HomeMy WebLinkAboutLozinskiPermitAppALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce Ft 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial XXXX Residential
PERMIT APPLICATION FOR: Window/door
PROPOSED IMPROVEMENT LOCATION:
Address: 8750 S Ocean Dr Unit PH-44
Legal Description: Island Dunes Condominum A Unit PH-44 aka Admiral Condominum
Property Tax ID #: 3535-601-0098-000-0
Lot No.
Site Plan Name: Island Dunes
Block No.
Project Name: Lozinski
Setbacks Front Back: Right Side:
Left Side:
DETAILED DESCRIPTION OF WORK:
RIR SGD - 4 openings - impact
CONSTRUCTION INFORMATION:
Additional work to jertormecT under this permit— check
❑HVAC lJ Gas Tank ❑Gas Piping
all apply:
_ Shutters Windows/Doors
11 Electric Plumbing Sprinklers
11 Generator 0 Roof Roof pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 31,095.00 UtilitiestSewer
S Ft. of First Floor:
Septic Building Height:
OWNERAESSEE:
CONTRACTOR.
Name Nancy/Gerald Lozinski
Name: Jonathan Starratt
Address: 8750 S Ocean Or PH-44
Company: Jensen Beach Aluminum
Address: 1720 NW Federal Hwy
City: Jensen Beach State: _
City: Stuart State: FL
Zip Code: 34957 Fax:
Phone No. 954-448-0937
Zip Code: 34994 Fax:
E-Mail: jerry_lozinski@yahoo.com
Phone No. 772-692-0090
Fill in fee simple Title Holder on next page ( if different
E-Mail: njohnson@whitealuminum com
State or County License: CGC 1523855
from the Owner listed above)
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
rDESIGNER/FNGINFFR. x Not Anplirahlp MORTGAGE COMPANY: x Not Applicable
Name: saas.ft Engn&w%1Edwxd Rnskn Name:
l Address. l
Address' ;5,W+.c+
City: Yam Beach State: FL City: State:
Zip. 3rA7. Phone Zip: Phonc:
FEE SIMPLE TITLE HOLDER: x Not Applicable
BONDING COMPANY: % Not Applicable
Name:
j Name:
i Address:
Address:
City:
City:
lip- Phnnw
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 Cou—, -3le— nn representati Pro that is granting i na rmit will di lthorizib rho narrrlit hnlHpr to htJ ild tha Sl ihiort stri lrturp
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.
i he foiiowing budding permit appiicatlons are exempt from undergoing a fuii concurrency review: room additions,
accessory structt:r es, swimming panls, fences, wall`., signs, screen rooms and 3.^.ccssary uses to another nnn resider:t:21 use l
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 of Commencement.
Signature of Own r/ Les a/Contractor as Agent for Owner
Signature of Con acto icense Holder
II
OF FLORIDA
STATE OF FLORIDA
ISTATE
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Sworn to (or affirmed) and subscribed before me of
I Sworn to for affirmed] and subscribed before me of
lIIIII : physical Presence Online Notarization
{ this � day of 2U2¢ by
x Physical Pr—nce or Online Notarization
I this day of 2021 by
III
Jonathan Starrett
Jonathon Slartall
Name of person making statement_
I Name of person making statement.
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Persona#ly Known x OR Produced Identification
PersonaNy Known x OR Produced ldentiftetion
type of Identification
Type of Identification
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