HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit !Number:
-
J P .
17 e .�. `� __' d� 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: 10600 S OCEAN DR 107
PropertyTax ID #: 4511-517-0014-000-9 Lot No.
Site Plan Name: OCEANA SOUTH CONDOMINIUM It UNIT107 AND UNDIV SHARE IN COMMON ELEMENTS( OR 3127-2603) Block NO.
Project Name: D'Angelo
DETAILED DESCRIPTION OF WORK:
R/R Kitchen Window (1) opening, (Non -Impact)
Accordion Shutter on Separate Permit
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:
Cost of Construction: $ 1200.00
T Generator
—Windows/Doors Pond
Sq. Ft. of First Floor:
Roof Pitch
Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Philip D'Angelo
Address:2509 Waterfront DR
Name: Jonathan Starratt
Company. White Aluminum
City: Tobyhanna, PA State: _
Zip Code: 18466 Fax:
Phone No. 845-243-4944
E-Mail: pdangelo66@oplline-net
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 astaples@whltealuminum.com
State or County License CGC 1523855
,r Vdiue UT LU1151rLLIJUP is 15vv or more, a KtcuHutLl 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: seaaklo EnglnaaralEdward Roske
Address; 4265601hCi
City: Vero Beach State: FL
Zjp; 3796J 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: x 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.
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 attornev before commencing work or recording your Notice of Commencement.
Signature of Own r/ Les a/Contractor as Agent for Owner
Signature of Con acto Icense Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF Ms-
COUNTY OF - _ ...._-
Sworn to (or affirmed) and subscribed before me of
Sworn to (or affirmed) and subscribed before me of
x °hysical Pres nce r _ Online Notarization
this � i� day of >�i...�-{, , 2020 by
x "yslcal Ares nee Online Notarization
this day of � — , 202t} by
Jonathon Starrett
Jonathan Starrett
Name of person making statement.
Name of person making statement.
Personally Known x OR Arad
Nn b cpggg <rta1a 61 F1o'
*Per nally Known x OR Prod
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Type of Identification 4;.° +tr A ... ly ,tapWs t
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2Typ f Identification T71611i'nldfy TKO
Angela staples
Pro ed nny �arcom,silmn
0412022
Pro ed y
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4� Etptrer 071041202;
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(SI nature of tart' Public State of Fio Ida)
(SI ature of N ary Public- State o Fiorlda )
Commission No. aoxastoa (seal)
Commission No. OW35102 (Seal)
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