HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
910 L cm -
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential X
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:
New Construction
PROPOSED IMPROVEMENT LOCATION:
Address: 107 M S Ocean Dr #634 Jensen Beach FL 34957
Property Tax ID #:41 Site Plan Name: _
- - - Lot No. 634
Project Name:
DETAILED DESCRIPTION OF WORK:
Construction of 2 sto 2 bed 2 1/2 bath All impact openings
New Electrical Meter X Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit —check all that apply:
(Affidavit required)
Block No.
_Mechanical _ Gas Tank _ Gas Piping — Shutters _ Windows/Doors Pond
_ Electric Plumbing _ Sprinklers _ Generator Roof Pitch
Total Sq. Ft of Construction: 1921 Sq. Ft. of First Floor: 966
Cost of Construction: $ _� �C L .
%:-.P Utilities: `Sewer _Septic Building Height:
OWNER/LESSEE: CON
NameXA/nrqnnl)NamE
Address: 10701 SO - cean Dr #634 Comp
City. Jensen Beach
State: E1_ AddrE
Zip Code: 34957 Fax: City:F
_
Phone No. 727-698-2010 Zip Cc
E-Mail: Phonf
Fill in fee simple Title Holder on next page ( if different E-Mai
from the Owner listed above) State
TRACTOR:
:—J.arnes Newman
any: JWN Builders LLC
ss: 1701 S Carvalho St.
'ort St. Lucie State: FL
de: 34983 Fax: 772-871-9500
No772-201-8947
jwnconstruction@comcast. net
)r County License CRC1328282
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 INFOR
DESIGNER/ENGINEER: _ Not Applicable MC
Name: QEA
1 Nar
Address:6415 Laka Worth Rd4105 Add
City: Greenaores State: FL
1..,
City
Zip: 33463 Phone_-5-6 6 7 7V— , Zip:
FEE SIMPLE TITLE HOLDER: Not Applicable
BOPName:
Nary
Address:
Addy
City-
city:
Zip: Phone:
Zip:.
MATION:
rRTGAGE COMPANY: Not Applicable
ne:
ress:
State:
Phone:
JDING COMPANY: Not Applicable
ie:
ress:
Phone:
OWNER/ CONTRACTOR AFFIDVITa 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 which is in conflict with any applicable Home Owners Associpermit will authorize the permit holder to build the subject structure
structure. Please consult with your Home Owners Associatioation rules, bylaws or and covenants that may restrict or prohibit such
n and review your deed for any restrictions which may apply.
Inconsideration 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 attorne before commencing work or recordin our Notice of Commencement.
A
Signatur/of Owner/
STATE OF FLORID
COUNTY OFt�L
r as Agent for Owner
Swor (or affirmed) and subscribed before me of
'cal Pres nce or Online Notarization
this "day of 202� by
Name of person making statement.
Personally Known OR Produced Identification
Type of Identification
ProduceE'"! /1
� Y SHARON K. NEWMAN
Comm s11' ': mission #HN091074 (Seal
.q E.OresA0120,2025
'f fop, Bonded Thar Troy Fain In$WaflW $0g-3W7919
REVIEWS FRONT ZONING
COUNTER REVIEW
DATE
RECEIVED
DATE
COMPLETED
Signature fif Contractor/License Holder
STATE`OF FLORIDA
COUNTY OF
Sto (or affirmed) and subscribed before me of
7Physical Presqpce or Online Notarization
this �ay of 2020 by
Name of person making statement.
Personally Known OR Produced Identification
Type of Identiqcation
Produced ,l 1 „
Commission # HH 091074 (Seal
t $1�8, 25
boded Thm Tray Fain Ina mme Sop 385.701g
SUPERVISOR PLANS I VEGETATION SEA TURTLE I MANGROVE
REVIEW REVIEW REVIEW REVIEW REVIEW