement.
ntractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF LV�1
Theoing instrument was acknowledged before me
rg
this day of r---, 20 I&by
cense Holder
STATE OF FLORMA
COUNTY OF
Thefor oing instrument was acknowledged before me
this day of Q'^ r , 20 by
M L G,[gtj-(. h) ,M t 14 ft C w -e -T-77- e V
(Name of person acknowledging) (Name packnowledging) of ersan
(Signature of Notary Public- State of Fiorida) (Signature of rotary Public State of Florida)
Personally Known OR Produced Identification Personally Known Ok— OR Produced Identification
Type of Identification Produced Type of Identification Produced
Richie Roberta
Richle Roberts commission No. �` �' (� :RY PUBLIC
Commission No, ,�5�
NOTARY PUBIL C STATE OF FLORIDA
Revised 07/1512014
a� Comm# FF968353
Expires 6/4/2020
Expires 6/4/2020
REVIEWS
FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
SEA TURTLE MANGROVE
REVIEW REVIEW
DATE
COMPLETE
INITIALS
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
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 Residential X
PERMIT APPLICATION FOR: Window/door
PROPOSE IMPROVEME-
NT OCATION
Address: 9406 S OCEAN DRIVE, JENSEN BEACH, FL 34957
Legal Description: ISLAND VILLAGE
Property Tax ID #: 3535-333-0001-030-1
Site Plan Name:
Project Name: DANTE DEVINCENZO
Setbacks Front Back:
Right Side: Left Side:
REPLACE 2 IMPACT GLASS WINDOWS SIZE FOR SIZE
Lot No. 29
Block No.
Additional work to be ertormed under this permit — checK ail n apply:
HVAC _ Gas Tank F]Gas Piping _ ]Shutters Windows/Doors
❑ Electric ❑ Plumbing Sprinklers 1:1 Generator El Roof Roof pitch
Total Sq. Ft of Construction: 3938 S . Ft. of First Floor: 2452
Cost of Construction: $ 2452 Utilities: _ Sewer o Septic Building Height: 20
Name DANTE DEVINCENZO
Address: 9409 S OCEAN DRIVE
City: JENSEN BEACH State: FL
Zip Code. 34957 Fax:
Phone No. 617-719-8666
E -Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Name: Michael Wetzel
Company: M J Wetzel Construction
Address: 441 Mississippi Ave
City: St Cloud State: FL
Zip Code: 34769 Fax: 407-891-6957
Phone No. 407-709-6867
E -Mail: richie.roberts@expedtitepermit.com
State or County License: CGC1505465
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.