HomeMy WebLinkAboutBUILDING PERMIT APPLICATION4�
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ALL APPLICABLE INFO MUST 8E 0FOR APPLICATION T@0EACCEPTED
Date: ^ ��r / Permit Number: � ' SCANNED �
BY
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~ Application
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Kbon�yand Deve�pmantJen�zs "n�,v � � ��/"
Building and Code Regulation Division `
z308Virginia Avenue, Fort Pierce 6LJ498Z
Phone: (772)46Z'l55JFax: (77Z)46I'1578 Commercial R8sid9Dtial___________
PERMIT APPLICATION FOR:
�elect from dropbox, click arrow at the end of line
Address: 11V00SOCEAN nR2'4 JEN0ENBEACH FL, 34957 `
Legal Description: VILLA DEL S0LCONDO UNIT 4AND UNDSHARE |NCOMMON ELEMENTS TRACT 2
m.
Property Tax 0#:4512-7V1:012'000^3 Lot No.
Site Plan Name: WYOML|N _ ' Block No.
Project Name: yNOML[N
Setbacks Front NIA Back: NIA Right Side: NIA Left Side" N/A
DOOR REPLACEMENT( 1OPENWIS IMPACT) '|
| - -
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HVA-C �--]El �h�o8teo . Windows/Doors
Electric ���-1 �P|unnbing[]Sprinklers L_=�Generator i==}Roof Roof pitch
Total Sq. FtnfConstruction: 5 Ft of First `
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Cost uf'onstructinn:$745000 '��� Uti|iUes� ���vver�JSeptic Building Height;
Address: 11000 S OCEAN DR APT 2-4 Company: JENSENBEACH ALUMINUM
City: JENSEN BEACH State: FL Address- 1720 NW,FEDERAL HWY
Zip Code: 34957 Fax:- City: STUART State: FL
Phone No. 772-708-1048 Zip Code: Fax: 692-9744
E-Mail. Phone No. 692-0090
Fill in fee simple Title Holder on next pag� if different E-Mail: MICHAELLGOODWIN@YAHOO.COM
from the Owner listed above)
State or County License: CGC 1508437
If value of construction is $2500 or mare,,�,RECORDED Notice ot Commencement is reciulred.
Address: 11000 S OCEAN DR APT 2-4 Company: JENSENBEACH ALUMINUM
City: JENSEN BEACH State: FL Address- 1720 NW,FEDERAL HWY
Zip Code: 34957 Fax:- City: STUART State: FL
Phone No. 772-708-1048 Zip Code: Fax: 692-9744
E-Mail. Phone No. 692-0090
Fill in fee simple Title Holder on next pag� if different E-Mail: MICHAELLGOODWIN@YAHOO.COM
from the Owner listed above)
State or County License: CGC 1508437
If value of construction is $2500 or mare,,�,RECORDED Notice ot Commencement is reciulred.
If value of construction is $2500 or mare,,�,RECORDED Notice ot Commencement is reciulred.
SUPPLEMENTALCONSMCTIOWLIEN LAW INFORMATION
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DESIGNER/ENGINEER: _ Not:Applicable
MORTGAGE COMPANY:
_ Not Applicable }
Name; SUNCOAST ALUMINUM ENGINEERING LLCjJ,:_:
Name: ui
Address: 1363056THSTREET NORTH SUITE 107_;I "
Address:
City: CLEARWATER State: FL
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City:
State:
Zip; 33760 Phone: 727-532-9000
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
BONDING COMPANY:
_Not Applicable
Name:
Name:
Address:
Address:
City:
City:
Zip: Phone: -"
Zip: Phone:
I certify that no work or installation has c
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,enced prior to the issuance of a permit..}
St. Lucie Countyy makes no representation thavis granting a permit will authorize the perm it holder to build the subject structure
which is in contlict 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, swimming pools, fe es, walls, signs, screen rooms and accessory uses to another non-residential use
WARNING TO OWNER: Y r f 'I a to Record a Notice of Commencement may result in o paying twice for
improver o your p otce of Commencement must be recorde an ted on the jobsite
before t first n e n. tend to obtain financing, co with len r attorney before
Comm cin o or ec our Notice of Commence
li I S
Signature of Owner/L se ntractor as Agenf for Owner nature o ntr tod icense Holder
STATE OF FLORIDA r':" STATE OF FLORIDA
COUNTY OFvr'T kUG/i_`� r"fi COUNTYOF S97 /"GG.E
The for ��o�'1g instrument was acknowledged before me
thi- " yof AJDd 20/7—by
iI
(Name of person
of
Personally Known ✓ OR Produced
Type of Identification Produced
Commission No.
Revised 07/15/2014
4N
M. GAUMOND
asim B FF 173907
The forgoin (instrument was acknowledged before me
thiy�` 6y of Xez,-1 . 2017 by
(Name of person acknowledging I
(Signature ofNotary'P;ilblic-State of Florida I
Personally Known i/ � OR Produced Identification
Type of Identification Produced
Commission No.
(StIblIPAUMOND
MY COM.USSION & FF 173907
EXPIRES: December 7, 2018
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