HomeMy WebLinkAboutdrawingAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
4"'f G , rC ;CAI
L Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-15S3 Fax: (772) 462-1578
'PERMIT APPLICATION FOR: Replacement Door
[PROPOSED IMPROVEMENT LOCATION:
Address: 10751 S OCEAN DR B4
Property Tax ID #: 4511-311-0033-000-6
Site Plan Name: 113141 FROM SE COR OF SEC I2-37-41 RUN N SS DEG SS MIN 14 SEC E ALG S SEC LI 17441 FT TOOL OF Al A, TH N 23 DEG 49 MIN 31SECWALG SOUL 2921.33FT,TH566 DEG 1N MIN
Project Name: Woodhull Door
DETAILED DESCRIPTION OF WORK:
Replacement Door- Impact- 1 opening
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
Electric _ Plumbing _ Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $ �99 1 S
OWNER/LESSEE:
Name Robert Woodhull/Cathy Woodhull
Address: 10751 S Ocean DR Lot B4
City: Jensen Beach State:
Zip Code: 34957 Fax:
Phone No. 765-722-1288
Generator
Sq. Ft. of First Floor:
Lot No,
Block No.
Windows/Doors Pond
Roof _ Pitch
Utilities: _Sewer _Septic Building Height:
E-Mail:.
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
CONTRACTOR:
Name: Jonathan Starratt
Company: White Aluminum
Address: 2880 SW 42nd Ave
City: Palm City State: FL
Zip Code: 34990 Fax: 772-877-2735
Phone No 772-212-1400
IE-Mail astaples@whitealuminum.com
State or County License CGC 1523855
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: x Not Applicable
Name:_
Address:
City:
Zip:
Phone
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: - Phone:_
State:
x Not Applicable
MORTGAGE COMPANY:
Name:
Address:
City:
Zip: Phone:_
BONDING COMPANY:
Name:
Address:
City:
Zip: Phone:_
x Not Applicable
State:
x 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 permitwill 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 restrlct or prohibit such
structure. Please consultw th 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 anattor efore ommencin work or recordillgyUur Notice of Commencement.
r 4ulorl 4�x
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Signature of Own / Lesse Contractor as Agent for Owner Signature of Can ctoril. Vnse Holder
STATE OF FLORIDA,' COUNTOF
�� _ OY ORIDIf�,
COUNTY OF jjJJ�` '' jj I IA J
w rn to (or affirmed) and subscribed before me of
Physical Presen a or Online Notarization
t6 is day of 2020 by
Name of person making st,4Fement.
Personally Known ✓ OR Produced Identification
Type of Identification
Produ ed rl
IIA ,.
re of Notary Pub7fc- State ofJ lorida
Commission
Notary Public State of Florida
nny Carnr s 'ton OG 235102
REVIEW "v�,;JDNiP1rasITMING
DATE
RECEIVED
DATE
COMPLETED
Ts,�r
n to (.or affirmed) and subscribed before me of
sical Presen ero"r. Online Notarization
day of �I2l�lfii -.l , 2020 by
Name of person making s atement.
Personally Known OR Produced Identification
Type of Identification
Produced .
(Signatuiie of Not4 Public- State of Florida
Commission No.
RVISOR PLANS I VEGETATI`C
'IEW I REVIEW REVIEW
My
Public State of Florida