HomeMy WebLinkAboutBuilding Permit Application ' I
a
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED -t
Date: '`< Permit Number: 1 `� d3 10
r
RECEI`-'7D APR 192917
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial x Residential
I
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line W10
PROPOSED IMPROVEMENT LOCATION
Address: 9600 S OCEAN DRIVE 1408, JENSEN BEACH
Legal Description: EMPRESS CONDO UNITS 1408 AND 1409(OR 3189-2110)
Property Tax ID#: 4502-620-0107-000-7 Lot No.
Site Plan Name: URAS Block No.
Project Name: URAS
Setbacks Front N/A Back: N/A Right Side: N/A Left Side: N/A
is
DTAILFD DESCtIPTION OF WORK
I
WINDOW & DOOR REPLACEMENT (9 OPENINGS WITH EXISTING SHUTTERS)
7 SLIDING GLASS DOORS & 2 WINDOWS
-CONSTRUCTION INFORMAL ION
Additiona I work to be o erformed under this permit—check all apply:
F]HVAC L_1 Gas Tank Gas Piping _Shutters a Windows/Doors
I
Electric ❑ Plumbing Sprinklers El Generator Roof Roof pitch
Total Sq. Ft of Construction: S Ft.of First Floor:
Cost of Construction: $ 30650.00 Utilities: Sewer Septic Building Height:
OWNER/LESSEE CONTRACTORS
Name URAS,JOSEPH&KATHLEEN Name: MICHAEL GOODWIN
Address:152 SLEEPY HOLLOW RD Company: JENSEN BEACH ALUMINUM
City: RED BANK State:NJ Address: 1720 NW FEDERAL HWY
Zip Code: 07701 Fax: City: STUART State:FL
Phone No.229-2473 Zip Code: 34994 Fax: 692-9744
E-Mail: IRISHK27@AOL.COM Phone No. 692-0090.
Fill in fee simple Title Holder on next page(if different E-Mail: MICHAELLG,OODWIN@YAHOO.COM
from the Owner listed above) State or County License: CGC 1508437
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
I i
i
a
I
I
SUPPLEMENTAL C�NSTRUCTIO;N LIED LAU1f INEQRMATION
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: Not Applicable
Name: SUNCOAST ALUMINUM ENGINEERING,LLC Name:
Address:13630 58TH STREET NORTH SUITE 101 Address:
City: CLEARWATER State: FL City: Y State:
Zip: 33760 Phone: Zip: Phone:
i
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: ' Not Applicable
Name: Name: I
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
I
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.
I
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 rion-residential use
WARNING TO OWNER:You failur t R cord a Notice of Commencement esult in your p ing i e for
improvements to your pr erty o 'ce Commencement must be co
d and pos d o jobsite
before the 'r t i ect' n. If n d obtain financing, consul ith I r or a tor
re
comme in or ecor o r ice of Commenceme
I
Signatur of Owner/Les a/Contractor as Agent�forOwner Signature o Contractor/Lice a Holder
I
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF,ST AOC,�� COUNTY OF vGT
The forgonng instrument was acknowledged before me The forgoing instrumeht was acknowledged before me
this& ay of� by this`Ly of� � 120/�l by
(Name of person acknowledging) (Name of person acknowledging)
i
(Signat Notary PLIM --State lorida) (Signature ary P ublic-State orida)
Personally Known ✓ OR Produced Identification Personally Known ✓ OR Produced Identification
Type of Identification Produced Type of Identification Produced
L 1
Commission No. (Seal) Commission No. • :�Ya''. ANN .� OND
COMMISSION N FF 173907
§38Ultu��yfl�llVfldtiW m u ,,;1'�d•., EXPIRES:December 7 2018
j�� �l� S3dIdX3 os pr Bonded Thru Notary Public Underwriters
Revised 07/15/2014wk
Ng
`4''0?3iS (L{YJAW
I
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE I
COMPLETE
INITIALS
i
' I