HomeMy WebLinkAboutBuilding Permit Application ALL JNPPLICAB�Lf INFO MUST BE CO ETED FOR APPLICATION TO BE ACCEPT
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Date: I v(i Permit Number:
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Building Permit Application
Planning and Development Services �' b° m 26%
Building and Code Regulation Division � :-? b Je y?
2300 Virginia Avenue, Fort Pierce FL 34982 _ . L' _ � �J7� ; FL
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residentia.
PERMIT APPLICATION FOR: Aluminum without concrete
PRQpOSED IIViPROVEMEiVT LC►CATION �`�'� r �, ��� ��` ` '
Address: 10200 S OCEAN DR.APT 109 JENSEN BEACH, FL 34957
Legal Description: ATLANTIS III BY THE SEA UNIT 109 ANDPRO-RATA SHARE IN COMMON ELEMENTS (OR 597-2606)
Property Tax ID#: 4511-518-0007-000-0 Lot No.
Site Plan Name: Block No.
Project Name: ,q-
Setbacks Front0Back: Right Side: Left Side:
DETA'I 'EWDESCRIPTION OF WORK y Z N
SUN ROOM NON HABITAL
�xZS�l�i 10 .0 &s
CONSTRUCTION INFORMATION "
Additional work to be nertormecl under this permit-check all tnat apply:
�HVAC Gas Tank Gas Piping 1-1_Shutters Windows/Doors
Electric ❑ Plumbing Sprinklers F Generator _Roof Roof pitch
Total Sq. Ft of Construction: /r7 J S S . Ft. of First Floor:
Cost of Construction:$ �� Utilities: _Sewer 0 Septic Building Height:
OWNER%L.ESSEE CONTRACNTORa% rat fr''
�x
Name DAVE ABRAHAM Name: GARY WHIGHAM
Address: 10200 S OCEAN DR.APT 109 Company: SOUTH FLORIDA ALUMINUM PRODUCTS
City: JENSEN BEACH State:FL Address: 4807 SO US HWY 1
Zip Code: 34957 Fax: City: FORT PIERCE State:FL
Phone No. S(eI - 2-52 - -15561 Zip Code: 34982 Fax: 772-466-1074
E-Mail: N� Phone No. 772-466-0913
Fill in fee simple Title Holder on next page (if different E-Mail: SFAPBOOKS2SOFLALUM.COM
from the Owner listed above) State or County License: CRC1330712
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL'CO'NSTRUC I N LIEN LAW INF'ORMATIOfN
R
DESIGNER/ENGINEER: _Not ApplicableMORTGAGE COMPANY: _Not Applicable
Name: -PAyla +,Ue 1, Name:
Address: 2W W&—tva_ 04 i'S A61 I"J", Address:
City: I'd.-i 1--oc State:_ City: State:
Zip: 32'25!4 Phone: �D2�3�91 ���<�� Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
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 recorde sted on the jobsite
before the first inspection. I tend to obtain financing, consult wi -_ er or an torney before
commen ' rk or-mc—ording yglir Notice of Commencement.
s
ure of Owner/Les Contractor as Agent for Owner Signature of Co c or/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF 64 i n l_ COUNTY OF_5 r,Q
The for sing instrumept was acknowledged before me The for�oing in nt was acknowledged before me
this ? day of 20)Jby this day of r10C, 20 Q by
6, d\J
(Name of p rson acknow dging) (Name of erson acknowledging)
1�. - �6"7z , - 7��a4"f �L � - -
(Signature f hotary7OR
-State of Florida) (Signature f Notar7OR
* -State of Florida)
Personally Known Produced Identification Personally Known Produced Identification
Type of Identification Produced Type of Identification Produced
Commission c�;";:o' MARY ANN All(c '�NTI Commission No. Seal
•= MY COMMISSION a FF953138 MARY ANN MATONTI
rxPiRFS ar 24.2020
i�(S h'St'1!;U'!a iltAr4iHorn'r�ermr.c::ar e•
Revised 0 •?a;;, EXPIRES January 24,2020
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE t I
COMPLETE
INITIALS