HomeMy WebLinkAboutBUILDING PERMIT APPLICATION2
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 10/27/15
Permit Number: 15 ( I - G 4 al
SCANNED
• Building Permit Application BY
g pp St. Lucie County
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 x Residential
PERMIT APPLICATION FOR: Window/door II
PROPOSED IMPROVEMENT LOCATION:
Address: 10980 S OCEAN DR. JENSEN BEACH FL. 34957
Legal Description: 28 UNIT 8 FLOORS CONDOMINIUM
Property Tax ID#: 45(Z-'10A-Q f'C •CzN Lot No.
Site Plan Name: Block No.
Project Name: OCEAN DUNES
Setbacks FrontX Back: Right Side: X Left Side:
DETAILED DESCRIPTION OF WORK:
DEMO EXISTING SWING DOOR IN ELEVATOR LOBBY AND INSTALL IMPACT RATED AUTO
SLIDER
CONSTRUCTION INFORMATION:
Aaclitional worK to e e orme under t-checkispermit a apply:
OHVAC ff Gas Tank ❑Gas Piping _Shutters Q Windows/Doors
11 Electric 0 Plumbing Sprinklers Generator 1:1 Roof
Total Sq. Ft of Construction:
/ao
Cost of Construction: $ lBi y2s• 60
S Ft. of First Floor: _
utilities Sewer o Septic
Building Height: /00
OWNER/LESSEE:
CONTRACTOR:
Name OCEAN DUNES OF HUTCHINSON ISLAND CONDO ASSO INC.
Address:10980 S OCEAN DR.
Name: ELIZABETH ANN LINDSEY
Company: STANLEY ACCESS TECHNOLOGIES
City: JENSEN BEACH State: FL
Zip Code: 34957 Fax:
Phone No. 779 - oZ 21 -,3 S 0 9
Address: 4791 NE 5TH AVE.
City: OAKLAND PARK State: FL
Zip Code: 33334 Fax:
Phone No. q��i'5-941-636-a
E-Mail: Byron, Goias �fsresideof;a(. C-am
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail: /in,dSeyec"69e 9 M% l• C! Oen
State or County License: CGC1517995
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL`CONSTRUCTION
LIEN LAW INFORMATION:
DESIGNER/ENGINEER:
Name:
_ Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
Address:
City:
Zip: Phone:
State:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
Name:
_ Not Applicable
BONDING COMPANY: _Not Applicable
Name:
Address:
Address:
City:
City:
Zip: Phone:
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, 1 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 our Notice of Commencement. ,,�%
n �— �I/t a✓/ �v yLn� Gz(L� OIL . s
SigrAtid'of Owner/ Lessee/A"ent I Signatylk ofContractdr/License Holder
STATE OF FLORIDA. , rn STATE OF FLORIDA
COUNTY OF l�lC� IGLU Tll Ile{ I COUNTY OF BKO uJ'y-6
The forgoing instrument was ackno ledged efore me
this,50 dayof 20 by
Ani'ln
ary Public- State of Flon a )
OR Pro du d Identification
Type of
The forgoing instrument was acknowledged before me
this 10 dayof /fovicega2 20 !S by
Z 6 Kl1E L.J405E
(Name of person acknowledging)
(Signature of Notary Public -State of Florida)
Personally Known t/OR Produced Identification
Type of Identification Produced
DAWN MBERTH I
Commission No.;'j��II Commission No.
comml D #FF015512
EXPIRES June 26.2017
Revised 07/
DAWN R. TATE
)taly Public - State of
Commission ♦ FF 90
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