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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED .._._. O �u 4W BuildinR Permit Application j Planning and Development Services Building and Cade Regulo[ion Division Commercial I XX Residential 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 PERMIT APPLICATION FOR: n00r Rerl�cem..r, a ant f l .� � PROPQSED IMPROVEMENT LOCATION: Address: 9650 S OCEAN DR 901 n_ .a T rnu.4.rin9-Hill-nnR1-n00-7 1..a�� ! .. r_..r ._..... •. %1 I 1 Site Plan Name: THE PRiNCESS OF HU i CHiNSGN iSLAND LiNi i 901 Block No. Project Name: Pennington DETAILED DESCRIPTION OF WORK: nrt - QrR crD - 6 opening, - Imra- � Flaw Flartriral Mortar Carnnrl Flartriral Mortar [CONSTRUCTION INFORMATION' Additional work to be performed under this permit— check all that apply: _mecnanlcal _ L3as i anu _ Uas raping _ anurcers _ wtnaowsjuoors vono Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch Total Sq. Ft of Construction: Sq. Ft. of First Floor: Cost of Construction: $ 41,400.00 Utilities: —Sewer _Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name Maureen Pennington Name: Jonathan Starratt Address: 9650 S OCEAN DR 901 Company: White Aluminum rit„• Jensen Beach cram• _ &ari,.«• 1720 NW Federal Hwv Zip Code: 34957 Fdx: City: Slue! State: FL Phone No. 203-232-7392 Zip Code: 34994 Fax: E-Mail: moepennington@yahoo.com Phone No 772-692-0090 Fill In fee simple Title Holder on next page ( if different E-Mail njohnson@whitealuminum.com I State or County License ��u lo�sss55 I I I I l I from the Owner listed above] If value of construction is 2500 or more, a RECORDED Notice of Commencement ]s required. If value of HAVC Is $7,500 or more, a RECORDED Notice of Commencement Is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DEStGN£R/ENGINEER: x Not Applicable NaMe: S*esklaEngrneem/Edw dRorke Address: 426%6N h ( f City: Vera Beach State: FL Zip:32967 Phone FEE SIMPLE TITLE HOLDER: x Not Applicable Name: Address: City: Zip: Phone: MORTGAGE COMPANY: x Not Applicable Name: ArfrirPts- City: State: Zip: Phone: BONDING COMPANY: x Not Applicable 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 rutes, 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 or Commencement. rZ Signature of Owngr/ Les a/Contractor as Agent for Owner Signature of Con acto icense Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF mstn COUNTY OF Min Sworn to (or affirmed) and subscribed before me of Sworn to (or affirmed) and subscribed before me of x Ph sical Pres nce or mine Notarization th day of 202D by x 4hs!cal Pres ce or O line Notarization thisday of 2020 by Janalhan Slarrall Jonathan SLarralt 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 Produ ed Produced An a&__U_ A I A^ 5 e o1 Flonda (Signature of Notary Publir,� 51 at re of tary Public- Stet Padre 5ta1e of F'S �n Notary Pubi,, r.1� Clap Commission No. GG235102 fr Mr9�y 235102 oI IselonGG �! Np4ery 4i aS3 staples mmission No. GG235e02 ;R U eCommiselonGG27 {, Bypms 0710a12022 .P xP,rea Q710412022 �� ar KtVltvVS I LKUNI LUNINU 7U1 tKvlt)UK YWN's VtUtIAIJUN StA IUKILL MANVKUVIL COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev.5/b/2U