HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
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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) 4624578
PERMITAPPLICATION
FOR:
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Address: 7380 South Ocean DR, Jensen Beach FL. 34957
Property Tax ID #:
Site Plan Name:
Project Name:
35-2222-607-0000-000-5
Dune
Walk
by
The
Ocean
Dune
Walk
by
The
Ocean
Re -roof mansard roof on front of
New Electrical Meter Second Electrical Meter (Affidavit required)
Additional work to be performed under this permit— check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters _ Windows/Doors
_Electric _Plumbing _Sprinklers _Generator XRoof
Total Sq. Ft of Construction:
Cost of Construction: $ 22,350.00
Sq. Ft. of First Floor:
Lot No.
Block No.
_ Pond
Pitch
Utilities: _Sewer _Septic Building Height: 96feet
C�O[VTR���O�t��u�
Name Dune Walk By The Ocean Condominium Associactlon INC
Name: Lee Crowther
Address: 1111 Fereral HWY
Company: Crowther Roofing and Sheet Metal of Florida
City: Stuart State: FL
Zip Code: 34994 Fax: 772-219-4476
Phone No. 772-219-4474
Address: 2543 Rockfill RD
City: Fort Myers State: FL
Zip Code: 33916 Fax: 561-624-9189
Phone No 5611-624-9400
E-Mail: cheryl@signaturepropertymgmt.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail timr@crowther.net
State or County License CCC039822
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: _ Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name: Grant Girtman CRS Engineering
Name:
Address: 10491 Six Mile Cypress Parkway
Address:
City: Fort Myers State: FL
City: State:
Zip: 33966 Phone 239-826-5989
Zip: Phone:
FEE SIMPLE TITLEHOLDER: VNotApplicable
BONDING COMPANY: VNotAppllcable
Name:
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.
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 attorneybefore commencin work or recordin our Notice of Commencement.
Si ature of Owner/ Lessee/Contractor as Agent for Owner
STATE OF FLORIDA M 1
COUNTY OF I {clt Tlt 1
Sworn to (or affirm d) and subscribed before me of _ Physical Presence or _ Online Notarization
this 19 day of 20aj by
KLLC4 cc
Name of person making statement.
n OR Produced Identificati n lV
Pers%dnt
Typetion Produc 'l
(Signature o Notary Public -State of Florida')
Commission No. GG 1559tg (Seal) r` " STEPH=T,,11AST PHEXPIRE
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
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