HomeMy WebLinkAboutBUILDING PERMIT APPLICATION All APPLICABLE INFO MIDST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
97.Uly CL
CCCOIJAWA
U I o i` t L, !ti = Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial XXXXX Residential
2300 Virginia Avenue,Fort Pierce Ft 34982
Phone: (772)462-1553 Fax:(772)462-1578
PERMIT APPLICATION FOR:Window Replacement
PROPOSED IMPROVEMENT LOCATION:
Address: 9490 S OCEAN DR 912
Property Tax ID#: 3535-701-0067-000-1 Lot No.
Site Plan Name: OCEAN TOWERS CONDOMINIUM A-UNIT912 AND UNDIV SHARE IN COMMON ELEMENTS(OR 3316-2454) Block No.
Project Name: McShea
DETAILED DESCRIPTION OF WORK:
Replacement Window- 1 opening(impact)
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: $ 4150.00 Utilities: Sewer _Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Terrence J McShea Name:Jonathan Starratt
Address:37 Springdale Ave Company:White Aluminum
City:
White Plains,NY State: Address:2933 SE Gran Parkway
-
Zip Code: 10604 Fax: City_ Stuart State:FL
Phone No.914-439-0761 Zip Code: 34997 Fax:
E-Mail:dianamcshea@optline.net Phone No 772-692-0090
Fill in fee simple Title Holder on next page I if different E-Mail njohnson@whitealuminum.com
from the Owner listed above) State or County License CGC 1523855
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: x Not Applicable MORTGAGE COMPANY: x Not Applicable
Name:awsme Eagk7iels1Edwab Roue Name:
Address:425S6M cl Address:
City: v.nEkea�r, State: FL City: State,
Zip: 3M7 Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable BONDING COMPANY: x Nat 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 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 Man„ COUNTY OF—
Sworn to(or affirmed)and subscribed before me of Sworn to(or affirmed)and subscribed before me of
x Physical Presence or Onl' a Notarization x Physical Presence or Onlin Notarization
this day of 202D by this day of 2020 by
Joni Un Slamtl Jonathan Slarrafl
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
Pfeduced ubllc State of Ronda Produced Np•ary P+,5,c 51�tr o' d
Angels Staples Angely Slap'es
Mly Comm�silon GG 215102 A+i _. r- es
Si nat of Notary P c' a e F (Si natu of Nota P W Sta r
Commission No. GG235102 (Seal) Commission No. GG235162 (Seal)
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.STMO