HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED jj
Date: ) Permit Number: �% dotT^ d GP� (O
911 LUCDL � RECEM ED
p FEB 2 4.2021
Building Permit Application PermittIng Department
Planning and Development Services St. Lucia Count
Building and Code Regulation Division Commercial X Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLI CATION FOR:Replace window with impact
PROPOSED IMPROVEMENT LOCATION:
Address: 10410 S Ocean Dr Unit 802
Property Tax ID #: 5411-514-0056-000-6 Lot No.
Site Plan Name:
Project Name: Hutchinson Island Club
DETAILED DESCRIPTION OF WORK::
Install new impact window
New Electrical, Meter Second Electrical Meter.
CONSTRUCTION INFORMATION ,
Additional work to be performed under this permit— check all that apply:
Block No.
_Mechanical _ Gas Tank _ Gas Piping _ Shutters _ Windows/Doors _ Pond
_ Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 2200.00
Sq. Ft. of First Floor:
Utilities: —Sewer _Septic Building Height:
OWN ER/LESSEE:'
CONTRACTOR:
Name Dean J Coclin
Name:Thomas J Flynn
Address:10410 S Ocean Dr#802
Company:The W Group, Inc
City: Jensen Beach State: _
Address:1409 SW Albatross Way
Zip Code: 34957 Fax:
City: Palm City State: FL
Phone No.781-789-8686
Zip Code: 34990 Fax:
E-Mail:
Phone N0772-220-1930
Fill in fee simple Title Holder on next page ( if different
E-Mailtomflynn@twgcontractors.com
from the Owner listed above)
State or County License CGC1505177
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:
Name:
Address:
Address:
City: State:
City: State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLEHOLDER: _ 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 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 o he jobsite before the first inspection. If you intend to obtain financing, consult
with lender or an attoraeV before commencing work or recording vour.Notice of Com ement.
Sign ur of Lesse�j,aA Ufa' fare
— -
Signatur f ntractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF 51 L,uC.C_�C'
COUNTY OF 15 Lulu-:
Sworn to (or affirmed) and subscribed before me of
Sworn to (or affirmed) and subscribed before me of
✓ Physical Presence or Online Notarization
✓ Physical Presence or Online Notarization
this _Z:y_ day of f, 202p by
this 2 _S day of F3r1SQ.(. W4 .2020 by
Name of person making statement.
Name of person makingstatement.
V/
Personally Knowo_I OR Produced Identification
Personally Known OR Produced Identification
Type of Ide ' Ica ion
Type of Identification
Prod ed
Produce
t
Si re f Notary Public- State of Florida)
atu a of Notgry Public- State of Florida )
Commission No. e�;r:��i�, (SaWYAPRICE
Commission No. 4o'�:Y� /1• 1¢�'� APfiICE r
MI��e1MMISSMNSGG0506�0
* * MY COMMISSION # GG 05M
* *
N EXPiRg: March 27, 2A21
EXPIRES: March 27 2021
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REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 5/6/20