HomeMy WebLinkAboutBuilding Permit Application .�
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED �/�
Date: //_1:;h1 Permit Num K:._!T>��-D
Building Permit Applicatio Nov 20 2019
Planning and Development Services
Building and Code Regulation Division Permitting Department
2300 Virginia Avenue, Fort Pierce FL 34982 SL. Lucie County, FL
Phone: (772)462-1553 Fax: (772)462-1578 Commercial eslde
PERMIT APPLICATION FOR: Window/door
PROPOSED IMPROVEMENT LOCATION NjaY 4
Address: 10310 S OCEAN DR 410
Legal Description: .00EANRISE CONDOMINIUM APT 410 AND UNDIV SHARE IN COMMON ELEMENTS
Property Tax ID^#: 4511-515-0038-000-7 Lot No.
Site Plan Name: Block No.
Project Name. Acorrto-1077
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Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTIOWOF WORK
WINDOW/ DOOR REPLACEMENT SIZE FOR SIZE
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C0:NSTRUCTION I-N�FORMATION :e
Additional work tobe performed under is permit—c ec�-a appy.
HVAC Gas Tank ❑Gas Piping _Shutters Q Windows/Doors
Electric ❑ Plumbing OSprinklers Generator Roof
Total Sq. Ft of Construction: S . Ft. of First Floor:
Cost of Construction: $ .22„116 r'�' Utilities: Sewer[]Septic Building Height:
OWNER/LESSEE mT CONTRACTOR `F
Name Richard Accorto Patricia Accorto Name: Mark Collins
Address: 1031D S:OCEAN DR 410 Company: Window World of West Palm Beach
City: Hutchison'Island State:FL Address: 1500 N. Florida Mango Road, Suite 16B
Zip Code: 34.949_ Fax: City: West Palm Beach State: FL
Phone No. Zip Code: 33409 Fax: (561)684-2050
E-Mail: Phone No. (561)684-2040
Fill in fee simple Title Holder on next page(if different E-Mail: westpalmbeach@windowworld.com
from the Owner listed above) State or County License: CBC1260052
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTR,UCTIQN LIEN LAW INFtJRMATIQN
3
DESIGNER/ENGINEER: x Not Applicable MORTGAGE COMPANY: x Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPCt 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, 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 wimming pools,fences,walls,signs,screen rooms and accessory u another non-residential use
WARNI R:Your failure to Record a Notice of Commenc ay r It in your paying twice for
impr a nts t our pro rty. otice f Commencement st be re o �edand p ejobsite
be re a firs specti ou intend obtain financin onsult wi eno attorne b fore
m enci ork o rdin o o ce of Commen ent.
S
ignature of;Owner/Lessee/Agent Z-511griature of Contractor/License Holder
STATE OFFLORIDA ( STATE OF FLORIDA
COUNTY OF.,_PalmBeasn COUNTY OF Palm Beach
The for ing:inI t piffm was acknowledged before me The forgoing instrument was acknowledged before me
this day of.., 9✓vs.,J,,— 20/-9—by this,' day of o"vo— 20 A-by
Mark Collins 1• Mark Collins
(Name of person acknowledging) (Name of person acknowledging)
4a;ooe� 4&X�iz
(Sign atur of otary-Ppblic-State of Florida) (Sign4ture a Notary Publi tate of Florida )
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Personally Known OR Produced �nQ S tion R�i��// Personally Known OR Produce �\\1 I
x ai Y x � :�al ' RR�/
Type of Identification.Produced �� ,••o�M�ssloa •., �. Type of Identification Produced �` M�sslON
Commission No..0 6777P,17 =-A(SeaI) �• Commission No4777``7 - ;j eal)
y y #GG 077747 11GG 077747
Y A�bded\h ��.••�O`� i 7•;''yp°nded
Revised 07/15/2014 '/,�AG •.//c Unda .'�0��� �i��'P/. .°bqc Undg •'�����`
REVIEWS :;,;: FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
`:COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE-::.:;.
INITIALS