HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: SCANNEDPermit Number:
BY
St. ED
Lucie County � `'� ��
Building Permit Application NOV ,13-2017
Planning and Development Services
Building and Code Regulation Division PERMITTING
2300 Virginia Avenue, Fort Pierce FL 34982 St. Lucie County, FL
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Shutter FA
Address: 9600 S Ocean Drive #1201, Jensen Beach FL 34957
Legal Description: Empress Condominium Unit 1201 (or3508.903: 3515-975)
Property Tax ID #: ` 502-620-0091-000-1 Lot No.
Site Plan Name: Block No.
Project Name: Green
Setbacks Front Back: Right Side: Left Side:
Install Accordion Shutters (a )'
30atonatworKioDe
I]HVAC
errormeo
unaerimsperma—cnecKall
Gas Tank
Flaapply:
❑Gas Piping
❑Windows/Doors
_Shutters.
Electric
Plumbing
[]Sprinklers " LD Generator
Roof
Total Sq. Ft of Construction: S . Ft. of First Floor:
Cost of Construction: $ yo 0.00 Utilities: nSewer EjSeptic Building Height:
Roof pitch
OWNER/trESSEE:
CO TRACTOR:
NameStephen & Maureen Green
Name: John Zervopoulos
Address:1002 Torrey Pine -Drive
Company: Advanced Hurricane Protection
City: Mars 'State: Pa
Zip Code: 16046 Fax:
Phone No.724-612-8007 _77
E-Mail:srossgreen2002@yahoo.00m
Address: 4517 SE Commerce Ave
City: Stuart State -FL
Zip Code: 34997 Fax:
Phone No. 772-220-1200
Fill in fee simple Title Holder on+next page (if different
from the; Owner listed above)
'E-.'Mail: John@,AdvancedHuMcane.net
'State or County License: CBC1259339
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
1
SUPP EM$ENTALCOI�iSTRUC1iIONLiE"N L'A°W INFORMATION:.
DESIGNER/ENGINEER: _ Not Applicable
Name:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone:
City: State:
Zip: Phone:
FEE SIMPLE TITLEHOLDER: _ Not Applicable
Name:
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 Count makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in contlict with any applicable Home Owners Association rules, bylaws or ano 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 Recor&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 inteo_tciobta)n financing, consult with lender or an attorney before
as
COUNTYOF 5k. 1—VcV2
The forgoing Instrument was acknowledgGcj before me
this day of Oc\ 201111_by
COUNTY OP
The forgoing instrument was acknowledged before me
this 3Aday of do 20 12_ by
*S61'NaF Jd,f%-f 2.4taA00e%1A
(Name of person acknowledge g) (Name of person acknowl dging )
(Signature of NotaryPublic- State of Florida )
Personally Known letth Persona
Type of [dent , ONE e OK;ls Type of
� .,
". - g',••...: �1Y�COMMISSIONff GG 07670
Commission `' +g43WIREs:DecoQyr���. TeR1t Commh
Revised 07/15/2014
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS