HomeMy WebLinkAboutBUILDING PERMIT APPLICATION:q,y
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: SCANNED Permit Number:
BY
St. Lucie County RECEIVED
Building Permit Application NOV
Planning and Development Services Permitting oeparcm,
Building and Code Regulation Division ., w St. Lucie County
2300 Virginia Avenue, Fort Pierce FL 34982 .
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial x Residential
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line III
1 i�\VI VJVV 11Y11` 1\V Yt1Y1l1Y 1. LV \ull 11 VI1Y• ke
Address: 9600 S Ocean or Apt 1501, Jensen Beach , fl 34957
Legal Description: EMPRESS CONDO UNIT 1501( OR 3298-:
Property Tax ID #: 4502-620-0109-000-1
Site Plan Name: TARTAMELLA
Project Name: TARTAMELLA
Setbacks Front NIA Back: NIA
Right Side: NIA Left Side: NIA
DETAILED DESCRIPTION OF WORK:. -, W
WINDOW & DOOR REPLACEMENT (5 OPENINGS IMPACT)
C�HVAC Li— Gas Tank
Electric ❑ Plumbing
Total Sq. Ft of Construction: 24,000.00
Cost of Construction: $
Piping LJShutters
nklers ❑ Generator
_ Sof First Floor: _
Utilities-InSewer Septic
Lot No.
Block No.
Windows/Doors
❑ Roof ❑ Roof pitch
Building Height:
OWNER/LESSEE:
CONTRACTOR:
NameTARTAMELLA,JOHN&JOYCE
Name: MICHAELGOODWIN
Address: 9600 S Ocean or Apt 1501
Company: JENSEN BEACH ALUMINUM
City: Jensen Beach State: _
Zip Code: 349574 Fax:
Phone No.408-6123
Address: 1720 NW FEDERAL HWY
City: STUART State: FL
Zip Code: 34994 Fax: 692-9744
Phone No. 692-0090
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail: MICHAELLGOODWIN@YAHOO.COM
State or County License: CGC 1508437
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SURPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION;
DESIGNER/ENGINEER: _ Not Applicable
Name: FLORIDA ALUMINUM ENGINEERING
MORTGAGE COMPANY: _ Not Applicable
Name:
Address: 6440 MARINER STREET 110
Address:
City: TAMPA State:
Zip: 33609 Phone: 813-3742403
City: State:
Zip: Phone:
FEE SIMPLE TITLEHOLDER: _ 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 concurre view: room additions,
accessory structures, swimming pools, fences, walls, signs, screen rooms and acce ry us s to an ther non ential use
WARNING TO OWNER: Youilla/flurl, cord a Notice of Commen ment y res tin o r ying twice for
improvemen to yfrur pgr�pr e of Commencement st be r cord a o ed on the jobsite
before th irs i ec n.y to obtain financing, c nsult le er r ttorney before
comm tf B tice of Commencement.
t
s
Signatur f Owner/Le ee/ traMor as Agentfor Owner Signature of Contractor/ tense Holder
STATE OF FLORIDA STATE OF FLOR�pA
COUNTY OF_c;7T .(�iCl� COUNTY OF 'ST,c
The forgo' g instrument was acknowledged before me The forgoi g instrument was acknowledged before me
this day of Akf/ 201�by this /&VW of �{%%// 20 by
A1/G/11,7Z1 aE3o%i/_a)//l)
(Name of person acknowledging ) (Name of person acknowledging )
(SignatufeDMutary Public -State of Florida) (Signature o ry Public - State oTFlorida )
Personally Known ✓ OR Produced Identification
Type of Identification Produced
Commission No.
MY COMMISSIGN S FF 173907
Revised 07/15/201
Personally Known ✓OR Produced Identification
Type of Identification Produced
Commission No.
2018
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