HomeMy WebLinkAbout35 SOVEREIGN -PERMIT APPLICATIONAll APPLICABLE JN FO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Af HIL16 ,2020 Permit Number-
Building
umberBuilding Permit Application
Planning and Development Services
8uifdrng and Cade Regulation Division
2300 Virgrinfa Avenue, For[ Pierce FL 34882
Phone: (772) 462-1553 Fax. 1772) 462-1578 Commercial
PERMITTYPE: FRAMING AND WINDOW INSTALLATION
PROPOSED IMPROVEMENT LOCAT ON-
Address: 35 SOVEREIG:1N WAY
Residential xx
Prope rtyTax ID #: 1414-701-0072-000-1 Lot No. K
Block No.
Site Plan Name: 35 SOVEREIGN WAY Block 8_—
Project Nairne: 35 SOVEREIGN WAY
DETAILED DESCRIPTION OF WORK:
REPLACING AND EXISTING WINDOW WITH A LARGER WINDOW.
FRAMING NEW OPENING AND INSTALLATION OF NEW WINDOW -
ICON TRUMON INFORMATION -
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:
Coit of Construction: Y. Utilities_ _Sewer —Septic Building Freight:
OWNER/LESSEE:
NameAbiI Ke(uskar
Address: 20 Longview AVE
city: Valley Stream, NY 11581 state:
Zip Code: Fax:- -
Phone Ido_ N/A
E -Mail: NIA
Fill in fee simple Title Holder on next page ( if different
fram the Owner listed above)
CONTRACTOR:
Name_ JON R. JACKSON _
company. Seapointe Builders
Address:117 Queen Ann CT
City: Ft Pierce State: F -L
Zip Code: :34 9 Fax: NIA
Phone No 772-577-0166
E-mail seapointebuild ers@ comcast_net
State or County license GBG 1258532
it vol ue of construction is 5ZSW or more, a RECORDED Notice of Corn mentem"t is required.
If value of HVAC is $7,SOO or mairp, a RFCORDED Notice of Commencement is required,
SUPPLEMENTAL CONSTRUCTION LIEN LAVA! INFORMATION:
Name:_
Address,
City:
Zip:
ENGINEER: x Not Appli6 le
Phone
State-
FEE SIMPLE TI1U HOLDER: , Not Appli aWe
Name:
Address.
City:
Zip: Phone.
MORTGAGE COMPANY- _ Not App IicabIie
Name:
Address:
City: Mate.
Zip=Phone:_
80 N DI NG COM PANY: _Not ApPlicable
Name:
Addfess:
City. _
Zip:
Phone:
OWNER/ CONTRACrOR AFFJDVIT: Application is hereby made to obtain a pweerrWt to do the work and installation as indicated.
I certify ft r1 o work or instailatlon has commenced prier to the issuance of a permit.
St. Lucie County makes no representation that 15 granting a permit will authorize the permit halder to btjW the subject structure
which is in conflict with any applicable Hoare Owners Association rules, bylaws or and covenants that may restrict or proh ih t such
structure. Please corisu It with your Home Owners AssDciation and review your deed for any restrictions which may apply_
fn consideration of the granti rig 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 AmendmenU-
The Amendments-
Thefollowing building permit applications are exempt from, undergoing a fall concu rrency review. roam additions,
wceMry structures, Swimming pools, fends, walls, signs, screen rooms and accessary arses to another non-resideritia I use
`'INARNIMIS TO OwNiER. YOUR, FAILURE TO II KORD A NOTWE OF C0r4MENCEMENT MAY RESULT IN YOI, R RAYING
T'MCI_ FSR 1IMPROVEMEMS TO YOUR PROPERTY_ A NOTICE OF COMMENCEMENT MILT 6E R CORDED AND
POS ON THE J SITE ISE THE FAIST MPECn0N. IF YOU INTEND TO OMTAM FINIAWING, CONSULT
WITH VOUR LOOM OR AN ATTORNEY SWORE RlE(7pRL1llUG VDUR NOTICE
Signature of Owner/ Lessee/Contractor as Agent for Owner ure Oft t r G i d der
STATE OF FLORIDA j STAMTEF L WA� a
COUNTY OF �COUNIiY�
The forgoing iastrument was arknowiOged before me The forgo ne instrument was acknowledged before me
this day of 20_ by thisday of 08c H r 2b by
L R.a c c� I
Naw of person making; statement, blame of person malting statement.
Personally Known _CTR Produced Identification _ Personally ]gown OR Prpdw-ed ldentffication Z�
Type of Identification Type of Identification
Produced Produced—&1 0 e- -�- Lr"C_ �
{Signature of Notary Public State of Florida ub-lic-'016Wlorida
Commission No. (Seal) Carm�tleslun R GG 35+F14f?
r
) Commission No, � e Etc I vWN*L17, r&m
��M rte �d�q 1►.a Rourw srk.,
REVIEWS FRONT Z0NPNG SUPERVISOR PI,AN_S VEGETATION SEA TURTLE MAN(3ROVE
COUNTER REVIEW REVIEW REVIFEW REVIE'irtl REVIEW REVIEW
DATE
COMPLETED