HomeMy WebLinkAboutSigned Rosendahl Permit AppAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: October 23rd 2020 Permit Number:
9T -
O
Building Permit Application
Planning and Development Services
Building and Code Regulation ,Division Commercial
2300 Virginia Avenue, Fort Pierce Ft 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERM IT APPLICATION FOR: Windows Remove and Replace
PROPOSED IMPROVEMENT LOCATION:
Address: 33 Majestic Way FP FL 34949
Property Tax I D #: 1414-701-0114-000-8
Site Plan Name: Rosendahl
Project Name: Rosendahl
Residential xx
DETAILED DESCRIPTION OF WORK:
in ows Remove and el)lace-- Reolace old with new impact windows
New Electrical Meter n/a Second Electrical Meterna
CONSTRUCTION INFORMATION:
Lot No. A
Block No. 13
Additional work to be performed under this permit –check all that apply:
Mechanical — Gas Tank -__- Gas Piping _ Shutters XX Windows/Doors _ Pond
Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 10,000.00
Sq. Ft. of First Floor:
Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Linda K HosendahlName:
on H.Jackson
Address: 33 Majestic WAY
Company: eapointe Builders
City:. FP-- State:
Address: 117 Queen Ann CT
_
Zip Code: 34949 Fax:
City: F State:
7
49 n a
Phone No.
Zip Code: Fax:
-
Phone No -577-01
E -Mail: n a
Fill in fee simple Title Holder on next page (if different
Fill
E -Mail seapointe u ilders CoP comcast. net
State or County License
from the Owner listed above)
if value of construction is 2540 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.
}{yr --- 94 �11_" _"i t ,
Sig re of Owner ssee/Contractor as Agent for Owner
DESIGNER/ENGINEER:
Not Applicable MORTGAGE COMPANY:
Not Applicable
Name:
Name:
The forgoing instrurpent was acknowledged before me
this��day of 2Q:0 by
Address:
Address:
of
City:
State: City:
State:
Zip: Phone
Zip: Phone:
(Name of person acknowledging)
FEE SIMPLE TITLE HOLDER:
Not Applicable
BONDING COMPANY:
Not Applicable
Name:
OR Produced Identification
Name:
^'
Address:
Produced �--
Address:
ADRIANA RAYA
��'; Notary Public - State of Flo
Commission No. gealommission k GG 954625
City:
a� ADiiIANA RAYA
4 blit -State of Florida
City:
23
Zip: Phone:
REVIEWS
Zip: Phone:
ZONING
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 your paying twice for
improvements to your property. A Notice of Commencement must be recorded 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 recordine vour Notice of Commencement -
Rev. //2014
Sig re of Owner ssee/Contractor as Agent for Owner
Sign a of Con racto
'cense Holder
TATE OF F IDA
COUNTY L���--t, C1 t�-�-', �
ATE OF FL O A
COUNTY Of
The forgoing instrurpent was acknowledged before me
this��day of 2Q:0 by
The forgoing instrum
t was acknowled eg d before me
of
thisQ ay of
. 2 Y
acs
(Name of person acknowledging)
(Name of person acknowledging)
(Signature of Notary Public- State of FI)a&a)
(Signature of Notary Public- State of Flo ' }
Personally Known OR Produced Identification
'^
Personally Known
OR Produced Identification
Type of Identificatio
T e of Identification
Produced �--
P duced
ADRIANA RAYA
��'; Notary Public - State of Flo
Commission No. gealommission k GG 954625
da
C mission No,
a� ADiiIANA RAYA
4 blit -State of Florida
OF rti° My Comm. Expires Nov 7, 2
23
ar orn�{tssion N GG 964625
My Comm. Expires Nov 7, 2023
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. //2014