HomeMy WebLinkAboutBuilding permit appAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
FT!. LIU CIE -
-- Building pp Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial X Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: replacement doors
PROPOSED IMPROVEMENT LOCATION:
Address: 8750 S OCEAN DR PH -49
Property Tax ID #: 3535-601-0103-000-9 Lot No. UNIT PH -49
Site Plan Name: ISLAND DUNES CONDOMINIUM A Block No.
Project Name: Blot SGD 42
DETAILED DESCRIPTION OF WORK:
Install replacement doors- 4 openings
New Electrical Meter Second Electrical Meter
[CONSTRUCTION INFORMATION: -
Additional work to be performed under this permit — check all that apply:
-__Mechanical _ Gas Tank —Gas Piping _ Shutters _ Windows/Doors Pond
Electric _ Plumbing _ Sprinklers Generator _ Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 32,575.00 Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Harold Blot Name: ,Jonathan Starratt
Address: 8750 S Ocean DR Unit PH -49 Company: White Aluminum
City: ,Jensen Beach, FL State: J Address: 2880 SW 42nd Avenue
Zip Code: 34957 Fax: ? City; Palm City State: FL
Phone No. 252-349-7091 Zip Code: 34990 Fax: 772-877-2735
E -Mail: haroldblot@gmail.com Phone No 772-212-1400
Fill in fee simple Title Holder on next page ( if different E -Mail astaples@whitealuminum.com
from the Owner listed above) State or County License GCG1523855
If
value of construction is 2500 or more, a RECORDED Notice of Commencement is required.
If
value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY:
Name: Florida Aluminum Engineering Name:
Add ress:5601 Mariner St -Ste 240 Address:
City: Tampa State: FI- City:
Zip: 33609 Phone 613-374-2403
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
BONDING COMPANY:
Name:
Address:
City:
Zip: Phone:
Address:
City:
Zip: Phone:
Not Applicable
State:
Not Applicable
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 paying twice for
improvements to your property. A Notice of Commencement must be recorded in the public records of St.
Lucie County and posted on the jobsite before the first inspection. If you intend to obtain financing, consult
with lender or an attoppy before commencing work or recording your N&tice, of Commencement.
Signature of Owner/ Lessee/Contractor as Agent for Owner I Signature of Contrac'br/Yicense Holder
STATE OF FLORIDA STATE COUNTOY OF
COUNTY OF ,
Sworn to (or affirmed) and subscribed before me of
X Physical Presence or Online Notarization
this day of,_)( A,YA= 2020 by
V
Name of person making statement.
Personally Known x OR Produced Identification
Type of Identification
Produce
(Signature of Noll4ry Public- State of Florid )
Commission No. GG235102 (Seal)
REVIEWS FRONT
COUNTER
DATE
RECEIVED
DATE
COMPLETED
Sworn to (or affirmed) and subscribed before me of
X Physical Presence or Online Notarization
this 'J day of. J CA-Y-'kj 2020 by
�'Jcv"O-J�\ 7.�y1711i
Name of person making statement
Personally Known x OR Produced Identification
Type of Identification
Produced
(Signatu e of N.Ntary Pub Ic a e of FI ida )
Commission No. GG235102 (Seal)
ZONING
REVIEW S UPERVISREVIIEWOR RE EW PLANS I VREVIEWON I SEA EV EWTURTLE MREV EWVE