HomeMy WebLinkAboutBuilding Permit ApplicationALL'APPLICABLE INFO MUST BE COMPLETED FOR APPLICAtioN To BE ACCEPTED "
.pate: Permit Number:
RECEIVED
Building Permit Application JUN /8 2a
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 1 Commercial Residential x
PERMIT APPLICATION FOR: Building
PROPOSED.IMPROVEMENT LOCAT,10'N
Address: 10751 S. Ocean Dr. A-10
Legal Description: metes and bounds description
Property Tax ID #: 4511-311-0014-000/7
Site Plan Name:
Project Name:
Setbacks Front Back: _
DETAILED DESCRIPTION OF; WORK .r
Right Side: 7.5 Left Side: 7_5
Construction of block single family residence all impact resistant openings.
Lot No. A-10
Block No.
CONStRUCTLON, IN'FORIVIATION , ,
Additional work to e nertormed under this permit— check all that apply:
W1HVAC Gas Tank ❑Gas Piping _ Shutters Q Windows/Doors
❑✓1 Electric 0 Plumbing Sprinklers Generator Z Roof
Total Sq. Ft of Construction: 2131
Cost of Construction: $ 340,000.00
S Ft. of First Floor:
Utilities: 11Sewer Septic Building Height: 20'8"
01NNER%LESSEE
CONTRACTOR:
Name Verlon W. and Barbara W. Bennett '
Name: James Newman
Address:10701 S. Ocean Dr. #640
Company: JWN Builders, LLC
City: Jensen Beach State: FL
Address: 1701 SE Carvalho Street
Zip Code: 34957 Fax:
City: Port St. Lucie State: FL
Phone No. 904-641-8696
Zip Code: 34983 Fax: 772-871-9500
E-Mail: barbenrb@att.net
Phone No. 772-871-9500
Fill in fee simple Title Holder on next page ( if different
E-Mail: jwnconstruction@comcast.net
from the Owner listed above)
State or County License: 18415
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
qV11 a I t 1-31 w
SUPPLEMENTAL CONSTRUCTION LIEN LAW I(4fRMATION
DESIGNER/ENGINEER: _ Not Applicable
Name: Quantum Engineering Associates Inc
Address: 300 Avenue of Champions
City: Palm Beach Gardens State: FL
Zip: 3341E Phone: 561-202-6994
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone: _
_ Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City:, State:
Zip: Phone:
BONDING COMPANY: Not Applicable
Name:
Address:
Citv:
Zip: Phone:
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 your paying twice for
improvements to your property. A Notice of Commencement must be recorded 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 your Notice of Commencement,,f
l
S• nature of Owner/Agent/ Lessee Sig Vture of Contrac or/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF 6'YW /J I COUNTY OF M 6
The forgoing instrument was acknowledged before me
this _gW day of 20 1(1 by
_ 16
V c, 0,,6 cJ
(Name gfperson-acknowledging)
of Notary Public- StatLy of Florida )
Personally Known �OR Produced Identification
Type of Identification Pro
,•;sip'"•.
.: _ M`f OM SSION N EE 880008
Commission No. �; April 20, 2n17
`�Af �f� •` , Bonded Thru Notary Publb Underwriters
Revised 07/15/2014
The forgoing instrupen�t was acknowledged before me
this � day of W 1 20__M by
16
(Name of person acknowledging)
of Notary Public- State of Florida )
Personally Known ✓ OR Produced Identification
Type of Identification
�+� °a • SHARON IC NEINMAN
MY COMMIS"YE B80008
Commission No. `�: t
�} ;. EXPIRE0, 2017
•,q,r F_?.• Bonded Thru Notary Public Underwriters
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