HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
IT ` c c L _ 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/Door Replacement
PROPOSED IMPROVEMENT LOCATION:
Address: 9900 South Ocean Drive
Property Tax ID#. 4502-503-0021-000-0 Lot No-
Site Plan Name: OCEANA OCEANFRONT CONDOMINIUM II-UNIT 207 AND UND SHARE IN COMMON ELEMENTS Block No.
Project Name: Lundgren
DETAILED DESCRIPTION OF WORK:
R/R Windows and SGD-4 openings
New Electrical Meter Second Electrical Meter
ECO:N:S:T�RUCT�IONNFORMATION:
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: $ 15225.00 Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Edward F Lundgren Name:Jonathan Starratt
Address:33 Meadowbrook DR Company:White Aluminum
City: Barrington, RI State: Address:2880 SW 42nd Avenue
Zip Code: 02806 Fax: City: Palm City State:FL
Phone No.401-323-7005 Zip Code: 34990 Fax:
E-Mail:championsms@aol.com Phone No 772-692-0090
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 HAVC 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 60ih 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: 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 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 attorne efore commencing work or recording our Notice of Commencement.
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Signature of Owner/ esseeTtractor as Agent for Owner Signature of Con ctor/ nse Holder
STATE OF FLORIDA I STATE OF FLORIDA Nn 6
COUNTY OF Aq(*[� _ COUNTY OF 1 Y o, (
Sworn to(or affirmed)and subscribed before me of Sworn to(or affirmed)and subscribed before me of
Physical Presence or Online Notarization Physical Pre ence or Online Notarization
tqi—sla day of ,2020 by t is 2L day of ,2020 by
Name of 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 Produce
q�n Q L&J2 . '__� ) —
(Signature of Nat y Public-State o Florida (Signature of No ryPubliicc-State❑ Florid )
Commission No. �� (Seal) Commission No. G6Z3J102- (Seal)
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
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