HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
SCANNED Permit Number:
BY
a _slow
St. Lucie Countv Jam.
Building Permit Application RECENED
Planning and Development Services JAN 0 61018
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982 Permitting Department
Phone:(772)462-1553 Fax:(772)462-1578 Commercial Residenthl-114leCounty
PERMIT APPLICATION FOR: Window/door F1 III
PROPOSED IMPROVEMENT LOCATION:
Address: 200 El Mar Dr. Unit 204B, Jensen Beash, 34957
Legal Description: BEACH CLUB COLONY CONDOMINIUM BLDG BAPT 204 (OR 3666-1121
Property Tax ID #: 4511-513-0008-000-2
Site Plan Name:
Project Name:
Setbacks Front Back:
Right Side: Left Side:
Lot No.
Block No.
DETAILED DESCRIPTION OF WORK: I III
Remove and Replace (2) Sliding Glass Doors. Non -Impact. Shutters by others currently in permitting.
CONSTRUCTION INFORMATION:
la
rtlona wor to e e orme un ert ispermit—Checka apply:
11HVAC Ll Gas Tank ❑Gas Piping _ Shutters ✓Q Windows/Doors
I- J Electric ElPlumbing Sprinklers 11 Generator 0- Roof Roof pitch
Total Sq. Ft of Construction: , S Ft. of First Floor:
aI Cost of Construction: $ 2Z W Of Utilities: Sewer 0Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
NameMichaei Dayger
Name: Donald Wilks
Address:200 El Mar Dr. Unit 204 B
Company: Lighthouse Contracting Inc.
City: Jensen Beach State: FL
Zip Code: 34957 Fax:
Phone No.
Address: 2002 Se Momingside Blvd
City: Port Saint Lucie State: FL
Zip Code: 34952 Fax:
Phone No. 772-485-8412
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail: lighthousecontracting@live.com
State or County License: CBC1259158
If value of construction is $2500 or more, a RECORDED Notice of Commencement Is required.
SUPPLEMENTALCONSTRUCTION LIEN LAW 1—
DESIGNER/ENGINEER:
_ Not Applicable
MORTGAGE COMPANY:
Not Applicable
Name:
_
Name:
Address:
Address:
City:
State:
City:
State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLEHOLDER:
_ Not Applicable
BONDING COMPANY: _Not
Applicable
Name:
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
I certify that no work or installation has commenced prior to the issuance of a permit.
no
ermit holder to build the subject structure
covenants that may restrict or prohibit such
,r 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,
accessorystructures, 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 financin consult with lender or an attorney before
com rk or recordingour Notice of Commencemen .
J
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA,
STATE OF FLORIDA
COUNTY OF 3+ (1
COUNTY OF At— ULr,ti
The fo ing instrument was acknowledged before me
The forgoing instry�n nt was acknowledge`d�before me
is day of �CI , 20 by
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this day off? Vj
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Nameof person making statement
Name of person making statement ',
Personally Known OR Produced Identification
Personally Known OR Produced Ident�catiorw-
Type of Identification i1%t4+LCG
Type of Identification
Produced
Produced
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°7�y oFn;:P' My Comm. Expires Dec11,
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REVIEWS
FRONT
PLANS
VEGETATION
SEA TURTLE
MANGROVE
ZONING
SUPERVISOR
COUNTER
_
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17
2019