HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPUCATION TO BE ACCEPTED
Date, 12/14/2021 Permit Number:
LU
L= t c L� I t, t.
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial XXXX Residential
2300 Virginia Avenue, Fart Pierce FL 34981
Phone: (772) 462-1553 Fax: (772)462-1578
PERMIT APPLICATION FOR: Door Replacement
PROPOSED IMPROVEMENT LOCATION:
Address: 6750 S OCEAN DR 633
Property Tax i D if: 3535-601-0027-000-2 Lot No.
Site Plan Name: ISLAND DUNES CONDOMINIUM A UNIT 633 AIKIA ADMIRAL. CONDOMINIUM (OR 4000-2086) Block No
Project Name: Olazagasti SGD Replacement
DETAILED DESCRIPTION OF WORK:
Replace Bedroom SGD - 1 opening - Impact
New Electrical Meter Second Electrical Meter
CONSTRUI TION INFORMATION:
Additional work to be performed under this permit —check all that apply:
_Mechanical 4 Gas Tank _ Gas Piping Shutters _ Windows/Doors _ Pond
_ Electric — Plumbing _ Sprinklers
Total Sq. Ft of Construction:_
Cost of Construction: $ 9950.00
Generator Roof Pitch
Sq. Ft. of First Floor:
Utilities: —Sewer _Septic Building Height:
[OWNER LESSEE:
CONTRACTOR:
Name Chnstine H Olazagasti
Name: Jonathan Starratt
Address: 8750 S OCEAN DR 633
Company: White Aluminum
City: Jensen Beach, FL State: `
Address: 2933 SE Gran Parkway
Zip Code: 34957 Fax:
City: Stuart
Phone No. 845-594-2019
Zip Code: 34997 Fax: _
E-Mail: GhristineOlazagastil@ywail com
phone No 772-692-0090
Fill in fee simple Title Holder on next page { if different
E-Mail njohnson@whilealuminum 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,S00 or more, a RECORDED Notice of Commencement is required.
State: FL
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
❑ESIGNER/ENGINEER Not Applicable MORTGAGE COMPANY: ! Not Applicable
Name Name_
Address ur,e...cr Address: State
City .r,tW., State. rr C IV: —
rip ,...; _�._ Phone_ Zip Phone.
FEE SIMPLE TTTLE HOLDER: R Not Applicable BONGING COMPANY: _
Not Applicable
Name Name
Address Address:
Lity. — - C'ty--
ZIp' —
Phone:_- lip: � Phone , — --
OWNER/ CONTRACTOR AFFIDVIT. Apdication is hereuy made to obtain a permit to do the wcnk and lnstallatrtm as ind"Pd
I crrtity that no wort[ or ,rstallation has commencrd prior to the Issuance of a permit
St Lune Cnuntr makes no reprerentahon that i%grartinE a errrilt will authwtie :he permoth0der to build IRe sub.rct structure
ora�or
si uctwe Please` onsu't w I y9Ur Ho'rowners o[rs Assna«u t andionrreviewvyour deed l r i y reStrKt 0 S lic ht ma aDVV�i�it su th
1n cons deration of the granting of this requested permEL I do hereby agree that I will, in all respects. perform The work
In accordance with the approved ptani, the Honda Budding Codes and St. Luu! Court~ Amrndrrimts
The follewirg building penn't applications are exempt from undergoing a full corcurrrncy review room additions,
accessory structures, swirmm ng pools, fe-ces, wa Is, signs, screen rooris and accessory uses to anothe' nor revdent: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 public records of St.
Lune County and posted on the }obslte before the first inspection. If you intend to obtain financing, consult
with lender or an a"onney before commencing work or recordinS your Notice of Commencement.
Signature or+7w9e / Lessee/Caniraour as Agent for Owner signature ur ConWactot/Ltienw Molder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF — COUNTY OF —
tiW rn to for affirmed) and subscribed before me of
day of PsenCe or Online
7021 b izauon
y
Name of person making statement
Personally Known x OR Produced Idanufation
Type of Iderrhficaiion
Produced
of Nbiary Public 5wt ARXAR+�— . I,
worn to [or of firmed) and subscnbed before me of
NPh Cal
pre n e r Onlin otanzatron
hes day of ex�a by
awar Sara,
)Jame of person making statement_
Personalty Known x OR Produced IdentifIc:abon
Type of Identification
Notary
Commission No nrvssra: —17 _ (SCnI} Ission NIo orassrm _
i
REVIEWS ! FRONT ZONING SUPERVISOR PLANS VEGETATION
COUNTER REVIEW REVIEW REVIEW REVIEW
DATE
_RECEIVED
DATE
COMPLETED.-
ev.-51&nD -_ -
[Seal]
SEA TURTLE MANGROVE
REVIEW REVIEW