HomeMy WebLinkAboutBuilding Permit AppAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
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Building pp Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial XX Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: pool' Replacement
PROPOSED IMPROVEMENT LOCATION:
Address: 10044 S Ocean DR Apt 505
Property Tax ID #. 4502-804-0037-000-9 Lot No.
Site Plan Name: SEA WINDS CONDOMINIUM APT 505 (OR 4021-2363) Block No.
Project Name: Lindgren#2
DETAILED DESCRIPTION OF WORK:
Replacement SGD -1 opening
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: $ 4000.00 Utilities: —Sewer _ Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name William Lindgren
Name: Jonathan Starratt
Address: 10044 S Ocean DR Apt 505
Company: White Aluminum
City: Jensen Beach, FL State:
Address:2933 SE Gran Parkway
City: Stuart State: FL
Zip Code: 34957 Fax:
Phone No. 954-732-0510
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
State or County License CGC 1523855
from the Owner listed above)
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 Applicable MORTGAGE COMPANY: x Not Applicable
Name: Seaside Engineers Name:
Address: 4265611th ct Address:
City: Vero Beach State: FL City: State:
Zip. 32967 Phone 772-202-8008 Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable
BONDING COMPANY: x 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 thejobsite before the first inspection. If you intend to obtain financing, consult
with lender or an attorney before commencing work or recording your Notice of Commencement.
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Signature of Owner/ ssee/ tractor as Agent for Owner
Signature of Contractor/ tense Ider
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF Mertin
COUNTY OF Marty
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 15 day of December 2020 by
this 15 day of December 12020 by
Jonathan Starratt
Jonathan Starratt
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
Produce
Produced
(Signature of tary Public- State of FI d
Signature oklotary Public- State of orida
h A� ,pry Public SWW of �fofida
COmmISSIOn No. GG235102 A AW�raplas
Notary Public State
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DATE
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DATE
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