HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 3�l o�I�l'� Permit Number: aOd3-o3�'�
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20Building Permit Applicatio Planning andDevelopment Services ermittinBuilding and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial X Reside raitting
PERMIT TYPE:
PROPQSED=IMPROVE'MENT LOCATION; `
Address: 8750 S. Ocean Drive Unit#1131 Jensen Beach, FL 34957
Property Tax ID#: 3535-601-0055-000-7 Lot No.
Site Plan Name: The Admiral at Island Dunes Block No.
Project Name: Kathy Crawford
DETAILED DESCRIPTION OFMORK
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Replacing sliding glass doors &windows with Impact doors &windows. 6 openings total.
CONSTRUCTION,INFORMATION j
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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:$ `I 3. g Ci 5 D Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE CONTRACTOR
Name Kathy Crawford Name: Kcxir , '�G✓�T(3e�
Address:8750 S. Ocean Drive Unit#1131 Company: LOWLW—'AN vy,:'^'Xw i�' L"3i V1( owS
City: Jensen Beach State:_ Address: Das'o 5t3 -l2lie l-\,f-e
Zip Code: 34957 Fax: City: 1`L iNM c' �( State:
Phone No. Zip Code: 3LM-0 Fax:
E-Mail: Phone No 772-212-1400
Fill in fee simple Title Holder on next page (if different E-Mail krodriguez@whitealuminum.com
from the Owner listed above) State or County License (2450-09,5 1 I la
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.
SUPPLE(VIENTAL CONSTRUCTION LIEN LAW INFORMATION
DESI
GNER/ENGINEER: _ _ _ _Not Applicable MORTGAGE COMPANY: Not Applicable
Name:' A" r" + > -en Name:
Address :31pGi +Anel'SAvt )r tJ'P_'a'q0 Address:
City. _State: FL City: State:
Zip:-', 33 Q,US Phone_ C8U) 314-2,q o3 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 LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
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Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORID STATE OF FLORIDA�y.
COUNTY OF s �r�� COUNTY OF /
The fo ping instrumelit was ac l nowledge before me The forgoing instrument was a knowledged before me
this /1 ay of 20�y this�iday of /I 20Z Sy
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Name of person maki g sstatement. Name of person making statement.
Personally Known ✓ OR Produced Identification Personally Known r/ OR Produced Identification
Type of Identification Type of Identification
Produced Produced
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(Signatu a of ary Pub ic-St t �,�F,ubl;c State of Fbrida
Jign/atilre of otar Publi An9 Punrotzry"r�ublic estate of FloridayCommission No. GE��/ to Sia ion 235102 ala Stas on GG235102
( tassion GG mission No. . My
i• "''`^} 0710412022 ExP laD"'10412022
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE.
COMPLETED
Rev.