HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1aTN� SCANNED Permit Number: 11
St. I u BY �i
cie County i i� la z --�!� °.
Building Permit Application DEC 2 0 2017
Planning and Development Services
Building and Code Regulation Division BY:
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential
PERMIT APPLICATION FOR: Window/door
PROPOSED IMPROVEMENT LOCATION:
Address: 9490 S Ocean Drive # 510, Jensen Beach, FL 34957
Legal Description: OCEAN TOWERS CONDOMINIUM A- UNIT510 AND UNDIV SHARE IN COMMON ELEMENTS (OR 3955-1546)
PropertyTax ID #: 3535-701-0033-000-4
Site Plan Name:
Project Name:
Setbacks Front Back: Right Side: LeftSide:
Lot No.
Block No.
DETAILED DESCRIPTION OF WORK: ' 111
Install 6 Non Impact Vinyl Windows and 1 Non Impact sliding glass door
CONSTRUCTION INFORMATION:
itiona war to e e orme under t—checkispermit a apply:
[1HVAC MGasTank E]GasPiping In _Shutters Windows/Doors
11 Electric 0 Plumbing []Sprinklers 11 Generator E]Roof
Total Sq. Ft of Construction:
Cost of Construction: $ 9,044.00
S Ft. of First Floor: _
Utilities:n Sewer E]Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Pamela L Flora Spencer D Flora
Name: Nathan Cooke
Address:9140 Deerfield DR
Company: Cooke Construction, Inc
City: Seville State: OH
Zip Code: 44273-9528 Fax:_
Phone No. 1- 40-668-1704
Address: 1278 Business Park Place
City: Jensen Beach State: FL
Zip Code: 34957 Fax:
Phone No. 772-530-0659
E-Mail: Pamflora67@gmail.com
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail: nate@cookeconstructioninc.com
State or County License: CGC1520585
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER- _ Not Applicable
Name:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ 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 County 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 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 Record 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 intend to obtain financing, consult with lender or an attorney before
commencine work or recordine vour Notice of Commencement.
_ Signature of Owner/ Lessee/Agent
STATE OF FLORIDA f STATE OF FLORl5I�,
COUNTYOF /i/��Y COUNTY OF �/(H 1�
The forgoing instriimentwas acknowledged before me
this 1-02"dayof20 (Z by
lclz�`ul�
(Name of person acknowledging)
(Signature of Notary
�Public-
�Stale of Fl�d`Y)
Personally Known OR Produced Identification
Type of Identification Produced
The forgoing instrument was acknowledged before me
this? -day of _ yi�ce,.�L.�� , 20 1 7— by
(Name of person acknowledging )
Signature of Notary Public- ate of Florida )
Personally Known OR Produced Identification
Type of Identification Produced
Commission No. GG zyy .o WALTER D PAVNE II Ssion No. 6 z F a - _ -
=,WALTER U PAYNE dI
Notary Putohc. - State o Florida ?r°`� °B`�+ . Notary Public -State of FI
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;�, ' My Comm: Ezpi[ds Aug25� 2020
Revised 07/15/2014 % I My Comm. Expires Aug 25;
"��°fn`-Bondedthrpugh-Natipnal Notary Assp. FV Bonded through National Notary
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