HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR AR� d�TA.OpL fIO BE ACCEPTED ) 1 1
Date: / IS • % 7 BY Permit Number: % f �• D V
St. Lucie County
RECI:-� t .�.L..
Building Permit Application
Planning and Development Services NOV 15 2017
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: To, Select from dropbox, click arrow at,the end of line
Address: 10600 S OCEAN DR 109, JENSEN BEACH
Legal Description: OCEANA SOUTH CC1`,:DO II UNIT 109 AND UNDIV SHARE IN COMMON ELEMENTS
Property Tax ID #: 4511-517-0016-000/3 _ Lot No.
Site Plan Name: RISTAU Block No.
Project Name: RISTAU l .
Setbacks Front N/A Back: N/A'c Right Side: N/A Left Sid e:?N/A
4- y.
f1FTA..11-F1�•I�FC('RIP,TIl1N':(1FU/L•1RK. .,,,:�. -'e
WINDOW AND DOOR REPLACENT(4 OPENINGS NON IMPACT WITH EXISTING SHUTTERS)
(SLIDING GLASS DOORS/ SINGI_= HUNG)
AUUalundl WUFn LU ae e1HJnneu
11HVAC Gas Tank
u11ue1 L111b P) 111IIL—UICL.R dil
`- FIGasPiping_ShuttersWindows/Doors
dpply.
Electric O Plumbing
A,. Sprinklers
El Generator F'
Roof Roof pitch
Total Sq. Ft of Construction: _
12350.00
f `
I'}}. S Ft. of First Floor:
1:1Si
Cost of Construction: $
Utilities..
Sewer ptic
Building Height:
OWiVERAESSEE: ` „`
'CONTTRACTOR�Iv
Name SANDY RISTAU
Name: MICHAEL GOODWIN
Address:10600 S OCEAN DR 109
City: JENSEN BEACH T_State: FL
Zip Code: 34957 Fax:
Phone No.224-5557
Company: JENSEN BEACH ALUMINUM
Address: 1720 NW FEDERAL HWY
City: STUART State: FL
Zip Code: 34994 Fax: 692-9744
Phone No. 692-006i)
E-Mail: — '
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail: MICHAELI.(;OODWIN@YAHOO.COM
State or County License: CGC 1508437
If value of construction is $2500 or more, a I:ECORDED Notice of Commencement is required.
SUPP1tfN1ENTAL C9NSTftUCTI0N4ElEN LAW iNFORNIATIONg`
Y
DESIGNER/ENGINEER: _ Not Applicable
Name: SUNCOASTALUMINUM EGINEERING
MORTGAGE COMPANY:
Name:
_ Not Applicable
Address: 1362058THSTREET NORTH SURE 101
Address:
City: CLEARWATER State: FL
Zip: 33760 Phone: 727-532-9000
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 congmenced prior to the issuance of a permit.
St. Lucie Countyy 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 applic 'ons arc:exempt from undergoing a full concurrency review: room additions,
accessory structures, swim in p , fences, walls, signs, screen rooms and accessory uses to another non-residential use
WARNING TO OWNE allure to Record a Notice of Commencement14 in your paying twice for
improvements toy r rty. A Notice of Commencement must Oe r nd posted on the jobsite
before.the fir ins If you intend to obtain financing, cons w ran attorney before
comro�ciae or o rdine vourNotice of Commencemen
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF ST ._VCLa!:E COUNTY OF e 1,0C%0
The for of en instrumwas a knowledged before me
thi� yOf ,�Drf 20/^^A,
r;
(Name of person acknowledging ) ,^r'
(Signaturlro"4otary Public -State of Florida I
Personally Known _oz_ OR Produced Identification
Type of Identification Produced
Commission No.
Revised 07/15/201
The forgoin�' strument was acknowledged before me
this�y�y"of�V/� 20 _Z by
(Name of person acknowledging )
(Signature -'Of -Notary r ublic- State of Florida )
Personally Known --."OR Produced Identification
Type of Identification Produced
Commission No.
MY COMMISSION U FF 173907
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