HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
Y TT", LLCCU�
-11
G ` i 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: 9650 S Ocean DR Apt 1709
Property Tax ID#: 4502-610-0159-000-5 Lot No.
Site Plan Name: THE PRINCESS OF HUTCHINSON ISLAND UNIT 1709 (OR 4241-1635) Block No.
Project Name:. _ _ _
DETAILED DESCRIPTION OF WORK: !1
Replace SGD and Windows-3 openings-non impact(existing shutters)
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: $ 8320.00 Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Mary Ellen Zoerner(TR) Name:Jonathan Starratt
Address:9650 S Ocean DR Apt 1709 Company:White Aluminum
City: Jensen Beach State: Address:2880 SW 42nd Avenue
Zip Code: 34957 Fax: City: Palm City State:FL
Phone No.614-406-5247 Zip Code: 34990 Fax:
E-Mail:zoommt51@gmail.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:azss sash ct Address:
City; Vero Beach State: FL City: State:
Zip: 32967 Phone 772-202-e008 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 attorpeV,before commencing work or recording our Notice ofCQmmencement.
Signature of Ow r/Less /Contractor as Agent for Owner Signature of Connr for/Li 11e Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF Ako,+ r COUNTY OF F
Sw rn to(or affirmed)and subscribed before me of Sworn to(or affirmed)and subscribed before me of
Physical Prese a or Online Notarization Physical Presence or Online Notarization
thi s day of . 2020 by this day of_ 2020 by
Name of person making statement. Name of person making statement.
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Type of Identification
Pr u d Produced
(Signa(u e of N ary Public-Sta e o F ignature of Notary Public-State of Florid )
Wary public State of Florida
Commission No. K'pji Staples f pubtiCstateofFio
MY Commission GG 235102 C �mission No. A��`5�jn efa StaPies
GG 2351 0710412022 M1 F My Cammis9ion
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SgAITO MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE T_
COMPLETED
Rev.