HomeMy WebLinkAboutBuilding Permit App - GrayAll 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 Commercial X Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: Window & SGD
PROPOSED IMPROVEMENT LOCATION:
Address: 10600 S Ocean Drive #1010
Property Tax ID #: 4511-517-0107-000-8 Lot No.
Site Plan Name: Block No.
Project Name: Gray
DETAILED DESCRIPTION OF WORK:
Install 1 Impact Window
Install 1 Sliding Glass Door
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION.
Additional work to be performed under this permit —check all that apply:
_Mechanical _ Gas Tank Gas Piping _ Shutters _ Windows/Doors _ Pond
_ Electric — Plumbing Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 10,750.00 Utilities: — Sewer — Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Hugh & Linda Gray
Name: John Zervopoulos
Address: 10600 S Ocean Dr #1010
Company: Advanced Hurricane Protection
City: Jensen Bch State:
Zip Code: 34957 Fax:
Phone No. 609-709-8873
Address: 4517 SE Commerce Ave
City: Stuart State: FL
Zip Code. 34997 Fax:
Phone No 772-220-1200
E-Mail: HughGray3804@Corncast.net
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail John@AdvancedHurricane.net
State or County License CBC1259339
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:
Name:
Address:
Address:
City: State:
City: State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
BONDING COMPANY: _Not Applicable
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 attorney before commencing work or recording our Notice of Co ement.
Signatur of Owner/ e s Contractor as Agent for Owner
Si ature of Co tr icense Holder
STATE O IDA
LORIDA
COUNTY OF Martin
COUNTY OF Martin
Sworn to (or affirmed) and subscribed before me of
Sworn to (or affirmed) and subscribed before me of
x Physical Presence or Online Notarization
x Physical Presence or Online Notarization
this IIth day of Augusi 202d by
this 11th day of August 2021)Jy
John Zervopoulos
John Zervopoulcs OD
Name of person making statement.
Name of person making statement. ij
Personally Known x OR Produced Identification
3XQ
Personally Known x OR Produced Identificatio w - y
Type of Identification
Type of Identification a N a
Produced
Produced `n vt
UJ 2 U �+
(Signat re of Notary Publi S ? Flori ZMLISSA A. EWOLDT
Signature of Notary Public- State of Florida) m
:�: My COMMISSION # HH 146508
`a`•
Commission No. HH146508 :a II hES: August10,2025
ommission No. HH146508 (Seal) LL:
Bonded TRru Notary Public Undetwtilers
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Rev.5/15/20