HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
LUC E
U L `'' l.z t `, ti Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial XXX Residential
2300 Virginia Avenue, Fort pierce FL 34982
Phone- (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: Window Replacement
PROPOSED IMPROVEMENT LOCATION:
Address: 10680 S Ocean Drive Unit 402
Property Tax ID #: 4511-516-0039-000-7
Site Plan Name: Island Crest Condominums Unit 402 and Undiv Share in Common Elements
Project Name: Dolan Window Replacement
DETAILED DESCRIPTION OF WORK:
R1R Windows - 2 openings (Impact)
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
Electric — Plumbing _,Sprinklers
Total Sq. Ft of Construction: T
Cost of Construction: $ 3800.00
Generator
Lot No.
Block No.
— Windows/Doors ` Pond
Sq. Ft. of First Floor:
Roof Pitch
Utilities: —Sewer _Septic Building Height:
OWNERAESSEE:
CONTRACTOR:
Name James Dolan
Name: Jonathan S€arratt
Address: 10680 S Ocean Dr 402
Company: White Aluminum
Address: 2933 SE Gran Parkway
City: Stuart State: FL
Zip Code: 34997 Fax:
Phone No 772-692-0090
E-Mail astaples@whitealurninum.com
State or County License CGC 1523855
City: Jensen Beach State: _
Zip Code: 34957 Fax:
Phone No. 978$76 1105
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
IT value or conscrucuon is zsuu or more, a RECURDED Notice of Commencement is required.
If value of HAVE is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: I
DESIGNER/ENGINEER: X Not Applicable
Narne: Seaside EngineersJEdward Roske
Address: 4265 fiolh cl
City: Vero Reath
Zip: 32957 Phone_
FEE SIMPLE TITLE MOLDER:
Name:
Address:
City:
Zip: Phone:
State: FL
x Not Applicable
MORTGAGE COMPANY:
Name:
Address:
Citv:
Zip: Phone:.
x Not Applicable
State:
BONDING COMPANY: x Nat 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.
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/Contractoir as Agent for Owner Signature of Can acto icense Wolder
STATE OF FLORIDA
COUNTY OF ma -
Sworn to (or affirmed) and subscribed before me of
x °hysical Presgggnce r _ Online Notarization
this day of 2020 by
STATE OF FLORIDA
COUNTY OF ream
Sworn to (or affirmed) and subscribed before me of
x o' ysical Pres nce Online Notarization
this day of - 202a by
Jonalnan Starratt Jonathan Starratl
Name of person making statement. Name of person making statement.
Personally Known x OR PrGd6i[dWE t��� I- a Of Fa
Type of Identification : *4` P Angela Staples
PrO00d A r 1t7 _ _ ' rem Comm�selan GG 23
Public- State of Flof ida I
Commission No. GG235102 (Seal)
REVIEWS FRONT ZONING
COUNTER REVIEW
RECEIVED
DATE
COMPLETED
Ily Known x OR Prod
Identification �pa�►u, NotatyP IC bite r on&-
Id `F Angela Staples
My Commission G 2 102
. �rf Expires 071o4i2022
ire of N ary Public- State of Florida j
Commission No. GG235102 (Seal)
SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
REVIEW REVIEW REVIEW REVIEW REVIEW