HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1211412021 Permit Number:
T, U cGr.
L7 L L, 1: L L' tt
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1S78
Commercial xxxx Residential
PERMIT APPLICATION FOR: Door Replacement
PROPOSED IMPROVEMENT LOCATION:
Address: 8750 S OCEAN DR 436
PropertyTax ID #: - 3535-601-0018-000-6
Site Plan Name: ISLAND DUNES CONDOMINIUM A UNIT 436 A1KIA ADMIRAL CONDOMINIUM
Project Name: Wood SGD Replacement
IJETAILED DESCRIPTION OF WORK:
Replace SGD - 7 openings - Impact
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Lot No.
Block No.
Additional work to be performed under this permit —check all that apply:
—Mechanical ,Gas Tank ,Gas Piping _Shutters Windows/Doors Pond
Electric — Plumbing — Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $ 48,625.00
_ Generator
Sq. Ft. of First Floor:
Utilities: —Sewer —Septic
OWN ER/LESSEE:
Name Jean C Wood
Address: 8750 S OCEAN DR 436
City: Jensen Beach, FL State: _
Zip Code: 34957 Fax:
Phone No. 772-229-6179
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
Roof Pitch
Building Height: _
CONTRACTOR:
Name: Jonathan Starratt
Company: White Aluminum
Address: 2933 SE Gran Parkway
City: Stuart
Zip Code: 34997 Fax:
Phone No 772-692-0090
E-Mail nlohnson@whiteaiuminum com
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.
State: FL
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SUPPLEMENTAL CONSTRUCTION U E N LAW INFORMATION:
■ Not Applicable Not Applicable
DESIGNER/ENGINEER: _� MORTGAGE COMPANY:
Name t�^c,.,- �.` _ Name _ —
Address Address: -- State
City _ ""' State. ri City, —
Zip Phone._ Zip ---r Phone
P Not Applicable
Not
FEE SIMPLE TITLE HOLDER: Applicable BONDING COMPANY.
Name. None
Address Address:
City _ Gly'
ZIP- �--
Phone;_ Iip: �� Phone
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OWNER/ CONTRACTOR AFFIDVIT: Appl,cation Is hereUli made to obtain s perttet to do the pork and InfUflaban a4 Indks[rd
I crrtlfy that no work or nsisLat•on has con•menred prior to the Issuarce of a permit
Sf icicle Counttyy makrt no re prrsentat+Dn that Is granurrg a prmlll vAl- authorue the mn1 holder to build toe sutr;rct structure
wh,,h is , co,gI cl w.th any appHerne
k,cahle Owners Assoriarion rules trvjaws or and cme"ants th ar riay n etnrt Ar pronlblt such
structu� a Piease Lonsu't w I your Mole Owners Association and review your deed for any restrictions wRrrn may apprY
In cons,deraoon of the wanting of this requested permit, I do hereby agree that I will, in all respects, perform the work
In accordance with the approved plans, thr Florida Budding Codes and St. Lucre County Amendments
The followng building perm t applications are exempt fromundergorng a full cOrcuf rncy review roam additions,
accessury structures, swrmmmgpools. fences, wa Is, signs, screen rooms and accessory uses to anoLhe, nor. ms,dent.al 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 pubfic records of St.
Lucie County and posted on the )obsite before the first inspection. If you intend to obtain financing, consult
with lender Oran a"omey before commencing work or recording our Notice of Commencement.
Signature ci O ! Lessee/Caniraclor as Agent for Owner swratwe ur eo ivictorft cer.c Holoer
STATE OF FLORIDA
COUNTY OF —
qrn to (or affirmed and sut,sciibed before meat
[h weal l"m—re nr Ondne Notartratron
, �ecewibef Nnaq by
STATE OF FLORIDA
COUNTY OF—
worn :n (or afrt•rned) and subscnbcd before me of
hrsZPh ¢al P•e��npip� r �,,,,j. ,otanzatlon
dayot t�4l.t°Yr' �20 by
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Name of perwr makmli stalentent I Name of person making statesnenL
Personafly Known x OR Produced locndf cauon _ _ Pcrsanaliy Known x
Type of Identlhwtmn Typc of identification
Produced —r � Produced
(Sighatbre of Nbtjry Public fit,t0 w S alure at Notary dut
f Cortimksion NO nNasias r (Sell) Co Ission No 17112M+m
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