HomeMy WebLinkAboutBuilding Permit AppALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
•
Building Permit
Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial
Xx Residential
PERMIT APPLICATION FOR: Window/door
PROPOSED IMPROVEMENT LOCATION:
Address: 9417 S OCEAN DR
Legal Description: 35 36 41 (ISLAND VILLAGE PHASE II BLDG 5 UNIT 41)
Property Tax ID #: 3535-333-0001-410-9
Lot No.
Site Plan Name:
Block No.
Project Name: Sweeney Window/Door Replacement
Setbacks Front Back: Right Side:
Left Side:
DETAILED DESCRIPTION OF WORK:
R/R Sliding Glass Doors- 1 opening. Impact Glass
R/R Windows- 5 openings Impact Glass
CONSTRUCTION INFORMATION:
Ad d it:ona I work to be ertormed under tispermit—check
�HVAC Gas Tank Gas Piping
all that apply:
Shutters Windows/Doors
Electric Plumbing U Sprinklers
FIGenerator Roof Roof pitch
Total Sq. Ft of Construction:
S Ft. of First Floor:
Cost of Construction: $ 8355.00 Utilities Sewer OSeptic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Joyce W Sweeney
Name: Jonathan Starratt
Address:9417 S OCEAN DR
Company: White Aluminum
City: Jensen Beach State:
Address: 1720 NW Federal Hwy
City: Stuart State: FL
Zip Code: 34957 Fax:
Phone No. 617-388-6898
Zip Code: 34996 Fax:
E-Mail: joysweeney910@gmail.com
Phone No. 772-692-0090
E-Mail: njohnson@whitealuminum.com
Fill in fee simple Title Holder on next page ( if different
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.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: x Not Applicable
MORTGAGE COMPANY: x Not Applicable
Name: seaside EngineemlEdward Roske
Name:
Address: +26580d,ct
Address:
City: State:
City: Vero Beach State: FL
Zip:32957 Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable
BONDING COMPANY: 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 attorney before commencing work or recording our Notice of Commencement.
Signature of Own r/ Les . e/Contractor as Agent for Owner
Signature of Con actor/ icense Holder
STATE OF FLORIDA
STATE OF FLORIDA``
COUNTY OF Mangy
COUNTY OF --
Sworn to (or affirmed) and subscribed before me of
Sworn to for affirmed) and subscribed before me of
x Physical Presggnce or Online Notarization
this _7__ day of J ( � 2020 by
x Physical Pres nce or Online Notarization
this !:L day of 2021 by
Jonathan Starratt
Jonathan Stan'atf
Name of person making statement.
Name of person making statement.
Personally Known x OR Fradut,�We ittficpggig 5teto of Fia
Type of Identification ,.�I r 4,� Anaeta Staples
Pro ed My omm+gs+on Go zssl
4 _ O7 44i2422
i
Per pally Known x OR Prod i
2Typ f Identification vs� •u, Nota+yP'tsrc�n
Pro ed :� Angela 5taples
My commission G
F * Expires o7ri)AR422
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2
(Si nature of N tary Public- State of Flo ida)
(Sill ature of N ary Public- State of Florida )
Commission No. GG235102 (Seal)
Commission No. GG235102 (Seal)
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
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REVIEW
REVIEW
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DATE
RECEIVED
DATE
COMPLETED
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