HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 9/30/2020 Permit Number:
U 13 tz 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:
PROPOSED IMPROVEMENT LOCATION:
Address: 9600 S Ocean DR # 803
Property Tax ID #: 4502-620-0057-000-1 Lot No.
Site Plan Name: EMPRESS CONDOMINIUM UNIT 803 Block No.
Project Name: Blunnie
FD[iAlLED DESCRIPTION OF WORK:
Replacement Sliding Glass Doors- 2 openings (Impact)
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: $ 12,250.00 Utilities: —Sewer —Septic Building Height:
I OWNER/LESSEE:
CONTRACTOR:
Name John Blunnie
Name: Jonathan Starratt
Address: 9600 S Ocean DR # 803
Company: White Aluminum
City: Jensen Beach State:
Address: 2880 SW 42nd Avenue
City: Palm City State: FL
Zip Code: 34957 Fax:
Phone No. 646-316-4009
Zip Code: 34990 Fax:
E-Mail: johnblunnie@yahoo.com
Phone No 772-692-0090
Fill in fee simple Title Holder on next page ( if different
E-Mail astaples@whitealuminum.com
State or County License CGC 1523855
from the Owner listed above)
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:
Name: Seaside Engineers/Edward Roske
Address: 4265 Both ct
City: Vero Beach
Zip: 32967
Phone 772-202-6006
FEE SIMPLE TITLE HOLDER:
Name:_
Address:
city
Zip:
Phone:
Not Applicable ; MORTGAGE COMPANY:
State: FL
Not Applicable
Name:_
Address:
City:
Zip:
Phone:
BONDING COMPANY:
Name:_
Address:
city
Zip: Phone:
Not Applicable
State:
Not Applicable
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 attornev before commencing
work or recording your Notice of Commencement.
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Signature of Counr ctor/L nse Holder
Signature of Owneff Lesse / ontractor as Agent for Owner
STATE OF FLORIDA n'�,;
STATE OF FLORIDA 1�n ,, ,�; , \
COUNTY OF 1rY�laVI"'
o
COUNTY OF / u—p /ICJ
Sw rn to (or affirmed) and subscribed before me of
Sworn to (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
Physical Pre nce o Online Notarization
this day of °�, 202Q by
this'3Qday of 2020 by
`Ij stclw
Name of person making statement.
Name of person making statement.
Personally Known K OR Produced Identification
Type of Identification
Produced
(Signature of Notary Public- State of F orida)
Commission No. �Z t a""` "(eal°Sary Public State of
r n9ela Staples
! My Commission GG 2
{ Yr}(46 Fxoires 07/0412022
Personally Known OR Produced Identification
Type of Identificatio
Produced _
re o� Notary Public- State
ission No.
ZONING SUPERVISOR I PLANS VEGETATION
REVIEW REVIEW , REVIEW REVIEW
MANGROVE
REVIEW
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