HomeMy WebLinkAboutpermit applicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
c'J o
Building Permit Application
Planning and Development Services
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: New Construction
PROPOSED IMPROVEMENT LOCATION:
Address: 10701 S Ocean Dr Lot 880 Jensen Beach FL 34957
Property Tax ID #: 4511-510-0081-000-8
Site Plan Name:
Project Name:
DETAILED DESCRIPTION OF WORK:
Build 2 bedroom 2 1/2 bath 2 story. All impact openings
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit —check all that apply:
_Mechanical
Electric
Gas Tank
_ Plumbing
Total Sq. Ft of Construction: 2086
Cost of Construction: $ 407,000.00
Gas Piping
_Sprinklers
X
Lot No.880
Block No.
Shutters _ Windows/Doors _ Pond
Generator _ Roof
Sq. Ft. of First Floor: 798
Utilities: _Sewer _Septic Building Height:
Pitch
OWNERAESSEE:
CONTRACTOR:
Name Harry Block & Susan Neal
Name:James Newman
Address:10701 S Ocean Dr#880
Company:JWN Builders, LLC
City. Jensen Beach State: L.L
Zip Code: 34957 Fax:
Phone No. 772-418-5709
Address:1701 SE Carvalho St
City: Pt. St. Lucie State: FL
Zip Code: 34983 Fax: 772-871-9500
Phone No772-871-9500
E-Mail: /) -%D ' %� / A�i?�. C''
Fill in fee simple Title Bolder on next page [ if different
from the Owner listed above)
E-Mailjwnconstruction@comcast.net
State or County License CRC1 328282
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: 1
DESIGNER/ENGINEER: _ _ Not Applicable
Name:
Address:
City: State:
Zip: Phone
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
Address:
Citv:
Zip: Phone:_
MORTGAGE COMPANY: Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY: Not Applicable
Name:_
Address:
City:_
Zip:
Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
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 commencine work or recording vour Notice of Commencement.
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Signature caner/ Lessee/ ntractor as Agent or Owner
n ture of Contras or License Holder
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Type of Identification
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(Sig ture of Notary Public- State of Florida
(Signature of Notary Public- State of Florida J
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Commission No. �•~':.-�amnissi�100722
Commission No.
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Expires June 3, 2a21
- Exj7tt2S June 3, 2Q24
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Rev. 5/6/20