HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
G ' i ------ Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial X Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772)462-1578
PERMIT APPLICATION FOR: WINDOW & DOOR REPLACEMENT
PROPOSED IMPROVEMENT LOCATION:
Address: 7380 S OCEAN DR 422, JENSEN BEACH, FL 34957
Property Tax ID#: 3522-607-0024-000-9 Lot No.
Site Plan Name: Shaw Block No.
Project Name: Shaw
DETAILED DESCRIPTION OF WORK:
WINDOW& DOOR REPLACEMENT IMPACT 5 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: $ 17750.00 Utilities: —Sewer _Septic Building Height:
❑WNERAESSEE: CONTRACTOR:
Name Kenneth Shaw Name:MICHAEL GOODWIN
Address:347 N New River Dr E Apt 1701 Company:JENSEN BEACH ALUMINUM
City: Fort Lauderdale State: Address:1720 NW FEDERAL HWY
Zip Code: 33301 Fax: City: STUART State:FL
Phone No.954-761-3334 Zip Code: 34994 Fax:
E-Mail: Phone N0692-0090
Fill in fee simple Title Holder on next page(if different E-Mail MICHAELLGOODWIN@YAHOO.COM
from the Owner listed above) State or County License CGC1508437
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:FLORIDA ALUMINUM ENGINEERING Name:
Address:5601 mARINERSTEET SUITE 240 Address:
City: TAMPA State: FL City: State:
Zip: 33609 Phone813-374-2403 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 autharize 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 on-residential use
WARNING TO OWNER: ou u to Record a Notice of Commence t m/res /no
ing twice for
improvement to ur r rty. A Notice of Commencememu bthe public records of St.
Lucie nt n o ❑ the jobsite before the first in action obtain financing, consult
w' len r r at before commencin work or cordin ummencement.
Signatur of Owner/Les a ontractor as Agent for Owner Signature of Contrac License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF Mbiith r) COUNTY OF 11 /A-A n
Sworn to(or affirmed)and subscribed before me of Sworn to(or affirmed)and subscribed before me of
Physical Presence or Online Notarization _X Physical Presence or Online Notarization
this�day of 2020 by this day of he&LnA a 20-D by
Name of person making statement. Name of person making statement.
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Type of Identification
Produced Produced
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(Signature of Wotary Public-State of FI rida J (Signature of N tary Public-Sta a of FI rida )
Commission No.C62351)� (Seal) Commission No. _�235ko e-
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DATE
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DATE
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