HomeMy WebLinkAboutBuilding Permit Application1
1
M
under this per t fI that
II r
Gas Piping
prinkl rs
TOtal Sq, Ft Of Construction;
PPLI T]0 N TO BE ACCEPTED
Permit Number.
L'�
Building
Per
,Pl11r111fng ,nd Develo pplicats'ton
BUIlding and Cccie Regu1cItIon Dlvls��r�
Virginia venue Comm e r i i
ort Pierce FL 3 8 51 n a a xxx
Phone. ()-721462-1553 Fa 7
PERMIT CATION FOR*Glass Roo
P (N 0
ROPOSED IMPROVEMEN
F
�TJ:
mpact)
ro Pe rty Tax I D#; 4- 70 3-004 2 -O 0 0- 1
Site Plan aL,; LAKE LfETT
SLAT Imo, ONE LOT 213 0R 11 -
Project Name. Jones Glass Rooms
DETAILED DESCRIPTION�
Lot.
Brock No.
Demo existing screen wa)l
Install new n on_i m r)at
isting humcarie shutters
r
Additional Wark to be r)e or e
.Mechanical
Electric
gWNERAESSEE:
Gas Tank
� Plumbing
r
Name Pauline Jones
ddres:s. 8274 Sandpine Circle
Zip .)de: 34952 zat:
Fa ,
Phone c). 7-1 �0
Shutters ilndOw D
oors Pond
Generator .1 oaf Pitch
q. i=t. of Rr5t Floor:
Funding Hieiht;
CONTRAL`TOR:
Name: donat�an tarratt
Ornpany- White Aluminum
City: Stuart
State: FL
1 4 7
Fax -
Phone No 77 - -0090
E-Mail a tapies@Whiteai UM!nu rr , com
_ # WU� �r License 1 5
i# value cO ru�u ion is 50� �- - _
r____�L
Mo re, a E & DES � `
If wa lue of His 7, 5or more, �� �f �D Notice of Co m���-cement i
:s required.
��7 went is required.
HolderFill in fee sirnple Title on next Page J if different
from the Owner listed above)
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESI I E
E# I E ER:
Name., Ineer and Rye
Address' 4 a G ,C;
Not Appi is bi e
City: Vero aeach State. Ft_
Phone
FEE SIMPLE Tff LE HOLDER: Not APP11cable
Name.
Address -
city.
ZIP: _.,._ Ph n e:
MORTGAGE COMPANY: X Not Applicable
Name:
d reams : !
State.
i P : Phone:
BONDING COMPANY: xot Applicable
Name
Adr1re ;
City:
Zip: Phone -
OWNER/ CONTRACTOR AFFiDVIT: Appl:catia ni s h ere by mada to o� -
k certify that no or Dr installation as corn- ��a�r>r � ����� �� �� tf�� �� ��� �r�stal��t��� �� :��icat��.
rye aced prl - to the issuance of a permit.
Which 1 � I 1JI r# # � r� ! r f iR I , hrl I z � 1r r r «i ti � Ff i
�1 p11 1 F•Io ner,5 SOClati an rules, b I avers a r a r# covenan'ts that a �� " _ �� �� � �
structure. Please consult with Your Home Owners Association and review your deed for are restrictions � restrict or prohibit such
c ins aV apply.
In consideration of the granting of this regaested permit, I do hereby agree that I Wifl in ai r
in accordance with the approved plans, the Florida Building Codes and St. Lucy � � e�pe �perform theirk
� �o�r�t �Amendments.ts.
The following buildi ng pe rrn it a Ppl ications a re a em pt fro rn undergoi na to Il corlcurr '
aceostruires. �m mfng v DOIs, fenceso walls, S i�� ire � �nc� revrew� r��� a��fi�i�r�s�
g � �r� rots an d acceso ry uses to anot heF n on-resident ial use
WARNING TO OWNER: Your failure tc) Record a Notice Of
improvements � or�r �r���.. Notice �� COMrr�ncerr�ent Ma Suin paintwicefor
Lucie ���t �r��j
Commencement ant be forded in t public records of fit.
posted on the obsite before the first inspection, I ou intent
with lender or an attorney before CO men � t� �bt�i n ���rr��n � ��r� It
r r r r� Your Notice Of COMMencer ent.
f -
r
Signature of Own r L
STATE OF FLORIDA
F martin
[Contractor as Agent for Owne-r
Signature of co
Z'
actOVTicen se Holder
STATE OF FLORIDA
COUNTY OF m$ruft
e r n to (or affirm e d a r d s u bscri bed before m e of Sworn t or�
x 9) 6rj irI-V�
ne affirmed) and subscribed before me of
a of � of n
thi_ �� � �! � � Pr
�� !'�,..� ... � . � �F.� tiro
202f this day a,
Jonatlh-w Starratz Jonathan tarratt
Name of person making statement. on of Name Person C R ki nsta t eme nt.
Personally Known .x OR produced i de nti fir -a ti on
Type of identification
Produced
(Sig at ro of
11 Commission No.
RFVIEWS
DTF
RErPI E
DATE
COMPLETED
ear. X120—J
rk
tary les
Public on
a } public State of FiOrlda
G51And a �i 235102
xpi rep 0710412022
personai]V Known x OR Prod ured Wen fiication
Type of Identification
Produced
ignat reotar� Pubfir-- State of Idr
Not Public lic tax #
Angela Staples
VL XPI
FRONT ZONING � .5UPERVISOR I PLANS
COUNTER REVIEW REVIEW I REVIEW
VEGETATION
REVIEW
SEA TURTLE
EEC
MANGROVE
REVIEW
rich
10