HomeMy WebLinkAboutShrubsallPermitAppA14 APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date. 1211412021 Permit Number:
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L' L ` U t L� i. Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial XXXX Residential
2300 Virginia Avenue, Fort Pierre FL 34982
Phone: (772I 462-1553 Fax: (772.) 462-1573
PERMIT APPLICATION FOR: Door Replacement
PROPOSED IMPROVEMENT LOCATION:
Address: 8750 S OCEAN DR 435
Property Tax ID #: 3535-601-0017-000-9 Lot No.
.alto P;drl Ndrnv. ISLAK!D DI iA!FS CONDOMINIUM A UNIT 435 AX A ADMIRAL CONDOMINIUM (OR 1253-1073) Block No.
Project Name: Shrubsall SGD Replacement
DETAILED DESCRIPTION OF WORK:
Replace SGD - 4 openings - 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:
Cost of Construction: $ 33600.00
Sq. Ft. of First Floor:
Utilities _Sewer _Septic Building Height:
OWNER/LESSEE.-
CONTRACTOR:
Name Paul 8 Susan Shrubsat
Name•Jonathan Slarratl
Address: 87130 S OCEAN DR 43.1i
Company,. Whit, Aluminum
Address.2933 SE Gran Parkway
City: Jensen Beach, FL State: _
Zip Code: 34957 Fax:
I City: Stuart State. FL
Phone No. 945-544.2014
Zip Code: 34g47 Fax:
E-Mall: pshrubs@ginail com
Phone No 772.692.0090
Fill in fee simple Title Holder on next page I if different
E-Mail njohnson(@whitealuminum com
State or County License CGC 1523-955
from the Owner listed above)
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:
DESIGNERJENGiNEER Not Applicable MORTGAGE COMPANY: + Not Applicable
Address-'hs`-'�
C,;y r.nrr.h State
Zip �._ - — Phone
FEE SIMPLE TITLE HOLDER: : Not Applicable
Name'
Address _ -
City _ —
Zi � Phone:
Name. —
Address . State
C ly: - _ Pltonr
Zip - - - �-
BONDING COMPANY: ;Not Applicable
Name — -. - -
Address: - --�
71p:
OWNER/ CONTRACTOR AFFIDVIT: Application rs hereby made to obtain a Perfml to do the vrark and Instailatrom as indivtrd
i crrti'y that no work: ,or irs%041, or has commenced prior to the Issuance of a permit
St Lucie County makes no reprrse1tatinn that It Rrartinr a primp vnll authorize the permit holder F to build t`e sub,ect structure
SifUCtY CnPEeaseCCa'15r1 t W [ you, Ham1.• OWO r3 AssaC+awners irort Trail ft%mew yo•'r deed tor�y restfKGO s W rrnt may rrtfT`7y/pp fttlt slrCh
in cams deration of the granting or this requested permit, I do hereby agree that I war, in all respects, perform the work
In accordance with the approved plans, the Florida Bu-Idrng Codes and St. Lucie County Amendn'ents
The folloswng budding Penn;t appl'Cations afc exempt from undergoing-3 full corcurmnry review roam additions.
acremary structurkm swfmm ng pools, feces, wi is, signs, screen roor-)s a -id accessory uses to anothe' nor res.denLai use
WARNING TO OWNER: Your failure to Record a Notice of Commencement may resuit In paying twice for
improvements to your property. A Notice of Commencement must be recorded �n the public records of St_
Lune County ana posted on the lobsite before the first inspection. if you intend to obtain financing, consult
,.,,.r, I—Acir nr ,n attnrnew before carnmenunlZ work or recording your Notice of Commencement.
5'gnature o' Owner! Lessee/Contrxtor as Agent for Owner
STATE OF FLORIDA
COUNTY OF
sigf141uFe ur Lory.cwtIL Lci.0 rnl�:r
STATE OF FLORIDA
COUNTY OF u-
Sw rn to (or affvmedl and subscnbed before me of worn to (or a'rirmedl and subscnbed before me of
�hYs.tal PresrrrO of ,O,nliine Notarization I'h Teal Pre n e r Onlm waruation
h. s rt'y o1 be 70N{ by ` his day of e n by
� S'ara] aa� r S�rV i
Name of person making slateo'ent Name of Pelson making stattr'ter*t-
Personally Known = OR Produced IderL1f Lalzon ._ _ Personally Known a OR Produced Identification
Type of Identification Type of identification
vrrxtfwod — T - _ Produced r-.A n
(5 at rc of Nbtjry PubiK w-J fzf i IS ature or Notary Itubil
i
Commise.an NaCo tss'om No`�
RLVIFWS FRONT LONING SUPERVISOR PLANS VEGETATION
COUNTER REVIEW l REVIEW_ REVIEW REVIEW
DATE
RECEIVED
DAZE
COMPLETED
rev 5/Ti/20
SEATt1RTLE MANGROVE
REVIEW
TREVIEW
_ I