HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED L
Date: — I Permit Number: v� v✓
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BuAh'J*CAnit Application
Planning and Development Services
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Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
MIN
PERMIT APPLICATION FOR: e erld ol
_
-PROPOSED�.IMPROVEMENT"LOCATION
Address: 10701 S. Ocean Drive #701, Jensen. Beach', FL 34957
Legal Description: Lot 102 of Venture Out at St. Lucie, Inc., a condominium according to the DOC thereof
Property Tax ID #: 4511-805-0102-000-7
Site Plan Name:
Project Name:
Setbacks Front 10 Back: 5 Right Side: 0 Left Side: 8
DETAILEDDESCRIPTION OF". WORK ,
Construction of a block two story single family residence. Impact windows and metal roof
Lot No.102
Block No.
Aaaitionai worK to De nertormea unaer tnis permit _ check all apply:
I
ZHVAC Gas Tank ❑Gas,Piping Shutters a Windows/Doors
Electric Plumbing Sprinklers Generator W1 Roof
Total Sq. Ft of Construction: 1951 S . Ft. of First Floor: 1432
Cost of Construction: $ 310,102.00 Utilities: WISewer ElSeptic Building Height:
O,WNERAESSEf ` : : , ° '...,1
CONTRACTOR:.' "
Name Michael W. and Heather M. Gerety
Name: James W. Newman
Address:10701 S. Ocean Drive #701
Company: JWN Construction, Inc.
City. Jensen Beach State: FL
Address: 1701 SE Carvalho St.
Zip Code: 34957 Fax:
City: Port St. Lucie State: FL
Phone No. 772-882-8039
Zip Code: 34983 Fax: 772-871-9500
E-Mail:
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
IT vawe or construction is >csuu or more, a KECUKULD Notice of commencement is required.
SUPPLEMENTAL CONST�tUCTIQN LIEN LAW INF
DESIGNER/ENGINEER: x Not Applicable
Name: Quantum Engineering Associate, Inc.
Address: 300 Avenue of Champions
City: Palm Beach Gardens State: FL
Zip: 33418 Phone: 561-202-6994
FEE SIMPLE TITLEHOLDER: x Not Applicable
Name:
Address:
City:
Zip: Phone:
)RMATION
MORTGAGE COMPANY: x Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY: x Not Applicable
Name:
Address:
City:
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, con ult with lender or an attorney before
commencing work or recordimr? vour Notice of Commenceme2 ,.
Signature of OvAer/ AgentkYessee
Sign)ure of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF lt�(
STATE OF FLORIDA
COUNTY OF Lici-
The for ping instrument was acknowledged before me
this da of 20 Eby
The forgoing instrum nt was acknowledged before me
this, day of 20_jgby
( m nn Ac in
sJaiuwepu of n A o ru 1 pap g
N Iq d AMON I uo ° 3'eo Yy
L? OZ OZ IPdy :S3liIdX3
(Name
ry' •. SHARON K MAN
t MY COMMISSION. EE a80008
°* ' ` EXPIRES: Aptif 20, 2017
8000f?17 33 NOISSIWW00 dW `-':,•°+=
'; �` Bonded Thru Notary Public Underwriters
Is
(Sign iioln
(Signat orr a
Personally Known �OR Produced Identification
'-
Personally Known OR Produced Identification
Type of Identification Produced
Type of Identification Produced
Commission No. DF qKOetK (Seal)
Commission No. ce d �(Seal)
Revised 07/15/2014
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