HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 3' �• SCANNED Permit Number: / �y 0,3-0 1p
BY
0
St. Lucie CountyRECEIVED
Building Permit Application MAR /9 2017
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fart Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial x Residential
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line III
Address: 9550 S OCEAN DRIVE #1909, JENSEN BEACH
Legal Description: ISLANDIA 1 CONDO UNIT 1909 (OR 3625-1842)
Property Tax ID #: 4502-601-0183-000-4
Site Plan Name: ODELL
Project Name: ODELL
Setbacks Front NIA Back: NIA Right Side: NIA Left Side: NIA
WINDOW & DOOR REPLACEMENT (5 OPENINGS IMPACT)
(2 SLIDING GLASS DOORS & 3 WINDOWS)
Lot No.
Block No.
ionai worKto oe
errorrneo
Gas Tank
unuer uns pernnu—cueLK du
❑Gas Piping
apply:
Windows/Doors
HVAC
_Shutters
Electric
Plumbing
[]Sprinklers
❑ Generator
❑
Roof ❑ Roof pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 15,000.00
S Ft of of First Floor: _
Utilities: —Sewer❑Septic
Building Height:
OWNERjLESSEE
GONTRACT4R
:_
Name ODELL, RICHARD & LINDA
Name: MICHAEL GOODWIN
Address:9550 S OCEAN DR APT 1909
Company: JENSEN BEACH ALUMINUM
City: JENSEN BEACH State: FL
Zip Code: 34957 Fax:
Phone No. 978-884-1785
Address: 1720 NW FEDERAL HWY
City; STUART State: FL
Zip Code: 34994 Fax: 692-9744
Phone No. 692-0090
E-Mail: RICKODELL11132GMAIL.COM
Fill in fee simple Title Holder on next page (.if different
from the Owner listed above)
E-Mail: MICHAELLGOODWIN@YAHOO.COM
State or County License: CGC 1508437
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
DESIGNER/ENGINEER: _Not Applicable
blame: SUNCOAST ALUMINUM ENGINEERING LLC
Add res5: 7363068TH STREET NORTH SU IT 101 _
City: CLEARWATER - State: FL
Zip: 33760 Phone: 727-532-9008
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
City:
Zip: Phone:
COMPANY: _ Not Applicable
MTuT-E
Address:
City: State:
Zip: Phone:
BONDING COMPANY: _Not Applicable
Name: _
Address:
City:_
Zip:
I certify that no work or installation has commenced prior to the issuance of a permit.
no
Phone:
:e the permit holder to build the subject structure
or and covenants that may restrict or prohibit such
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 fa' re to ec rd a Notice of Commencement may result in y u aying twice for
improvements to your prop y. of Commencement must be rec am �d on the jobsite
before the first in ect' n y d to obtain financing, consult w' t er ( orney before
commencin rk a rd' Notice of Commencement.
Signature of Owner/Lessee/¢o} racto as Agent for Owner Signature of Contracto icens older
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OFy� / j )C1gE COUNTY OF �'T ?"1 E
The for o'ng instrument was acknowledged before me The forgoing instrument was acknowledged before me
this'20 of 46/ CH , 20/1by this .dayof /Ye9,e20/'Lby
(Name of person acknowledging ) (Name of person acknowledging)
(Signatur f Notary Pub -State of Florida (Signature o ublic- tate of Florida )
Personally Known t -" OR Produced Identification
Type of Identification Produced
Commission No.
Revised 07/15/201
(Seal)
31od'L19glae090:S3IIdX3
L06UI Ad 6 NOISSIWV400 Al
ONOWOyO'W N14V
Personally Known c/611 Produced Identification
Type of Identification Produced
Commission No.
Barred Thm Notary
REVIEWS
FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEATURTLE
REVIEW
MANGROVE
REVIEW
DATE
COMPLETE
INITIALS