HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 10/29/2019 Permit Number: 5 GIs
OCT 3 1019
Building Permit Application
Planning and Development Services perm►.Lucie
Count ent
Sr,Lucie County
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982 _
Phone: (772)462-1553 Fax: (772)462-1578 Commercial ' Residential V/
PERMITTYPE:
,TROP
6 ED°°IMPROVEM°ENT LOCATIQN
Address: 10725 S. Ocean Drive
Property Tax ID#: 451150100200005 Lot No.18
Site Plan Name: Block No.
Project Name:
"DETAILED DESCRIPTION OF WORK
Demo of existing deck.
Vo C,o,-\ �'�c1�e-�- 3d7a�NG I S3
'CONSTRUCTION TIO M,
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Additional work to be performed under this permit—check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters _Windows/Doors
Electric _Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction:$ 1.000 . Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE 311
CONTRACTOR h
Name Greg Colander Name:Karl Kandel
Address:10725 S. Ocean Drive#18 - Company:White Aluminum &Windows
City: Jensen Beach State: Fl. Address:2080 42nd Street
Zip Code: 34957 Fax: City: Palm City State:FI.
Phone No. Zip Code: 34990 Fax:
E-Mail: Phone N0772-212-1400
Fill in fee simple Title Holder on next page(if different E-Mailastaples@whitealuminum.com
from the Owner listed above) State or County LicenseCBCO25116
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
If value of HVAC is$7,500 or more,a RECORDED Notice of Commencement is required.
SUPPLEME! TA -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:
OWNER/CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
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 JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR L NDE OR 4N ATTORNEY BEFORE RECORDING YOUR N ICE fiF Co
AMENCEMEN4"
AMIXA.." t4W /A*i4"
Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA ��
COUNTY OF U 0� COUNTY OF yyl
The fr ing instru. e t ,sackpwledged fore me The f r Ing instr m s ac nowledged before me
thisday of V1 20 by this day of 20 by
6,tr( Ce,n Kawbi
Name of person making statement. Name of person making statement.
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Type of Identificatio
Produced Produced
i
(Si ature of&tary Public-State of Orbricla) (signAurd of N tary Public-State of F16rida)
Commission No.efo/,3502- (Seal) Commission No. 712GO 2— (Seal)
or I 10tary Public les �+, Notary Public Stets III
REVIEWS C 1 64 1 oz 1 RVI R PLANS VEGE IFI ; X19 i 2;1%1 VE
f REVIE REVIEW REV 1A(._ E 022 REVIE
DATE
RECEIVED
DATE
COMPLETED
Rev.2/7/19