HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPIJEETED FOR APPLICATION TO BE ACCEPTED
Date: SCANNED Permit Numben./S-101—, o 6 62
BY
St. Lucie CountV LEE V
E D
Building Permit Applicatio R ED C J M,
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
SEP 2 7 2018
ig Depa tment
I PERMIT APPLICATION FOR: Window/door I - - I III
Address: 11000 S OCEAN DRIVE 4B
Legal Description: VILLA DEL SOL CONDOMINIUM UNIT BAND AND SHARE IN COMMON ELEMENTSTRACT 4
Property Tax ID#: 4512-701-0046-000-0
Site Plan Name:
Project Name: MICHAEL COULON
Setbacks Front Back:
INSTALL 2 IMPACT WINDOWS h-
Right Side: Left Side:
Lot No.
Block No.
[-CON8YRUCTION IN FORMAflid.N.
"I I �,_ I -_ "I I �,_ A
AoditionalworKtOpenerTormea underthis permit— check all .9 apply:
11HVA, 0 Gas Tank E]Gas Pi, - M Shutters ZWindows/Doors
0 Electric ElPlumbing OSprinklers E]Generator 11 Roof = Roof pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 6,794.75
S Ft of First Floor:
Utilities-li Sewer E]Septic Building Height:
bvVNERAESSEE:
QNTRA(f6R:
Name MICHAEL COULON
Name: GUSTAVO PEREZ
Address: 11000 S OCEAN DR 4-13
Company: STORMGUARD WINDOWS& DOORS
City: JENSEN BEACH State: FL,
Zip Code:.34957 Fax:
Phone No.
Address: 3600 S CONGRESS AVE. SUITE C
City: BOYNTON BEACH State: FL
Zip Code: 33426 Fax:
Phone No. 561-994-1540
E-Mail:
Fill in fee simple Title Holder an next page (if different
from the Owner listed above)
E-Mail: PERMITS@STORMGUARDWINDOW.COM
State or County License: CBC1262291
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
I ��- I - 50-59zo I
0LEM'E-N"T-AL CON��fIRO&ION IfEA L�AW lNtb'RIV1ATIidN':'
DESIGN ER/ENG I NEER: Not Applicable
MORTGAGE COMPANY: Not Applicable
Name:
Name:
Address:
Address:
City: State:
City: State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLEHOLDER: _NotApplicable
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.
St. Lucie Court makes no representation that is granting a permit will authorize the ermit holder to build the subject structure
which is in conWict with Home Owners Association bylaws
any applicable rules, or an9covenants that ma estrictorpr hibitsuch
structure. Please consult with your Home Owners Association and review your deed for any restrictions yhi It may apply.
w Ic
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 Wrk or cwording Mr Notice of Commencement.
E���Lessee/Contractor asAgentforOwner
Signature of Contractor/License Holder
STATE OF FLORIDA
STATEOFFLORIDA
COUNTY OF &I �t
COUNTY OF
The forgoi . ng Instrumigit was ackipwledged before me
The f r ping instrument acknowledgedA3efore me
03 UP,
this day of 14(egtA /— 26Lj�by
this day of ff 20J_Y by
MICHAELCOULON
Name of person making statement Lw-�
'Name of personr6aking'statement
Personally Knovm_ OR Produced Identification
Personally Known t,,' OR Produced Identification
Type of Identiflcation
Type of Identification
Produced 601-
Produced
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(Sig9drure I.orida hCHARY B. WY N (Signat 0taryPublIc-S ftebff"ri 5`�, —P,bbc State of Fiond�
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[it 71059 Co ssion N 714,
my Comm. Expires Feb 19, 2021 E,p,,,s 0811612021
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REVIEWS FRONT ZONING SUPERVISOR P S VEGETATION SEA TURTLE MANGROVE
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COUNTER REVIEW REVIEW RE REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
R 8/2/17