HomeMy WebLinkAboutBuilding Permit AppAll APPUCAt3LE INFO MUST 3E CLIMPLE r ED FOR APPLiCATiON TO BE ACCEPTED
Date:
Permit Number.
Buiiding Permit Application
Planning and Development Services
Building and Cade Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: {772) 462-1553 Fax: (772) 462-1578
Commercial XXX Residential
PERMIT APPLICATION FOR:AAlindC.WDoCr Qeplae ink iont
PROPOSED IMPROVEMENT LOCATION:
Address: 9490 S OCEAN DR, UM 1015
Property Tax ID #: 3535-701-0078-000-1
Site Plan Name: OCEAN TOWLRS CONDOMINIUM A- UNIT1015
Project"lame: Taylor Glass
DirTAiLED DESCRiPTiGN OFWORK:
Rep!acement Whdc:vs - 3 cpenir.gs- impact
Replacement SGD - 1 opening - Impact
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Lnt No.
Block No.
I Additional vynrk to br~ perfgrmed under this Permit— ch(-rk 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:
I Cost of Construction: $ Utilities:
Sewer _Septic Building Height:
[� OWNER/LESSEE:
CONTRACTOR:
Name Katherine Taylor
Name: Jonathan Starratt
Address: 9490 S OCEAN DR, Unit 1015
Company: White Aluminum
City: Jensen Beach State: _
Address:2933 SE Gran Parkway
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1 Phone No. 740-215-2416 I
Zip Code: 34997 Fax:
11 E. Mail: kathyataylor47@gmaii.com
Phone No 772-692-0090I
rni in fee simpie fide Hoider on next page 1 if crinerent
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from the Owner listed above)
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State or County License CGC 1523855
If value of construction is 2500 or more, a RECORDED Notice of Commencement is required. If
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required. I
3
I
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGIN ER: x- Not Applicable I MORTGAGE COMPANY: x Not Applicable
Name: c _ I C!'�'t/ ieci,S Name:
Address: • Address:
City: v State: >� City: State:
Zip: Phone - Zip: Phone:
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone:
x Not Applicable
BONDING COMPANY:
Name:_
Address:
City:_
Zip:—
Phone:
x Not Applicable
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 fallure 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 1pnrfpr or an attornev before commencine work or recording your Notice of Commencement.
Signature of Own r/ Les a/Contractor as Agent for Owner
Signature of Con acto icense Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF—
COUNTY OF ---
Sworn to {or affirmed► and subscribed before me of
Sworn to (or affirmed) and subscribed before me of
x Physical Presence o On! a Notarization
x Ph ical Pr nce r Online Notarization
this g day of 2021¢ by
this day of 2024 by
Jonathan Starra[I
Jonathan Slartatl
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
Pr uced 1 __..
Produced
Th—
(Sigriature o otary Pub)ic- State of Flori }
Notary u lic- StallotaryPuphcCommission
No. GG235302 �, r (ggel�y public Slalo 01 Fkon
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GG235102 ; eta SfaPies
isslon No.
�ipComm�ss:on GG 11-
i Angela Staples
< ki,commissiort GG 2351
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