HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 3-I Permit Number:
SMo ILCO-1�
° u (t% Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential X
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578
PERMIT APPLICATION FOR: Interior Alteration
PROPOSED IMPROVEMENT LOCATION:
Address: 10680 S Ocean Dr#807, Jensen Beach, FL 34957
Property Tax ID#: 4511-516-0084-000-7 Lot No.
Site Plan Name: Block No.
Project Name:
DETAILED DESCRIPTION OF WORK:
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
V/Electric Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ o U 0 Utilities: —Sewer —Septic Building Height:
OWNERAESSEE: CONTRACTOR:
Name Frank&Donna Gennaro Name: John Jacobs
Address: 10680 S. Ocean Dr 807 Company: John Jacobs Construction Inc.
City: Jensen Beach State:_ Address:4701 Oleander Ave
Zip Code: 34957 Fax: City: Fort Pierce State:FL
Phone No. Zip Code: 3/15/2021 Fax: 772-466-6491
E-Mail: Phone No 772-882-8334
Fill in fee simple Title holder on next page(if different E-Mail jmjacobs4701@gmall.com
from the Owner listed above) State or County License CBC060421
If value of construction is 2500 or more,a RECORDED Notice of Commencement is required.
If value of 14AVC is$7,500 or more,a RECORDED Notice of Commencement is required.
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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 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 authorize the permit holder to build the subject structure
which is in contlict 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 attorney before commencing work or recording our Notice of Commencement.
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Signat of Owner/ see/Contractor as Agent for Owner Signatur of Contractor/ c rise Hol er
STAT OF FLORID STATE F FLORIDA
COUNTY OF �; r!LAC '� COUNTY OF C�C
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_lLf day of ,('`)ca r-c'h 2024 by this_JL!�day of—Mc.rr-h 12020 by
Name of person making statement. Name of person making statement.
,s
Personally Known VOR Produced Identification Personally Known i� OR Produced Identification e
Type of Identification Type of Identification }
Produced Produced ''
' Notary Public State of Floridacy 1 co 0
(Signatur f Notary Ptdbrlc o ort GG Soasea (Signature of tary Public-State of Florida) 0'3 -
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Commission No. Commission No. G�C6� 0 (Seal) G)�
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANG V '
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COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVI
DATE
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DATE
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