HomeMy WebLinkAboutBuilding Permit ApplicatiomALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: )so 2
RECF i vFi'.
Building Permit Application MAI
Planning and Development Services pemittinu �upartment
Building and Code Regulation Division St. Lucie county
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential x
PERMIT APPLICATION FOR: Window/door
PROPOSED IMPROVEMENT LOCATION:
Address: 10701 S. Ocean Drive #659
Legal Description: Venture Out -Section C -Lot 60
Property Tax ID #: 4511-805-0060-000-0
Site Plan Name:
Project Name:
Setbacks Front Back:
DETAILED DESCRIPTION OF WORK:
Right Side: Left Side:
Lot No. 60
Block No.
Remove and replace 6 windows with non impact windows with existing shutters to be reinstalled
CONSTRUCTION INFORMATION:
Additional work to be nerformed under this permit — c ec a apply:
HVAC01 Gas Tank Gas Piping _Shutters Q Windows/Doors
❑ Electric ❑ Plumbing I Sprinklers ❑ Generator ❑ Roof Roof pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 3240.00
SFt. of First Floor: p—
Utilities: Sewer F]Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Jerry L. and Patricia J. Fosnaugh
Name: James Newman
Address: 10701 S. Ocean Drive #659
Company: JWN Builders LLC
City: Jensen Beach State: FL
Zip Code: 34957 Fax:
Phone No.
Address: 1701 SE Carvalho Street
City: Port St. Lucie State: FL
Zip Code: 34983 Fax: 772-871-9500
Phone No. 772-871-9500
E -Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E -Mail: jwnconstruction@comcast.net
State or County License: 1328282
11 VO14C ul {.UMILI uuwn n avuv or more, a KrWKLJcu rvovice or commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
MORTGAGE COMPANY: Not Applicable
Name:
Address:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
BONDING COMPANY: Not Applicable
Name:
Address:
City:
Zip: Phone:
City:
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 Commencements
Sign ure of caner/Less e C ntractor as en for Owner Sign ure of Contractor/License Holder
STATE OF FLORIDA S ATE OF FLORID
COUNTY OF 5 i I _� �C� COUNTY OF f LJC_�
The forgoing instrument was acknowledged fore me
this /!;� day of M(�i = 20 LLby
PIN
(Name
(Signature of Notary Public- State of Florida )
Personally Known OR Pro
ducPd�ldpr
Type of Identi
Commission N
Revised 07/15/2014
Commission # GG 094675
moires Apr1120, 202(Seal)
Bonded Tmru Tray fain Insurance 600 1WTO10
Thefrgoing instrum nt was cknowledged fore me
this/ day of 1-- 20 by
(NamZpr knowle ing )
(Signature of Notary Pu c- State of Florida )
Personally Known 4/OR Produced Identification
Type of Identification Produced
CommJsiei%Ylt•_ SHARON K. NEWMAN
Expires April 20, 2021
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