HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INF MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED U d
Date: Permit Number:Ir a
••• r �- RECEIVED
Planning and Development Building Permit Applicatin Services N" 2 6 2018
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982ST. Lucie County, Permitting
Phone: (772)462-1553 Fax: (772)462-1578 Commercial 101
PERMIT APPLICATION FOR: Window/door _ -oW1na
PROPOSED IMPROVEMENT LOCATION:
Address: 9417 S OCEAN DRIVE, JENSEN BEACH, FL 34957
Legal Description: ISLAND VILLAGE PHASE II
Property Tax ID#: 3535-333-0001-370-6 Lot No. BLDG 5
Site Plan Name: Block No. UNIT 37
Project Name: Rosalee McCurdy
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
REPLACE 5 IMPACT GLASS WINDOWS AND 1 IMPACT GLASS DOOR SIZE FOR SIZE
CONSTRUCTION INFORMATION:
Additional work to be ertormed under this permit—check all that appy:
El❑HVAC Gas Tank Gas Piping _Shutters Q Windows/Doors
❑Electric ❑ Plumbing Sprinklers ❑Generator El Roof Roof pitch
Total Sq. Ft of Construction: 1520 SFt. of First Floor: 1520
Cost of Construction: $ 10277 Utilities:Sewer Septic Building Height: 20'
OWN ERAESS'EE: CONTRACTOR:
Name ROSALEE MCCURDY Name: Michael Wetzel
Address:9417 S OCEAN DRIVE Company: M J Wetzel Construction
City: JENSEN BEACH State:FL Address: 441 Mississippi Ave
Zip Code: 34957 Fax: City: St Cloud State: FL
Phone No.305-338-0909 Zip Code: 34769 Fax: 407-891-6957
E-Mail: Phone No. 407-709-6867
Fill in fee simple Title Holder on next page ( if different E-Mail: richie.roberts@expeditepermit.com
from the Owner listed above) State or County License: CGC1505465
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: _ Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING 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 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 wit lender or an attorney before
commencing workpr recordXyour Notice of Commencement.
s
Signatur of caner ssee/Contractor as Agent for Owner Signa re of Contr ctor/License Holder
STATE OF FLO IDA STATE OF FL RIDA
COUNTY OF ST CUCI� COUNTY OF ST LOCI
The forgoing instrument was acknowledged efore me The forgoing instrument was acknowledged before me
this J day of MATzC by this 12 day of M A1u l4 20 1 by
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary Public-State of Florida ) (Signature of Notary Public-State of Florida )
Personally Known__OR Produced Identification Personally Known 04- OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. �� p, Richie Roberts Commission No. ichie Roberts
�t Y a
NOTARY PUBUI' a< 9 OTARY PUBLIC
A o STATE OF FLORIDA
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353
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Comm#FF958353INCE 19Expires 6/4/2020
Revised 07/15/2014 Expires 6/4/2020
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS