HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPUCA13LE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
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Ly ° Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial XX Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: ► i.ndow/Deer Replu-,ement
PROPOSED IMPROVEMENT LOCATION:
Address: 9650 S OCEAN DR 1907
�� n•w- .. r ., ir, H. 4S112-Slo-n177-non-7
Site Plan Name: THE PRINCESS OF HUTCHLNSON iSLAND UNIT i9O
Project Name: Rasmussen
IIDETAILED DESCRIPTION OF WORK:
IfRtR Windows- 3 ocenlnas - -
RIR SGD - 1 opening
Non impact -existing shutters
Naw Flartriral Mortar Carnnri Flartriral Mortar
Block No.
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit— check all that apply:
ff—nnecnanical _uas ianK
Electric _ Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 8835.00
_ vas Piping _ snurters
— Sprinklers _ Generator
Sq. Ft. of First Floor:
wrnoows/voors r tuna
Roof Pitch
Utilities: `Sewer _Septic Building Height:
OWNER/LESSEE:
Name Phillip/Cynthia Rasmussen
Address: 9650 S OCEAN DR 1907
cif„• Jensen Beach tram
II Zip Code: 3-1057 Fax:
Phone No. 779-229-0090
E-Mail: carpar@cablespeed.com
Fill in fee simple Title Holder on next page ( if different
II from the Owner listed above)
CONTRACTOR:
Name. Jonathan Starratt
Company: White Aluminum
ArMracc• 1720 NW Federal Hwv
vt:,'..n t State: GL
City:
Zip Code: 34994 Pax:
Phone No 772-692-0090
E-Mail njohnson@whitealuminum.com
State or County License UUL; 102 idt5
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 INFORMATION:
DESIGNER/ENGINEER: x Not Applicable
Name: Seaside Fncimears/Edward Roste
Address: +zesmo ct
City: veroBow:h State: FL
Zip; 3296r Phone
FEE SIMPLE TITLE HOLDER: x Not Applicable
Name:
Address: _
City:
Zip: Phone:
MORTGAGE COMPANY:
Name:
Address:
City:
Zip: Phone:
BONDING COMPANY:
Name:
Address:
City:
Zip: Phon(
x Not Applicable
x Not Applicable
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
.1 certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie Countv 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 Budding 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 our Notice oT LOMmencement.
12, _f
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Signature of OwnL(r/ Les*/Contractor as Agent for Owner
Signature of Con acto icense Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF Martin
COUNTY OF M-n
Sworn to (or affirmed) and subscribed before me of
Sworn to (or affirmed) and subscribed before me of
x Ph sisal Pres nce or nline Notarization
thday of 2020 by
x h sisal Prese ce or O line Notarization
this day of 2020 by
Jonathan Starrat?
Jonathan Stanait
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 ON
Prod ed
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