HomeMy WebLinkAboutBuilding Permit Application Garcia w accordionsAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
ORw—: �L_' 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: Impact Window & SGD's
PROPOSED IMPROVEMENT LOCATION:
Address: 9500 S Ocean Drive #1003, Jensen Bch FL 34957
Property Tax ID #: 4502-602-0087-000-4 Lot No.
Site Plan Name: Block No.
Project Name: Garcia
DETAILED DESCRIPTION OF WORK:
Install 1 impact Window & 2 SGD's
Im'; 4[1 one aeco rd; a.A oA
New Electrical Meter Second Electrical Meter
I CONSTRUCTION INFORMATION: I
Additional work to be performed under this permit —check all that apply:
_Mechanical — Gas Tank —Gas Piping _ Shutters
Electric _ Plumbing — Sprinklers _ Generator
Total Sq. Ft of Construction:
Cost of Construction: $ 21,725.00
_ Windows/Doors _ Pond
_ Roof Pitch
Sq. Ft. of First Floor: —
Utilities: —Sewer —Septic
Building Height:
OWN ER/LESSEE:
CONTRACTOR:
Name Manuel Garcia
Name: John Zervopoulos
Address: 9500 S Ocean Drive #1003
Company: Advanced Hurricane Protection
City: Jenson Bch State:
Zip Code: 34957 Fax:
Phone No. 305-546-6078
Address: 4517 SE Commerce Ave
City: Stuart State: FL
Zip Code: 34997 Fax:
Phone No 772-220-1200
E-Mail: MannyOG@bellsouth.net
Fill in fee simple Title Holder on next }gage ( if different
from the Owner listed above)
E--Mail John@-AdvancedHurricane.net
State or County License CBC1259339
It 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
Name:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
Address:
City- State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY: Not Applicable
Name:
Address:
Address:
City:
Zip: Phone:
City:
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 bt+xe commencing work or recording vour Notice of Corn.manrPmPnt
S' ture of O / Lessee/Contractor as Agent for Owner
r/LI nse Holder
Sign=FLORIDA
STATE OF FLORIDA
ST
COUNTY OF Martin
COUNTY OF --
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 1Oth day of September 2{�2i�,.by
this 10th {fay of September
202p� by
'J-
John Zervopoulos
John Zervopoulos
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
Produced
Produced
rr
AZE
(Signatu e of Notary Public- St
ature of Notary Public- State
of Florida )
s"tYP. MELISSAA.EWOLD
6,
Commission No. HH146508 *: �Se�js�COMMISSiON# HH 14155M
ry
ISSIDn NO. HH146508
S ;,'<rg:?, ''•,
( a*LISSA A. EWOLDT
EXPIRES: August 10, 20
FOF r`D '
5
MY COMMISSION # HH 1469
Bonded Thru Notary Public Unde
., •or
p'F F.°.. $onded
Thru N otary Pubfic Urderw
REVIEWS
FRONT ZONING
SUPERVISOR
PLANS
VEGETATION
COUNTER REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.5/6/20