HomeMy WebLinkAboutbuilding permitALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
CC1U NTY
F c o ►s t o vs
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: Demolition
PROPOSED IMPROVEMENT LOCATION:
Address: 10751 S. Ocean Drive A-3
Legal Description: See attached description
Property Tax I D #: 4511-311-0007-000-5
Site Plan Name:
Project Name:
Setbacks Front Back:
DETAILED DESCRIPTION OF WORK:
Demolition of existing structure
CONSTRUCTION INFORMATION:
A itiona wor to jeer orme un er
1HVAC I�J Gas Tank
Electric F]Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ _/_ , G") D
OWNER/LESSEE:
Name James A. and Patricia M. Wencke
Address: 10751 S. Ocean Drive, Lot B-14
Commercial Residential X
Right Side: Left Side:
tnis permit — cl
❑Gas Piping
Sprinklers
an apply:
In Shutters
[]Generator
S Ft. of First Floor. _
Utilities:Sewer Septic
City: Jensen Beach State: FL
Zip Code: 349^,57 Fax: —
Phone No. I i - 9 91 - g 4f Y 3
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
CONTRACTOR:
Name: James Newman
Lot No.
Block No.
El Windows/Doors
0 Roof Roof pitch
Building Height: _
Company: JWN Builders, LLC
Address: 1701 SE Carvalho Street
City: Port St. Lucie State. FL
Zip Code: 34983 Fax: 772-871-9500
Phone No. 772-871-9500
E-Mail: Jwnconstruction@comcast.net
State or County License: 1328282
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER:
Name:
Address:
city..
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City -
Zip: Phone:
Not Applicable
State
— Not Applicable
MORTGAGE COMPANY:
Name:
Address:
City:
Zip: Phone:
BONDING COMPANY:
Name:
Address:
City:
Zip: Phone:
Not Applicable
State:
Not Applicable
I certify that no work or installation has commenced prior to the issuance of a permit,
which is inconflict with no
ony representation
e Owis ners Associationting permit ules,aby bylaws or and covenantsthatthat build
ay restrict o! 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 jobsite
before the first inspection. If you intend to obtain financing, consult uygth lender or an attorney before
commencingwork or recordingour Notice of Commencement. /f
r
41gnat of Owner/Lessee/Contractor as Agent for Owner 5ignatur of Contractor/License Holder
STATE OF FLORIDSTATE OF FLORID
COUNTY OF COUNTY OF
Jr
The forgoing instrument was acknowledged before me
this t_�'T day of 20,-,&_by
-A-
(Name o 6� son acknowledging)
(signature of Notary ls"ubl'+c-State of Florida j
Personally Known 1//OR Produced Identification
Type of Ideptif4 oisi Fi. , t* --el—• ••M-0.0do•.
"xk a . SHARON K, iVEWMAN
Commission # GG 094675 Commissio Gy'o� ;,,: (Seal)
xpires pri .2021
....... Bonded Thru Troy Fain insuranoe 800-385-7039
Revised 07/15/2014
REVIEWS FRONT ZONING
COUNTER REVIEW
DATE
COMPLETE
INITIALS
The forgoing instrument was acknowledged before me
this GPI day of 20 7-i� by
(Name of per n acknowle n )
(Signature of Notary Public- State of Florida j
Personally Known OR Produced Identification
Type of Identification Produced
Comm
SUPERVISOR I PLANS
REVIEW REVIEW
SHARON K. NEWMAN
ExpiresApri120, 2021
VEGETATION
REVIEW
SEA TURTLE
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MANGROVE
REVIEW