HomeMy WebLinkAboutPermit application KankaAll APPLICABLE INFO MUST BCDMPLETEp FOR APPLICATION TO BE ACCEPTED
Date: i< " ' Zi Permit Number:
r0 �
Building Permit A plication
Planning and Development Services
Building and Code Regulation Division Commercial Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: WIndOWS & DOOI'S AC`(',,Qr-�f Dr, S I1V ' lS
PROPOSED IMPROVEMENT LOCATION:
Address: 9500 S Ocean Drive 41905, Jensen Beach, FL 34957
Property Tax ID ##: 4502-602-0179-000-6 Lot No._
Site Plan Name: Block No.
Project Name: Kanka
I DETAILED DESCRIPTION OF WORK: I
Install 2 Impact windows & 4 SGD's
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit— check all 7shutters
apply:
—Mechanical _ Gas Tank _ Gas Piping Windows/Doors _ Pond
Electric _ Plumbing Sprinklers _ Generator hoof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ q �e goo, 0� Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Maria Kanka
Name: John Zervopoulos
Address: 9500 S Ocean Drive #1905
Company: Advanced Hurricane Protection
City. Jensen Beach State: _
Zip Code: 34957 Fax:
Phone No. 631-953-7531
Address: 4517 SF Commerce Ave
City: Stuart State: FL
Zip Code: 34997 Fax:
Phone No 772-220-1200
E-Mail: mkanka3419@gmaii.com
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail John@AdvancedHurricane.net
State or County License CBC1259339
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
Name:
Address:
City: _ State:
Zip: Phone
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY: _Not Applicable
Name:_
Address:
City:_
Zip:
Ph
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 thejobsite before the first inspection. If you intend to obtain . ncing, consult
with lender or an attornev befor&,eommencina work or recordiniz Vour Notice of Corom-encement.
Si ure ofWOnLess / ctor as Agent for Owner
Si ature of r or/Lic
s der
STATA
F RIDA
C UNTYO
COUNTY OF. Ma In
Sworn to (or affirmed) and subscribed before me of
Sworn to (or affirmed) and
subscribed before me of
x Physical Presence or Online Notarization
X Physical Presence or
Online Notarization
this 12th day of November , 2020 by
this 12th day of November
12020 by
John Zervopoulos
John Zervopoulos
Name of person making statement.
Name of person making statement.
Personally Known X OR Produced Identification
Personally Known x
OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
(Signaturd of Notary P
(Signature of Notary Public- State of Florida )
��.nY Pry Notary Fubnc State of Florida
G;
Commission No. GG1333 2° MeliS�ywoldt
on GG 133395
Commission No. GG133395
1�'Y PU NotameliState pf Florida
°�� Notar� a�A State
My Ca
FxPireS 6$11012024
�Fno
q My commission GG 133395
"-
OF Ft
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATIO
L
R
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETE D
Rev.