HomeMy WebLinkAboutbuilding permitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
Building 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: v� r\Aoo') L--,Do P PqC-2.rY����
PROPOSED IMPROVEMENT LOCATION:
Address: 9650 S OCEAN DR 1410
Property Tax ID #: 4502-610-0130-000-6 Lot No.
Site Plan Name: THE PRINCESS OF HUTCHINSON ISLAND UNIT 1410 Block No.
Project Name: Urban
DETAILED DESCRIPTION OF WORK'
Install Replacement SGD- 6 openings. Like for like replacement
Shutter Permit 2004-0147
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: $ 30,900..00 Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name: Jonathan Starratt
Name Martin J Urban (TR)
Company: White Aluminum
Address: 9650 S Ocean DR Apt 1410
Address: 2880 SW 42nd Avenue
City: Jensen Beach State: LL.
Zip Code: 34957 Fax:
City: Palm City State: FL
Phone No. 610-349-6546
Zip Code: 34990 Fax: 772-877-2735
E-Mail: marty.urban@gmail.com
Phone No 772-212-1400
Fill in fee simple Title Holder on next page ( if different
E-Mailastaples@whitealuminum.com
State or County License CGC1523855
from the Owner listed above)
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: X Not Applicable
Name: Edward Roske/Seaside Engineers
Address: 4265 60th Court
City: Vero Beach
Zip: 32967
Phone 772-202-6008
FEE SIMPLE TITLE HOLDER:
Name:
Address:
Citv:
Zip: Phone;_
State: F<_
X Not Applicable
Name:_
Address:
City:
Zip:
Phone:
State:
BONDING COMPANY: X Not Applicable
Name: _
Address:
City:_
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 appllcable 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 forany 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 attorney before commencing work or recording your No- irpofkcii-nmencement.
Signature of Ow _r/ Less /Contractor as Agent for Owner
Signature of Contr ❑r/Lic IVe
Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF Martin
COUNTY OF Martin
Sworn to (or affirmed) and subscribed before me of
Sworn to (or affirmed) and subscribed
before me of
X Physical Presence or Online Notarization
X Physical Presence or
Online Notarization
this 17 day of June 2020 by
this day of June
12020 by
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
Produced
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(Signature of Nota a o9 �ii Stele of Florida
(Signature of N ry Public- 5 t
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R Yr Angela Staplas
F,y Notary Put:ilc State of Flvs+d
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Commission No. GG235 2• f�lyCg11}I nGG235102
Expires Q710412-4
Commission No. GG235102�
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