HomeMy WebLinkAboutKowalskiPermitAppAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
�: a L\ ZYA
1` 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: Window Replacement
PROPOSED IMPROVEMENT LOCATION:
Address: 10044 S OCEAN DR 107
Property Tax ID #: 4502-804-0007-000-0 Lot No.
Site Plan Name: SEA WINDS CONDOMINIUM APT 107 Block No.
Project Name: Kowalski
DETAILED DESCRIPTION OF WORK:
Replacement Windows - 3 openings- Impact Glass
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: $ 3300.00 Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Frank E Kowalski
Name: Jonathan Starratt
Address: PO Box 560005
Company: White Aluminum
City: Miami, FL State: _
Address: 2933 SE Gran Parkway
City: Stuart State: FL
Zip Code: 33256 Fax:
Phone No.
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:
MORTGAGE COMPANY: x Not Applicable
DESIGNER/ENGINEER: _ Not Applicable
N am e : Seaside Engineers/Edward Roske
Name:
Address: 4265 Both cl
Address:
City: Vero Beach State: FL
City: State:
Zip: 32967 Phone 772-202-800e
Zip; Phone:
BONDING COMPANY: x Not Applicable
FEE SIMPLE TITLE HOLDER: 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 a torn fore commencin work or recording our Notice o mmencement.
Signature of Own err Lessee ontractor as Agent for Owner
Signature of Contr ctor/Li se Holder
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
x Physical Presence or Online Notarization
this 22 day Of January 12020 by
this 22 day of January 2020 by
Jonathan Slarratt
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
Produced Ph
Produced
(Signature of otary Publio-FIfVY03 i bllcsta_te °
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