HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: —A 1 ri Permit Number:
1111111111h 'SCANNED
BY RNECEEWED
St. Lucie Coun
Building PeAft Application NOV 2 9 2017
Planning and Development Services
Building and Code Regulation Division PER.RAITTI.NG
St. 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
P ROPOSE 0
'PROPOSED
R6vkM ENT
imp ION:
Address: 11000 S OCEAN DR 6A, JENSEN BEACH
Legal Description: VILLA DEL SOL CON1:,O UNIT A AND UND SHAREIN COMMON ELEMENTS TRACT 6
:
1 , e , T^ I
Property Tax ID #: 4512-701-0085-000-5.
Lot No.
Site Plan Name: LIPPAN
Block No.
Project Name: 11000 S OCEAN DR 6A
Setbacks Front NIA Back: NIA Right Side: NIA Left Side: NIA
DDESCRIPTION WOf� 0
sJDETAILED
,�
WINDOW & DOOR REPLACEMEIIT (30PENINGS 2 WINDOWS & 1 DOOR)
IMPACT
4, `CONSTRUCTION INFOB
MATIC
Additional Worl(to De nertormed under this permit— check all
apply:
In
HVAC E]Gas Tank EIG
Shutters
Windows/Doors
Electric Plumbing . OSprinklers
ElGenerator
Roof Roof pitch
Total Sq. Ft of Construction: S c
Ft of First Floor:'
Cost of Construction: $ 5000.00 Utilities:
Sewer Septic
n E]
Building Height:
CONT-RACTOR41-0
Name LIPPAN, RUDOLF
Name: MICHAEL GOODWIN
Address: 11000 S OCEAN DR 6A
Company: JENSEN-,BEACH ALUMINUM
City: JENSEN BEACH
Zip Code: 34957 Fax:
Phone No.
P7. State: FL
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 pa::f ( if different
from the Owner listed above)
E-Mail: MICHAELL.GOODWIN@YAHOO.COM
State or County License: CGC 1508437
If value of construction is $2S00 or more, a FXCORDED Notice of Commencement is required.
SUPPLENIENTAL'CONST�IEN LAWINFORMATION!-4'
DESIGNER/ENGINEER: _ Not Applicable
Name: SUNCOAST ALUMINUM ENGEERING
MORTGAGE COMPANY:
Name:
Not Applicable
Address: 1363058TH STREET NORTH SUITE 101 1
Address:
City: CLEARWATWATER 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:
,1
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie Count
yy makes no representation thatis 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 applicationsare exempt from undergoing a full concurrent} review: room additions,
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another no residential use
WARNING TO OWNER: Your failareto Record a Notice of Commencement m;'y resultfr/nattorney
r paying twice for
improvements to yo pro Notice of Commencement must be recur ated on the jobsite
before the first ins} ctio . I intend to obtain financing, consult h before
com nci r r r or ' our Notice of Commencement.
as Agent for Owner
STATE,OF FLORIDA L. STATE OF FLORIDA I
COUNTY OF'F*- COUNTY OF
The forging instras acknowledged before me - The forgoing instrum?nt was acknowledged before me
this u e t day of 20c by this day of _!A111 20 by
person
(Signature of Notary Public- State of Florid.-.. )
Personally Known OR Produ ed Identir
Type of Identification Produced
Commission No. ';�., KAREN $,. N
missiob;na,P�f
• My Com mfsslon
°P• �
Revised 07/15/2014
(Name Or person aCKI1GWleeging
(Signature of Notary Public- State of Florida I
Personally Known _
Type of Identification
:LSEN j Commission No.
115637 r`
Expires
_ OR Pro ed Identification
u
Produced L h)( .
rr
KAR g NIA ELSEN
6•° Commission N FF 115637
,
T My Commission FvpIPG
June 12. 2018
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