HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
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P n AUW'Dn 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: Window & Door
PROPOSED IMPROVEMENT LOCATION:
Address: 9500 S Ocean Drive #308, Jensen Bch 34957
Property Tax ID #: 4502-602-0022-000-1
Site Plan Name:
Project Name: Biederman
DETAILED DESCRIPTION OF WORK:
Install 2 Impact SGD's & 1 Impact Window
Lot No._
Block No.
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New Electrical Meter Second Electrical Meter e�. dX Oki
I CONSTRUCTION INFORMATION: I
Additional work to be performed under this permit —check all that apply:
Mechanical — Gas Tank _ Gas Piping _ Shutters _ Windows/Doors
Electric _ Plumbing _ Sprinklers Generator Roof
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 18750.00 Utilities: —Sewer _ Septic
_ Pond
Pitch
Building Height:
OWNERAESSEE:
CONTRACTOR:
Name Eric & Kerry Biederman
Name: John Zervopoulos
Address: 15200 Hamlin Blvd
Company: Advanced Hurricane Protection
City: Loxahatchee State: _
Zip Code: 33470 Fax:
Phone No. 561-718-2978
Address: 4517 SE Commerce Ave
City: Stuart State: EL
Zip Code: 34997 Fax:
Phone No 772-220-1200
E-Mail: KBiederman@me.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail John@AdvancedHurricane.net
State or County License CBC1259339
It 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:
DESIGNER/ENGINEER: Not Applicable
Name:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
BONDING COMPANY: Not Applicable
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.
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 financing, consult
with lender or an attorney b-efio e commencing work or recording your e of Comm cement.
Sign re o Ow / Le see/ ontractor as Agent for Owner
S=ureofactor/License Holder
S FLORIDA
SIDA
COUNTY OF rlw
COUNTY OF Martin
Sworn to (or affirmed) and subscribed before me of
Sworn to (or affirmed) and subscribed before me of
X Physical Presence or Online Notarization
X Physical Presence or Online Notarization
this 17th day of June , 2020 by
this 17th day of June 2020 by
John Zervopoulos
John Zervopoulos
Name of person making statement.
Name of person making statement.
Personally Known x OR Produced Identification
Personally Known x OR Produced Identification
Type of Identification
Type of Identification
Produced�e
Produced
A
]
(Signat re of Notary Public- State of Florida)
(Signatu a of Notary Public- State of Florida )
Commission No. GG 133395 (Seal)
Commission No. GG 133395 (Seal)
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev. 5/6/20