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HomeMy WebLinkAboutBuilding permit appAI_L APPLICAl3LE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: - _ ��_ - s Buifding Plermit Application Plannirrq and 1?eve�opment Services Building and Cade fiequlation Division 23[10 Virginia Avenue, Fort Pierte FL 34952 Phone: �772j 462-1553 Fax: t772J 462-157$ Commercial RESIC��?nl:lal PERMIT APPLICATION FOR: Accordion Hurricane Shutters PROPOSED IMPROVEMENT LOCATION: Address: 9600 S Ocean Drive #1201, Jensen Beach, 34957 Legal Description: Empress Condominium Unit 1202 9600 S Ocean Dr #12Q� Property Tax ID #: 4502-620-OiJ91-004-1 I.ot No. Site Plan Name: Project Name: Green Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WDRK: Install 4 Accordion Shutters Block No. CONSTRUCTION INFORMATION: i Iona wor to e�ej orme un er t is permit — c ec a app y: C�HVAC L_1 Gas Tank Gas Piping X_ Shutters � Windows/Doors Electric �i Plumbing �5prinkiers � Generator � hoof � Roof pitch Total Sq. Ft of Construction: 5 Ft. of First Floor: Cast of Construction: $ $4400.Q0 Utiliiies:� Sewer Septic Building Height: OWNER/LESSE=E: CONTRACTG R: Name Ste hen R Gre Narne: John Zervopouios Address:1002 Torrey, Pine Drive ..___ _._,_ ._ Company: Advanced Hurricane Protection City: Mars State: PA Zip Code: 16046 Fax: ____. Phone No. 724-612-8007 Address: 4517 SE Commerce Ave_ City: Stuart State; PL lip Code; 34�97 Fax: Pi7pne Np. 772-220-1200 E-Mail: srossgreen2002@yahoo.com _ _ Fill in fee simple Title Holder an next page (if different from the Owner listed above] E-Mali: jahr�@advancedhurricane.net State or County License: CBC1259339 i� vague ai construction is �i5uu or more, a Htwtcutu rlwotite or �ammencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: ©ESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: Not Applicable iVame: Name: Address: Address: City: State: City: State: Zip: Phone Zip: Phone: FEIr 51MPLE TITLE HOLDER: _Not Rpplicable B�NpING COMPANY: _Not Applicable Name: Name: Address: Address: City: City: Zip: Phone: Zip: Phone: OWNER/ CONTRACTOR Al'FIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated. l certify that no work or instailation has corrtmenced prior to the issuance of a permit. St. Lucie Countyy makes no representation ghat is granting a permit will authorize the permit holder to build the subject structure which is in cor�ttict with any applicable Home Owners Association rules, bylaws ar 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, l do hereby agree that I will, in al# respects, perform the work in accordance with the approved plans, the Fl©rida Building Codes and St. Lucie County Amendments. The following building permit applications are exempt from undergoing a full concurrency review: room additions, accessary structures, swimming pools, fences, wails, signs, screen roams and accessory uses to another non-residential use WARNING TO OWNER: Your failure ita Record a lV�tice of Comrr�er�cement may result in your paying twice for improvements to your property. A Notice of Commencement must be recorded and pasted on the jobsite before the first inspection, If you intend to obtain financing, consult with lender or an attorney before ccamrnencin work or recordin our Notice of Commencement. ' nature nerJ Lessee/Contractor as Agent far Owner ignat ontractor/License Holder ST E OF FLORIDA STATE OF FLORIDA COUNTY OF Martin COUNTY OF Martin The f�J'gping inskru ent was acknowledged efare me this day zaby The f r ing instr ent was acknow{edged before me !lTT�� of thisday of Z0� by John Zervo aloes John Zervopolous Name of person making statement Name of person making statement l'ersonalEy Known ✓ OR Produced Identification Personally Known ✓ OR Produced Identification Type of Identification Type of Identification Produced Produced (Signature of Notary Public- State of Florida) (signature f Notary Public- State of Florida } Commission No. GG133 mmissian No. GG133395 �� P Notary Pu4�ic State of �iancta z° �� Melissa A Ewoldt =°�°urn Notary Pubnc State of FI r� ;� ,. � nr,y Camm�ssion GG 133395 . €vlelfssa A Ewoldt �. , < Eoi�h° cxpi EaFno Ex Tres 081�O/2�21 9 REVIEWS FRONT FANS VEGETATlQ1d S COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE ' RECEIVED DATE COMPLETED Rev. S/2/17