HomeMy WebLinkAboutrenovation permitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
R '
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) 462-1578 Commercial Residential X
PERMIT TYPE: Renovation
PROPOSED IMPROVEMENT LOCATION:
Arlrlracc. 10701 S Ocean Dr. #687 Jensen Beach 34957
Property Tax ID #: 4511-805-0088-000-2
Site Plan Name:
Project Name:
DETAILED DESCRIPTION OF WORK:
Closing in 2nd floor porch,
Impact windows 4-fixed NOA 20-0401.10 1 single hung NOA 20-0401.11
CONSTRUCTION INFORMATION:
Lot No. 687
Block No.
Additional work to be performed under this permit— check all that apply:
Mechanical Gas Tank _ Gas Piping Shutters _ Windows/Doors
Electric Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 27,750.00 Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE:
CONTRACTOR: I
Name Cheryl Bryson & William Gordy
Name: James Newman
Address: 10701 S Ocean Dr #687
Company: JWN Builders, LLC
City: Jensen Beach State: _
Zip Code: 34957 Fax:
Phone No.
E-Mail:
Address:1701 SE Carvalho St.
City: Port St Lucie State: FL
Zip Code: 34983 Fax: 772-871-9500
Phone No 772-871-9500
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
If value of construction is $2500 or more, a RECORDED Notice of
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement
E-Mail iwneonstruction@comcast.net
State or County License CRC1328282
Commencement is required.
is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applica
Name: oEA
Address: 6415 Lake Worth Rd. Suite 105
City. Greenacres
Zip: 33463 Phone_
State: FL
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY:
Name:
Address:
Citv:
Zip: Phone:
Not Applicable
State:
BONDING COMPANY: _Not Applicable
Name:_
Address:
City:_
Zip:
Pho
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as moicatea.
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 JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR N ICE OF COMM NCEMENT."
r` A
Signature of Owner Lessee/Contractor s Agent for Owner Signature Contractor/License Holder
STATE OF FLORW STATE OF FLOR19A I
COUNTY OF \'t • W(Lle COUNTY OF LJ
The �going instr nt was acknowledge
t q before me
this by
Name of person aking stateme t.
Personally Know 11"OR Produced Identification
Type of Identification
Produced IlIIil11010,1I
�NX` yt1AH A 17*0,
The forgoing instrument was acknowledged before me
this aL� day of � {`� 2a;-4-by
Name of person making statement.
Personally Known �OR Produced Identification
Type of Identification
Produced
(Signat re of Notary Public -Site g11&da } � '� Z
(Signature of Notary Public -State of Flori* MN;`,";";•
Commission No.
Commission No.B��O';
ed
in
••�,ST
REVIEWS
FRONT
�/
ZOIVi�i�Allllll
!0`X
ERVISOR
PLANS
VEGETATION
yZ;
SEA TUr o
+�Ni180fBp i
Fa I ROV Z`
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEI�i�
DATE `41,fj'' STATEU`1�ti\1`
RECEIVED �/1llllll11111
DATE
COMPLETED