HomeMy WebLinkAboutPermit application GiulianoAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
511:0 1 LUYC L :
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" Building pp Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial X Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 CBDG Funding
PERMIT APPLICATION FOR: Window, Door & Shutter
PROPOSED IMPROVEMENT LOCATION:
Address: 9500 S Ocean Drive #1406, Jensen Beach FL 34957
Property Tax ID #: 4502-602-0130-000-1 Lot No.
Site Plan Name:
Project Name: Giuliano
DETAILED DESCRIPTION OF WORK:
Install 4 Impact SGD'd, 2 Impact Windows & 1 Accordion Shutter
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
(Affidavit required)
Block No.
Additional work to be performed under this permit —check all that apply:
_Mechanical _ Gas Tank —Gas Piping X Shutters X Windows/Doors ^ Pond
_ Electric _ Plumbing — Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 45,115.00
Sq. Ft. of First Floor:
Utilities: —Sewer _ Septic Building Height:
OWNERAESSEE:
CONTRACTOR:
Name Frank & Joan Giuliano
Name: John Zervopoulos
Address: 9500 S Ocean Dr #1406
Company: Advanced Hurricane Protection
City: Jensen Beach State: FL
Zip Code: 34957 Fax:
Phone No. 516-768-7073 E-
Address: 4517 SE Commerce Ave
City: Stuart State: FL
Zip Code: 34997 Fax:
Phone No 772-220-1200
Mail:_ Jgiuliano1406@amail.com
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail John(aD-AdvancedHurricane. net
State or County License CBC1259339
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.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name:
Address:
MORTGAGE COMPANY: Not Applicable
Name:
_
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY: Not Applicable
Name:
_
Address:
Address:
_
City:
City:
Zip: Phone:
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application i -eby made to obtain a permit to do the work and installation as indicated.
certify that no work or installation has commenced p to the issuance of a permit.
St. Lucie County makes no representation that is gran; a permit will authorize the permit holder to build the subject structure
which conflicts with any applicable Homeowners Ass' tion rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Homeowners Asso ation and review your deed for any restrictions which may apply.
In consideration of the granting of this requested perm t, I do hereby agree that I will, in all respects, perform the work
in accordance with the approved plans, the Florida Bui :ling 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 paying twice for
improvements to your property. A Notice of Commencement must be recorded in the public records of St.
Lucie County and posted on the jobsite before the first inspection. If you intend to obtain financing, consult
with lender or an attorney before comnirtcinF, work or recording vour Notice of Commencement.
Sign re of Conr for - or - Ovo4er Builder as applicable
STA FLORIDA
COUNTY OF Martin
Sworn to (or affirmed) and subscribed before me of X Physical Presence or Online Notarization
this 1 Ithday of January 2022 by
John Zervopoulos
Name of person making statement.
Personally Known X OR Produced Identification
Type of Identification Produced
(Signature of Notary Public- State of Florida)
Commission No. HH 146508 (Seal) MELISSA A. EWOLDT
MY COMMISSION # HH 146508
EXPIRES: August 10, 2025
Bonded Thni Notary Public Underwriters
REVIEWS
FRONT
ZONING SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev 10/12/21