HomeMy WebLinkAboutLewisWilliamPermitAppAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
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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 Commercial X Residential
PERMIT TYPE: Window/Door Replacement
PROPOSED IMPROVEMENT LOCATION:
Address: 7370 S OCEAN DR 413
Property Tax ID #. 3522-607-0075-000-1 Lot No -
Site Plan Name: DUNE WALK BY THE OCEAN a/k/a SAND DOLLAR NORTH BLDG B UNIT 413 Block No.
Project Name: Lewis-SGD
DETAILED DESCRIPTION OF WORK:
R/R sliding glass door- 1 opening
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit — check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters _ Windows/Doors
Electric _ Plumbing _ Sprinklers _ Generator Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 4900.00 Utilities: -Sewer _Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
_
Name William Lewis Name: Jonathan Starratt
Address: 29 Puddingstone LN Company: White Aluminum
City: Millington State: Address: 2880 SW 42nd Avenue
Zip Code: 07946 Fax: City: Palm City State: FL
Phone No. 908-625-9426 Zip Code: 34990 Fax: 772-877-2735
E-Mail: 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 CGC 1523855
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 CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name: Seaside Engineers/Edward Roske
MORTGAGE COMPANY: _ Not Applicable
Name:
Add ress: 4265 sour court
Address:
City: Vero Beach State: FL
City: State:
Zip: 32967 Phone 772-202-8008
Zip: Phone:
BONDING COMPANY: Not Applicable
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Name:
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. Oran d 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."
Signature of Own / Less a/Contractor as Agent for Owner
Signature of Contra for/Li nse Holder
STATE OF FLORID � pnI�,
COUNTY OF Y r l `
STATE OF FLORIDA
COUNTY OF
The n—o-ing instrurpent as cknowledged before me
thisday of , 20iy
The f^-^aing instru t w ac owledged before me
thisday of 20_ by
Name of person making statement.
Name of person making statement.
Personally Known OR Produced Identification
Personally Known � / OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
(SignbtLIre of Wtary Public?- State of Flori a)
(Signature a Notar uli bc- State of Florida
Commission No. - G z 3S(02 (Seal)
Commission No. �C / (Seal)
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lev,2/1/19