HomeMy WebLinkAboutBuilding Permit AppAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
S Z, L L c L
'" 7 z Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial XX Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1SS3 Fax: (772) 462-1578
PERMIT APPLICATION FOR: Window Replacement
PROPOSED IMPROVEMENT LOCATION:
Address: 10152 S OCEAN DR 716B
Property Tax ID #. 4502-803-0063-000-7 Lot No.
Site Plan Name: ATLANTIS CONDOMINIUM BLDG B UNIT716B AND PRO-RATA SHARE IN COMMON ELEMENTS (OR 3578-2143) Block No.
Project Name: McFarlane
DETAILED DESCRIPTION OF WORK:
Replacement Windows -2 openings
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: $ 3225.00 Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Janis G MacFarlane
Name: Jonathan Starratt
Address: 1532 Lighthouse DR
Company: White Aluminum
City: Naperville, IL State:
Address:2933 SE Gran Parkway
City; Stuart State: FL
Zip Code: 60565 Fax:
Phone No. 630-470-0578
Zip Code: 34997 Fax:
E-Mail:
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: x Not Applica
Name: SeasideEnginee
Address: 4265 loth ct
City: Vero Beach
Zip: 32967
State: FL
Phone 7rz-2a2-aaoa
FEE SIMPLE TITLE HOLDER: x Not Applicable
Name:_
Address:
City:
Zip:
Phone:
MORTGAGE COMPANY:
Name:
Address:
City:
Zip: Phone: -
BONDING COMPANY:
Name:
Address:
City:
Zip: Phone: -
x Not Applicable
State:
x 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 attorney before commencing work or recording our Notice of Commencement.
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Signature of Owne rle
ssee/ V,
tractor as Agent for Owner Signature of Contracto 11c
ense Ider
STATE OF FLORIDA
COUNTY OF Martin
Sworn to (or affirmed) and subscribed before me of
x Physical Presence or Online Notarization
this 15 day of December 2020 by
Jonathan Starrett
Name of person making statement.
Personally Known x OR Produced Identification
Type of Identification
Produced
STATE OF FLORIDA
CO NTY OF Marti
Sworn to (or affirmed) and subscribed before me of
x Physical Presence or Online Notarization
this 15 day of December 2020 by
Jonathan Starrett
Name of person making statement.
Personally Known x OR Produced Identification
Type of Identification
(Signature of Nbtary Public- State=dSignafure Signature ottAotary Public- State of I71orida '❑1F�aState of Floridapublic StaygY Pt jd❑l'..r4 eCommission NO. GG235102 ? ,es mmission No. GG235102 ptb,jrj �laStGG23'+an GG 235102 M•}412022 xPtiras 071
REVIEWS FRONT S Z�ON G SUPERVISOR PLANS VEGETATION SEA TfR"fLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
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