HomeMy WebLinkAboutBuilding PermitApp - KeithAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
c'c LLLL
Building Permit Application
Planning and Deveiopment Services
Building and Code Regulation Oivision Commercial XXX Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1S53 Fax: (772) 462-1578
PERMIT APPLICATION FOR:WindOW Replacement
PROPOSED IMPROVEMENT LOCATION:
Address: 10000 S OCEAN DR 504
Property Tax ID#: 4502-701-0025-000-6 Lot No.
Site Plan Name: THE N1IRAMAR UNIT 504 AND PRO-RATA SHARE IN COMMON ELEMENTS (OR 3985-1221) Block No.
Project Name: Keith Window Replacement
DETAILED DESCRIPTION OF WORK:
RIR Kitchen/Dbl Bedroom Windows (2) openings
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
— Electric _ Plumbing — Sprinklers _ Generator — Roof Pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 2300.00
Sq. Ft. of First Floor:
Utilities: —Sewer —Septic Building Height:
OWNERAESSEE:
CONTRACTOR:
Name LikanalJohn Keith
Name: Jonathan Starralt
Address: 10000 S OCEAN DR 504
City: Jensen Beach, FL State:
Zip Code: 34957 Fax:
Phone No. 217-836-4486
E-Mail:lk&thlaw@aol com
Company: White Aluminum
Address: 2933 SE Gran Parkway
City: Stuart State: FL
Zip Code: 34997 Fax:
Phone No 772-692-0090
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail niehnson@whilealuminum,com
State or County License CGC 1523855
IT valve or conSirUCTIUn Is LSUU or more, a RLCURDED 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:
DESIGNER/ENGINEER: x Not Applicable
Name: s.aside Engin&&m'Edwanf Rorke
Address: 4265 eom ct
City:yirmBeactl State. FL
Zip:32967 Phone
FEE SIMPLE TITLE HOLDER: x Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY: x Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY:
Name:
Address:
City:
Zip: Phon(
x Not Applicable
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 your Notice of Commencement.
Signature of Own r/ Les a/Contractor as Agent for Owner
Signature of Con actlicense Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF—
COUNTY OF —
Sworn to (or affirmed) and subscribed before me of
Sworn to (or affirmed) and subscribed before me
of
x bhysical Presgnce r _Online Notarization
this zL day of J ZQZQ by
x okystcaI Pre s nce Online Notarization
this day of 2Q2� by
Jonathan Slarran
Jonathan Stanall
Name of person making statement.
Name of person making statement.
Personally Known x OR 1QdTNo �flv o�,p a+st a of F «
er nally Known x OR Prod
Type of Identification a� Angela Staples
r GG 2755
Typ f Identification �' "a;
2
NQIBIY
Angela Staples
Prp ed MY Co,n n s* an
a p;r04i24'-?
Pro ed
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my commission GE
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Exptirza 0716412922
(Si nature of tary Public- State of Flo ida)
(Si at re of N ary Public- State of Florida)
Commission No. GG235102 (Seal)
Commission No. G=5102 (Seal)
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Rev. 57672
2111