HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: ' kt in Permit Number:
SGANIVU)
BY
St. LUCIP, i',f111r
Building Permit Application MAY I g 2017
Planning and Development Services
PERt41TTING
Building and Code Regulation Division Si. Lucie County, FL
2300 Virginia Avenue, Fort 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
PRr1Pnci:n IMPnnx/;:urNT I nrATUlN - _ -
Address: 9650 S OCEAN DR 1104, JENSEN BEACH ,FL 34957
Legal Description: THE PRINCESS OF HUTCHINSON ISLAND UNIT 1104 (OR 3765-578)
Property Tax ID #: 4502-610-0104-000-5
Site Plan Name: CONDON
Project Name: CONDON
Setbacks Front N/a Back: N/a
I DETAILED DESCRIPTION OF WORK -
Right Side: N/a Left Side: N/a
WINDOW & SLIDING GLASS DOOR REPLACEMENT (5 OPENINGS)
(WINDOWS IMPACT 2 OPENINGS)
(DOORS NON IMPACT WITH EXISITING SHUTTERS)
Lot No.
Block No.
CONSTRUCTION INFORMATION:
Additional work to be
❑HVAC
nertorme under
tispermit—check
❑Gas
all
apply:
In
Gas Tank
Piping
_Shutters
Windows/Doors
❑ Electric
❑ Plumbing
❑ Sprinklers
❑ Generator
❑ Roof ❑ Roof pitch
Total Sq. Ft of Construction:
Sct.
of First Floor:
Cost of Construction:
$ 12,600.00
Utilities:
Sewer ❑ Septic
Building Height:
OWNER/LESSEE:
-
CONTRACTOR: -
NameJOHNMCONDON
Name: MICHAELGOODWIN
Address: 11 GOWLING LN
Company: JENSEN BEACH ALUMINUM
City: AMHERST State:NH
Zip Code: 03031 Fax:
_Phone No.323-0200
Address: 1720 NW FEDERAL HWY
City: STUART State: FL
Zip Code: 34994 Fax: 692-9744
Phone No. 692-0090
E-Mail:
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.
SUPPLEMENTALCONSTRUCTION LIEN.'LAW INFORMATION,
DESIGNER/ENGINEER: _ Not Applicable
Name: STEVENMORAGAPE
MORTGAGE COMPANY:
Name:
_ Not Applicable
Address: 13630 58TH STREET NORTH SUITE 101
Address:
City: CLEARWATER FL 33760 State: FL
Zip: 33760 Phone: 727-532-e000
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY:
Name:
_Not Applicable
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, 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, swimmiEinour
, walls, signs, screen rooms and accessory uses to anot er non-residential use
WARNING TO OWNER: YRecord a Notice of Cao men t ma r sul our paying twice for
improvements to yo r ptice of Commencement u e re a posted on the jobsite
before fi ins ct nd to obtain financing, n I wit I r an attorney before
com cNotice of Cnmmpnr <
as Agent for Owner
STATE OF FLORIDA
COUNTY OF
The forgoi g instrument was acknowledged before me
thi� ay of�20/-
Lby
STATE OF FLORIDA
COUNTY OF
The forgoing instrument was acknowledged before me
thi,r,/Jr Z=Z/ / .20/7' by
(Name of person acknowledging ) (Name of person acknowledging)
(Signature oT-Notary Pub/lic- State of )
Personally Known V OR Produced Identification
Type of Identification Produced
Commission No.
Revised 07/1
M. GAUMOND
EXPIRES: December 7, 2018
Banded Thin Netery Pubs¢ Under fte,
y��yr� rs�iQ71J�
(Signatu StateoiFlorida�)
Personally Known ✓�OR Produced Identification
Type of Identification Produced
Commission No.
ANN M.
EXPIRES: December 7, 2018
Bonded Thin Noianypubrx Undo, ,
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ZONING
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(NITIALS