HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLi:*rED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
B " lijilding Permit Application OCT Z 4 2017
Planning and Development Services PEi3iV1177llqG
Building and Code Regulation Division St. Lucie co
2300 Virginia Avenue, Fort Pierce FL 34982 �n
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential
Z.
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
T PROPOSOVE,
Address: 9950 S OCEAN DR PH4, JENSE--_N BEACH FL 34957
Legal Description:. MIRAMAR ROYALE UNIT PH4 (OR 3775-1204)
Property Tax ID#: 4502-703-0090-000-8*'' Lot No.
Site Plan Name: DOBIN Block No.
Project Name: DOBIN 62,
Setbacks Front NA Back: Right Side: NA Left Sicle-:',11,4A
DESCRIPTIONDETAILED F W01K.' 1
0,
DOOR REPLACEIVINT - 3 SLIDING GLASS DOORS NON IMPACT
WITH EXISITING SHUTTERS
CONSTRUCTIONINFORMATION?,,`,11
Additional work to be ertormed under this permit —check a apply:
F---]Gas Piping -Shutters
11HVAC Gas Tank Windows/Doors
Electric 0 Plumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: — S, Ft of First Floor:
Cost of Construction: $ 12,000.00 Utilities. Sewer ElSeptic Building Height:
OWNE"M, -,
k tt� �C'10R
K
Name DOBIN, MICHAEL Name: MICHAEL GOODWIN
Address: 9950 S OCEAN DR PH4
Company: JENSEN BEACH ALUMINUM
City: JENSEN BEACH State: FL Address. 1720 NW FEDERAL HWY
Zip Code: 34957 Fax: City: STUART State: FL
692-9744
Phone No. 692-0090 ZipCode: 34994 Fax:
E-Mail: Phone No. 692-0090
Fill in fee simple Title Holder on next patre (if different E-Mail: MICHAELLGOODWIN@YAHOO.COM
from the Owner listed above) State or County License: CGC 1608437
If value of construction is $2500 or more, a LECORDED Notice of Commencement is required.
)" f
"UPPLMENTAL C :I TRUCTIt ' IaEN LAIIIl INFt
S
Rt lATION. � ��� � '
Y
DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY:
_ Not Applicable
Name: SUNCOAST ALUMINUM ENGINEERING LLC
Name:
Address: 13630 58TH STREET NORTH SUITE 101
Address:
City:
State:
City: CLEARWATER State: FL
Zip: 33760 Phone: 727-532-9000 7:
Zip: u Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
BONDING COMPANY:
_Not Applicable
Name:,
Name:
Address:
Address:
City:
City: "'
Zip: Phone: `gip
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 a-r'e`'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 fa' ure to Record a Notice of Commencement ma re I in our paying twice for
improvements to yo
urpro Notice of Commencement mus a rec rd n posted on the jobsite
before the first ins I intpn;d to obtain financing, con it e o an attorneybefore
commencipawQrkr i your'N:otice of Commenceme , �
ntrac(or as Agent for Owner
STATE OF FLORIDA
COUNTY OF
The for 0'' q instru fl nt was acknowledge efore me
thiy of y
(Name of person acknowledging)
s
Signature of Contractor/LicenNg older
STATE OF FLORIDA
COUNTY OF .S'l .�UGI
The forgoing instrument was acknowledged before me
thd9_'�'d`ay of 20 by
(Name of person acknowledging )
(Signatu rezMotary Public- State of Florida) (Signatu otary Public- State of Florida) �-
Personally Known --'OR Produced Identification Personally Known 4---60R Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No.
MY COMMISSION # FF 173907
EXPIRES I7erpmhPr7, 9018
Bonded Thrl Notafy;Public Undenvrkers
Revised 07/15/20
Commission No.
ANN M. GAUMOND
= EXPIRES: Decem�728
Bonded ThruNotary Puer
Pfn;a``
e>
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS