HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLL. __ FOR APPLICATION TO BE ACCEPTED
Date: 31 21 2.OZy
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMITTYPE:
PROPOSED IMPROVEMENT LOCATION`.
Permit Number: aUO3'�dss
RECEIVED
Building Permit Applicati n MAR 0 8 �oz0
ST. Lucie County, Permitting
Commercial Residential X
Address: 13827 S. Indian River Drive Lot 41Jensen Beach, FL 34957
Property Tax ID #: 4509-805-0041-0004
Site Plan Name: LAKE MANOR PARK COOPERATIVE SITE41
Project Name: Esbjom Olsen
DETAILED, DESCRIPTION OF 'WORK:
a
'ermittino for existino deck.
CONSTRUCTION; INFORMATIO W
Additional work to be performed under this permit — check all that apply:
Mechanical
Electric
Gas Tank
Plumbing
Total Sq. Ft of Construction: 23'.11 "x 12'.0"
Cost of Construction: $ 3500.00
_ Gas Piping
_ Sprinklers
Shutters
Generator
Sq. Ft. of First Floor: —
Lot No.41
Block No.
Windows/Doors
Roof Pitch
Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR.
_.
NameEsbjom Olsen
Name:Karl Kandel
Address:13827 S. Indian River Drive Lot 41
Company:White Aluminum & Windows
City: Jensen Beach Stater
Zip Code: 34957 Fax:
Phone No.
Address:2880 SW 42nd Ave.
City: Palm City State: FL
Zip Code: 34990 Fax:
Phone N0772-212-1400
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail krodriguez@whitealuminum.com
State or County License )o a
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.
SUPPLEMENTAL CONSTRUCTlui� LIEN LAW, INFORMATION:`
DESIGNER/ENGINEER: _ Not Applicable
N am e: seaside Engineers
MORTGAGE COMPANY:
Name:
Not Applicable
Ad d ress:4266 6om c°ua
Address:
City: veroBeach State: FL
Zip: 32967 Phone 772-202-6006
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
BONDING COMPANY:
Name:
X Not Applicable
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."
Signatur o w e / LkKs94WCT)RWTe115as Agent for Owner
Signature o Cont or i
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF MARTIN
COUNTY OF MARTIN
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this 2 day of MARCH . 20_ by
this 2 day of MARCH 20_ by
r�
Name of person making statement.
Name of person making statement.
Personally Known x OR Produced Identification
Personally Known x OR Produced Identification
Type of Identification
Type of Identification
Produced
Pro`ducedd
L��1✓ `ill
(Signature of Nobary Public- State ofFlo ida I
(Signature of Notky Public- tate of Florida )
Commission No. IJU
Commission No. tgial4fFioride
Notary Public State o1 Florida
I.
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DATE
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DATE
COMPLETED
Rev.2/1119