HomeMy WebLinkAboutBuilding permit appAll 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: 9650 S OCEAN DR, Unit 1202
Property Tax ID #. 4502-610-0112-000-4 Lot No.
Site Plan Name: THE PRINCESS OF HUTCHINSON ISLAND UNIT 1202 (OR 3764-274: 3868-419) Block No.
Project Name: Vasilopoulos SGD Replacement
DETAILED DESCRIPTION OF WORK:
Install Replacement SGD - 3 openings
I
I 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: $ 16,685.00 Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Frank/Mina Vasilopoulos Name: Jonathan Starratt
Address:49 Tremont DR Company: White Aluminum
City: East Hanover State: Address: 2880 SW 42nd Avenue
Zip Code: 07936 Fax: City: Palm City State: FL
Phone No. 973-722-7577 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 MORTGAGE COMPANY: Not Applicable
_
Name: Seaside Engineers/Edward Roske Name:
Address: 4265 Both Court Address:
City: Vero Beach State: FL City: State:
Zip: 32967 Phone 772-202-8008 Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: J 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 and that
or covenants 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."
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Signature of Owner/ ressektontractor as Agent for Owner Signature of Contra or/Li nse Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF COUNTY OF
The foWoing instrument as acknowledged before me The fvrpo�ing instru+ ten was acknowledged afore me
this day of I 20 J y this ��lay of . 20�"y
Name of person making statement. Name of person making statement.
Personally Known K OR Produced Identification Personally Known OR Produced Identification
Type of Identification Type of Identification
Produced Produced
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