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All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: i0l1 Tl-ko Permit Number:
91rOILIUIC�(1L -�� RECEIVED
O
' � Building Permit Application OCT 2 7 2020
Planning and Development Services Permitting Department
Building and Code Regulation Division Commercial Residential X St. Lucie County
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578
PERMIT APPLICATION FOR:WII1dOW Replacement
PROPOSED IMPROVEMENT LOCATION:
Address: 10410 S Ocean Or Unit 806 Jensen Beach, FL 34957
Property Tax ID#: 4511-514-0060-000-7 Lot No.
Site Plan Name: Block No.
Project Name: Hutchinson Island Club
DETAILED DESCRIPTION OF WORK:
WLAce o"£ yJ(N00 u
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 )L_Windows/Doors _Pond
_Electric _Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 1500 Utilities: -Sewer _Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Edward Overfield Name:Thomas Flynn
Address: 10410 S Ocean Or#806 Company:The W Group, Inc
City: Jensen Beach State:�i. Address: 1409 SW Albatross Way
Zip Code: 34957 Fax: City: Palm City State:FL
Phone No.772-708-5407 Zip Code: 34990 Fax:
E-Mail:emoverfield@outlook.com Phone No 772-220-1930
Fill in fee simple Title Holder on next page(If different E-Mail tomflynn@twgcontractors.com
from the Owner listed above) State or County License CGC1505177
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: Name:
Address: Address:
City: State: City: State:
Zip: Phone 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 attorney before commencing work or recording our Notice of Commencement.
Sig66ture of Owner/Lessee/Contractor as Agent for Owner rTE
of Contractor/License Helder
STATE OF FLORIDA F FLORIDA
COUNTYOF 57 L-UUc COUNTY OF 5T wcur
Sworn to(or affirmed)and subscribed before me of Sworn to(or affirmed)and subscribed before me of
Physical Presence or_Online Notarization ✓ Physical Presence or_Online Notarization
thls 27 day of OcT 2020 by this I.L day of DLTOA_,eA 2020 by
IffbM" J Div "[ wms Fiy�d
Name of person making statement. Name of person making statement.
Personally Known ✓ OR Produced Identification Personally Known v/ OR Produced Identification
Type of Identification Type of Identification
Produced Produced
(Si ture of Notary Public-State of Florida
16CYAPRIC� ure of Notary Public-State of F r )
ow IV* ro;... ' TRACYAPF°.F
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Commission No. . SIanAzt Commission No. • NyC%on0MIe�"'A> !a FXPUIfSWN2r,
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.
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