HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: SCANNED Permit Number: 110 9-000
BY
q7 St. Lucie County
RECEIVED
Building Permit Application SEP 0 12017
Planning and Development Services - PERMITTING
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982 St. Lucie County, FIL
Phone: (772)462-1553 Fax:(772)462-,1578 Commercial x Residential
PERMIT APPLICATION FOR:
.k, �#ect from dropbox, click arrow at the end of line
PROPOSED IMMOVEMENTJOCATIQN:�
Address: 9500 S OCEAN DR PH-01, JENSENBEACH
Legal Description: ISLANDIA 11 CONDO UNIT PHI (OR3825-29)
Property Tax ID #: 4502-602-0185-000-1 Lot No.
Site Plan Name: HARTMAN Block No.
Project Name: HARTMAN
Setbacks Front N/A Back: N/A,-i Right Side: N/A Left Side: N/A
li All
DETAItED,DE'SCRlPf1bN. OF;,
WINDOW REPLACEMENT 2 OPENINGS WITH EXISTING SHUTTERS
ICONSTRUCTIO INFORMATION:`
11HVAC
Ll Gas Tank
_�E]
- Gas Piping
Li
Shutters
ZWindows/Doors
Electric
Plumbing
L�
- ,
E] Sprinklers
Generator
Roof
Roof pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 3075.00
S Ft f First Floor:
"n 0
Utilities. —Sewer[]Septic
Building Height:
C ON
TRACTOR: -1 Z
1OWNER/1-E�SEE-.'.-
Name HARTMAN, GARY & DEANNA
Name: MICHAEL GOODWIN
Address: 9500 S OCEAN DR PH 01
Company: JENSEN BEACH ALUMINUM
City: JENSEN BEACH State: FL
Address: 1720 NW FEDERAL HWY
Zip Code: 34957 Fax:
City: STUART State: FL
Phone No. 937-974-0027
-
Zip C8c1e: 34994 Fax: 692-9744
Phone;No. 692-0090
E-Mail:—
Fill in fee simple Title Holder on nextoage(if different
E-Mail: MICHAELLGOODWIN@YAHOO.COM
State or County License: CGC 1508437
from the Owner listed above) i 7
It value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
I SUPOL�MEN--TAL'(tbN�TRY�-,T-,I"'�LI,CN
NFO
LAW I AM&1014�
DESIGNER/ENGINEER:
Not -Applicable
MORTGAGE COMPANY:
Not Applicable
Name: SUNCOAST ALUMINUM ENGINEERING
Name:
Address: 13630 58TH STREET NORTH SUITE 101
Address:
City: CLEARWATER
State: FL
City:
State:
Zip: 33760 Phone:
Zip: Phone:
_
FEE SIMPLE TITLE HOLDER:
N'O't Applicable
BONDING COMPANY:
Not Applicable
Name:
Name:
Address:
Address:
City:
City:
Zip: Phone:
3;' 1
- ;I-
Zip: _ Phone:
I certify that no work or installation has co"Iced prior to the issuance of a permit.
St. Lucie Count makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in con4ict with any applicable Home Owners Association rules, bylaws or and covenants that ma estrict or prohibit such
structure. Please consult with your Home Owners Association and review your deed for any restrictions Yhr ch may apply.
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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 revi . ew: ro
'9m additions,
accessory structures, swimming pools, fenq0s, wols, signs, screen rooms and accessory u�es to angoer non-residential use
WARNING TO OWNER:
improvements to your I
before the first4nsp(gti
as
cord a Notice of Commencement
e of Commencement mus
to obtain financing, con=A'
STATE OF FLORIDA
COUNTY OF -S7— kQC-1,F—
The forgoing instrument was acknowledged before me
tNs36Z&y of /ILA232q 7-- 2(1/�—rby
L
Personally Known OR Produced Identif ication
Type of Identification Produced_
Commission No.
MY
Revised 07/15/2014
Yn Your paying twice for
Ind posted on the jobsite
or an attorney before
STATE OF FLORIDA
COUNTY OF -C?7-- XVC,1A—L-
The forgoing instrument was acknowledged before me
tWLS-3AQZ9y of 20/,P' by
(Name of person acknowledging
(Signature'041otary Public- State of Fl—orida I
Personally Known OR Produced Identification
Type of Identification Produced
Commission No.
ANNM.'GAUMOND
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