HomeMy WebLinkAboutBuilding Permit AppAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
L isLL; _ h
r
L tt— Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial XX Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: Replacement Windows
PROPOSED IMPROVEMENT LOCATION:
Address: 10044 S OCEAN DR 1107
Property Tax ID #: 4502-804-0087-000-4 Lot No.
Site Plan Name: SEA WINDS CONDOMINIUM APT 1107 (OR 761-2376) Block No.
Project Name: Burnett
DETAILED DESCRIPTION OF WORK:
Replacement Windows 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: $ 3230.00 Utilities: _ Sewer _ Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Marilyn M Burnett
Name: Jonathan Starratt
Address: 1219 Minnesota RD Lot 97
Company: White Aluminum
City: Port Huron, MI State:
Address: 2933 SE Gran Parkway
City: Stuart State: FL
Zip Code: 48060 Fax:
Phone No. 954-647-5790
Zip Code: 34997 Fax:
E-Mail: burnettam@comcast.net
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
i
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: Not Applicable
MORTGAGE COMPANY: x Not Applicable
Name: Seaside Engineers/Edward Roske
Name:
Address: 4265 Both 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 the jobsite before the first inspection. If you intend to obtain financing, consult
with lender or an attorne before commencing work or recording our Notice of Co mencement.
Signature of Owne rLesse Vontractor as Agent for Owner Signature of Contract fLlcen older
I
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF Martin COUNTY OF Martin
Sworn to (or affirmed) and subscribed before me of Sworn to (or affirmed) and subscribed before me of
x Physical Presence or Online Notarization i x Physical Presence or Online Notarization
this 22 day of December , 2020 by this 22 day of December , 2020 by
Jonathan Starrett Jonathan Starrett
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
Prod ed A Produced
7igidature Jf Notary Public --(Signature (Signature of N ary Public-StatR, avip nF�°t,da
C'`+ PuAtita stale
a�' P(, ra°�,y PWiyll �S�ts1e at Fior a4
' '`' Pic ar/
GG235102 _^jR1 ,. P}t'145tin5GG 235102
Commission NO. GG23510 z ri An5i9D �G �35142 Commission No. G PPPRRR���
yiy i 1 G22 . MY t64+zR 2
❑7104
T � - -.� �x�ytras 4"
ti
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
d
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev.