HomeMy WebLinkAboutruth sutton permit apAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 8/3/2020
Permit Number:
ZI
�0
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential X
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Zip Code: 33619 Fax:
PERMIT APPLICATION FOR: Sliding glass door replacement SIZE TO SIZE
Phone N0813-404-0404
Fill in fee simple Title Holder on next page ( if different
PROPOSED IMPROVEMENT LOCATION: 9500 S Ocean 'DR Apt 607Jensen'Beach, FL 34957
from the Owner listed above)
Address: 500 S Ocean DR Apt 607Jensen Beach, FL 34957
Property Tax ID #: Lot No.
Site Plan Name: Block No.
Project Name: RUTH & JOSEPH SUTTON
DETAILED DESCRIPTION OF WORK:
Replacement of sliding glass door size to size
New Electrical Meter Second Electrical Meter
[CONS'TRU*CTION INFORMATION
Additional work to be performed under this permit— check all that apply:
Mechanical
Electric
Gas Tank
Plumbing
Total Sq. Ft of Construction: 300 sq
Cost of Construction: $ 8500.00
Gas Piping _ Shutters _ Windows/Doors Pond
_ Sprinklers _ Generator _ Roof Pitch
Sq. Ft. of First Floor:
Utilities: _Sewer _Septic Building Height:
OWNER%LESSEE:
CONTRACTOR: _ ;......
Name Ruth Sutton
Name: Ralph Fortich
Address: 9500 S Ocean DR Apt 607
Company: Florida Secue Windows & Doors
Address: 9909 Venetian Rlver Way
City: Jensen Beach State: 11/
Zip Code: 34957 Fax:
City: Tampa State: FL
Phone No. 772-267-6890
Zip Code: 33619 Fax:
E -Mail: suttonruth11@gmail.com
Phone N0813-404-0404
Fill in fee simple Title Holder on next page ( if different
E -Mail info@floridasecured.com
from the Owner listed above)
State or County License CBC 1263022
11 va uc VI LLF113ULILUVII O G7VV VI IIFVIC, d mcs-unucu IYDLICe oTl.ommencemem 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
Name:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone
Address:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY: _Not Applicable
Name:
Address:
City:
Address:
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 thepermit 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. u intend to obtain financing, consult
with lender an money before commencing work or record in= of Commencement.
re of Owner/
�ssee/Contractor as Agent for Owner Signatu
STATE OF FLORIDA
COUNTY OF
Sworn to (or affirmed) and subscribe , before me of
Physical Presen a or Online Notarization
this e7C day of 2020 by
Name of person making statement.
STATE OF; I Ain
COUNTY F L/b
Sworn to (or affirmed) anr' a :before me of
Physical Presen oO ine Notarization
this' day of 2020 by
Name of person making statement.
Personally Known OR Produced Identification
Personally Known _ ` OR Produced Id ntification
Type of Identificationn ����
Produced �, �' t
Type of Identific ion
Produced
(Signature of Not -DLdLt:! U1A KIM
(Signature f` PiJ�i 4lry
%�r�r�rr Notary
Public - State of Florida
lorida
:. Commission • GG 944159
Commission No. =�
Commiss6eati)GG 944159
Commissi ' MY Comm. Expires 01F0&*24
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y Comm. expires 01-05-2024
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Bonded Through
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REVIEWS FRONT
ZONING SUPERVISOR
PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER
REVIEW REVIEW
REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED