HomeMy WebLinkAboutBuilding Permit Application II APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED '7
Date: Permit Number: 1 U o Gv
RECEIVED
O
° ° Building Permit Application MAR 0 9 7071
Planning and Development Services Permitting Department
Building and Code Regulation Division Commercial Residential
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax: (772)462-1578
PERMIT APPLICATION FOR:Window replacement
PROPOSED IMPROVEMENT LOCATION:
ddress: 10410 S Ocean Dr. Unit 303 Jensen Beach, FL 34957
Property Tax ID#: 4511-514-0012-000-6 Lot No.
Site Plan Name: Hutchinson Island Club Block No.
Project Name:
DETAILED DESCRIPTION'O.F WORK" '.."
(Replace window with impact resistant window
I
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: $ 2400.00 Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
NameCharles Falter III Name:Thomas J Flynn
Address:10410 S Ocean Dr. unit 303 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. Zip Code: 34990 Fax:
E-Mail:occf34@gmail.com Phone No772-220-1930
Fill in fee simple Title Holder on next page(if different E-Mailtomflynn@twgcontractors.com
from the Owner listed above) State or County License CGC1 505177
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,
Iccessory structures,swimming pools,fences,walls,signs,screen rooms and accessory uses to another non-residential use
ARNING 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 attorney befo-m-mmmencing work or recording our N_Qtice of Commencement.
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SignaturrFF
ner/Lessee/Contractor as Agent for Owner Sign at Contractor/License Holder
STATERIDA / STATE OF FLORID
COUNTY OF S`i" Luct COUNTY OF �I
Swgrn to(or affirmed)and subscribed before me of Sword to(or affirmed)and subscribed before me of
VL P�ysical Presence or Online Notarization Physical PrggB�ence or Online Notarization
this day of Q►' 2020 by this�day of► arc-t 2020 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
Produce Produce
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Commission No. * MUS:March27,2021 Commission No. '". �a� (-(fiWS:March 27.2021
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
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