HomeMy WebLinkAboutJensenMonicaApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
S LLC ._.
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17 L ' C I L1f� _, 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: Window Replacement
PROPOSED IMPROVEMENT LOCATION:
Address: 9490 South Ocean Drive #811
Property Tax ID #: 3535-701-0058-000-5 Lot No.
Site Plan Name: OCEAN TOWERS CONDOMINIUM A- UNIT811 AND UNDIV SHARE IN COMMON ELEMENTS (OR 4067-998) Block No.
Project Name: Jensen
DETAILED DESCRIPTION OF WORK:
R/R Windows 3 openings
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: $ 6185.00 Utilities: -Sewer _ Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Monica M Jensen (LF EST)
Name: Jonathan Starratt
Address: 9490 S Ocean DR Apt 811
Company: White Aluminum
City: Jensen Beach, FL State:
Zip Code: 34957 Fax:
Phone No. 772-678-9131
Address: 2880 SW 42nd Avenue
City: Palm City State: FL
Zip Code: 34990 Fax:
Phone No 772-692-0090
E -Mail: mjensen636@hotmail.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
I
E -Mail astaples@whitealuminum.com
State or County License CGC 1523855
is required.
is required.
If value of construction is 2500 or more, a RECORDED Notice of Commencement
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name: Seaside Engineers/Edward Roske
Address: 426560th court
City: Vero Beach
Zip: 32967
Phone 772-202-6006
FEE SIMPLE TITLE HOLDER
Name:
Address:
City:
Zip: Phone:_
State: FL
Not Applicable
MORTGAGE COMPANY:
Name:
Address:
City:
Zip:. Phone:
Not Applicable
State:
BONDING COMPANY: _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.
5t. 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 or 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, 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 Notice of Commencement.
414�41U.i�r
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Signature of Owner/asses ntractor as Agent for Owner
Signature of Con actor/ rise Holder
VSTATE
OF FLORIDA
COUNTY OF (
STATE OF FLORIDA
COUNTY OF ►ti1R�L"I (�
Sworn to (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
t is day of 2020 by
Sworn to (or affirmed) and subscribed before me of
Physical Pre encs or Online Notarization
t is day of 2020 by
Name of person making statement.
Name of person making statement.
Personally Known X OR Produced Identification
Personally Known Y OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
(Signature of Not Publics- of Florida
l
(Signature of NotaryPublic- State o Florid )
1State
Commission No. CL (Seal)
Commission No. G6Z:>51 O2_ (Seal)
REVIEWS
FRONT ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 5/b/20