HomeMy WebLinkAboutBUILDING PERMIT APPLICATION3/11/2015 1002 PM GMT-1 From Scanner Pro - To, •1 772 462 1578
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ALL APPUCABLE INFO MUST RF COMPLETED FOR APPLICATION TO BE ACCEPTED
Datelw�3` 1'1 lvs Permit Number: \5d3' 0a6
•RECEIVED MAR 172%
SCANNED
Building Permit Application BY
Planning and Development Services St. Lucie County
Building and Cade Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMITAPPLICATION FOR: Alteration
PROPOSED IMPROVEMENT LOCATION:
Address: 44 Aqua Ra Dr. Jensen Beach, Florida 34957 p
Legal Description: WINDMILL VILLAGE BY THE SEA-LINITfWO- BILK W 1/2 LOT 6 (OR 3699-553)
Property Tax Milk 124759 11 Q>a )_ (5001Lot No.
I
Site Plan Name: Block No.
Project Name:
Setbacks Front25 Back:25 Right Side:15 Left Side.15
DETAILED bFSCRIPTION OF, WORk:
This is a level 1 alteration. Remodeling (painting, paneling, tiling, and installing wood floors.
Replacing electrical fixtures and lighting.) Replacing 4 windows. R2 Plate /19 'ja,�9 Q�Yuloy ��
CONl5TRiiCTIONINFORMATION:
Additional work to rformed un ert ,s ermit—checka apply:
OHVAC Gas Tank sPiping ❑✓ Windows/Doors
_Shutters
O
Electric Plumbing Sprinklers Generator Raof
Total Sq. Ft of Construction: Sq.of First Floor: 1416
cost of Construction:$ 10,000 Utilities: IiSewerLiSeptic Building Height:
OWNER/LESSEE: f, ; Yi .u,
CONTRACTOR::;
Name • • Un er rusttii Name: WJIW
Address: an aLucia unve Company:
Wesa m beachState:
City' Address:
_
Zip Code: Fax: 09
Phone No.3Ur_UF!:=City: State•_
Phone No.
Zip Code: Fax
E-Mail: j ya oo.com
Phone No.
Fill in fee simple Title Holder on next page ( if different E-Mail:
from the Owner listed above) State or County License:
1f vatue of constfucuon Is $2soo or more, otiiceof Commencement
, a RECORDED NIs required.
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SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
Name• n/a
Address:
City: State: _
Zip: Phone:
MORTGAGE COMPANY: Not Applicable
Name: n/a
Address:
City: State•
Zip: Phone:
FEE SIMP&E TITLE HIOLDER- _ Not Applicable BONDING COMPANY: _Not Applicable
Name: n a Name: n/a
Address: 1 Address:
City: City:
Zip: Phone: _ Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
structure. Please consult with your Home Owners Assoaation and review your aeea for any restrimons wmm may appry.
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 concumency review: room additions, .
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
WARNING TO OWNER: Yourfalure 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 jobs(te
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
s
Signature of Contractor/License Holder
STATE OF FLORIDAe I f I STATE OF FLORIDA
COUNTYOF �T llr-� v COUNTYOF
The forgoing instrument was acknowledgV)jefore me I The forgoing Instrument was acknowledged before me
tl
this day of�-I�-�-� .201by this _day of .20_by
Tt f/CR rts� (Name Of of person acknowledging) (Name of person acknowledging 1
(Signature of Notary Public State of Florida )
Personally Known OR Produced dentificaupn Personally Known OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No.
Revised 07/15/2014
A
No.
(Seal)
REVIEWS
FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR.
REVIEW "
PLANS
, REVIEW
VEGETATION
REVIEW
SEATURTLE
REVIEW
MANGROVE
REVIEW
DATE
COMPLETE.
INrMLS
ALL APPLICABLE INFO MUST BE COMPL
Date: 03/10/2015
\i FOR APPLICATION TO BE ACCEPTED
Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Alteration III
PROPOSED IMPROVEMENT LOCATION:
Address:
Legal Description: WINDMILL VILLAGE BY THE SEA-UNITTWO- BLK A W 1/2 LOT 6 (OR 3699-553)
Property Tax ID #: 124759 Lot No.
Site Plan Name:
Project Name:
Setbacks Front 25 Back: 25 Right Side: 15 Left Side: 15
Block No.
DETAILED DESCRIPTION OF WORK: III
I his Is a level i aneranon. ttemoaew
Replacing electrical fixtures and light
Replacing 4 windows.
CONSTRUCTION INFORMATION: 11
Gas Tank
Electric 1:1Plumbing
Total Sq. Ft of Construction: 0
Cost of Construction: $ 10,000
Piping UShutters �✓ Windows/Doors
nklers Generator ❑ Roof
1416
S Ft. of First Floor:
Utilities:Sewer Septic Building Height-
OWNER/LESSEE:
CONTRACTOR:
Name Hunter I rust
Name. ----Owner
Santa ucla rive
Address:.
Company:
city: West Palm Beach State: 1-1
Address:
_
Zip Code: 33405 Fax: - - 309
Phone No 80
City: State:_
Zip Code: Fax:
Phone No.
E-Mail: h2jaxCwyanoo.com
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail:
State or County License:
If value of construction is $2500 or more, a RECORDED Notice: of Commencement is required.
SUPPLEMENTAL CONSTRUCTIO N LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name: n/a
MORTGAGE COMPANY: _ Not Applicable
Name: n/a
Address:
Address:
City: State:
Zip: Phone:
City: State:
Zip: Phone:
FEE SIMPLE TITLEHOLDER: _ Not Applicable
Name: n/a
BONDING COMPANY: _Not Applicable
Name: n/a
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
commencing work or recording vour Notice of Commencement.
_ Signature of Owner/ Lessee/Agent
STATE OF FLORIDAQ I
COUNTY OF �j
The forgoing instrument was acknowledged before me
this 1l day o201-by
WI1 C'sT— yytyr —
(Name of person acknowledging)
�'4A^ _
(Signature of Notary Public- State of Florida )
Personally Known OR Produced Identification
Type of Identification Produced :�A �u...,�--
Commission No. 0 1 I 5 ea
:.a.. °�.? ISA A
EXPIRES FebM.WY 10.
Revised 07/15/2014
s
Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF
The forgoing instrument was acknowledged before me
this _ day of 20 by
(Name of person acknowledging)
(Signature of Notary Public -State of Florida )
Personally Known OR Produced Identification
Type of Identification Produced
No.
(Seal)
REVIEWS
FRONT
ZONING
SUPERVISOR•
' PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW 4
PREVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS