HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE IN' FO MUST BE COMPLETED FOR APPLICATION TO:BE ACCEPTED
Date: J�9 Permit Number: O - C �{ 7
' L6uppiwi9d 1A1unoD9Pn-I '1SBuilding Permit ApplicatioPlanning and Development Services R 9 0 83JBuilding: and CbdeRegulation Division
2300 Virginia Avenue, Fort Pierce FL 34982. 3 13
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial
PERMIT APPLICATION FOR:
Address: 10152 SE Ocean Drive #417
Legal Description: Atlantis Condominum Bldg B Unit 417B and Pro -Rats share in common elements (or 3184-426: 3443-2469: 4074-1139)
Property Tax ID #:, 4502-803-0034-000-5 _ Lot No..
Site Plan Name: Block No.
Project Name: Marino
Setbacks Front, Back:
Right Side: Left Side:
Install Accordion Shutters (�) SCANNED
BY
St. Lucie County
CONSTRUCTJO:NINFORMATIO'N;
-Additional wor to e e orme un ert ispermn-c ec a apply:
QHVAC Li Gas Tank RGas Piping X- Shutters ❑ Windows/Doors
Electric O Plumbing ❑Sprinklers r7i Generator Roof = Roof pitch
TotalSq.FtofConstruction: _
Cost of Construction:$ y[OQd•(9
S Ft. of First Floor: _
Utilities:ll Sewer Septic
Buililing;Height:
--
Name U1111idayi AUV4,,fo - --
Name - iohn Zervopoulos-
Address: 9-3 WW INOOd QOOd
Company: Advanced Hurricane Protection
:City: Old L % v`I, Stater CT
Zip Code: OOU t-1 f Fax:
Phone No: 7-1 A- a 9 O• /d Q0
Address. .4517 SE Commerce Ave
City: Stuart State: FL
Zip -Code: 34997 Fax:
Phone.No. 772-220-1200
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail: John@advancedhurricane.net
'State or County License: CBC1259339
If value of construction is $ZS00 or more, a RECORDED Notice of Commencement is required.
(SUPPLEMENTAL CONSTRUCTION UEMIAVU/1NFQ:RMATION_.;
DESIGNER/ENGINEER:'
Name:
_Not Applicable
MORTGAGE COMPANY: _ Not Applicable,
Name:
Address:
Address:
City:
Zip: Phone
State:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
Name-
Not Applicable
BONDING COMPANY: _Not Applicable
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 oe installation has commenced prior to the issuance of a permit
St. Lucie Court makesno representation that is granting a permit will authorize the permit holder to build the subject structure
which is in conflict with any.applicable Homeowners Association rules, bylaws or antl covenants that may restrict or prohibit such
structure. Please consult with your Home Owners Association and review your deed for any restrictions wtnch may apply...
In consideiratid l 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.Si. Lucie County Amendments.
The following building permit applications'are exempt from undergoing a fullconcurrency 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.
S' _atureof r essee/Con ractorasAgentforowner-
�Si nature of actor/License Holder
STATE 0. LORIDA
STATE OF FLORIDA
COUNTY OF .(YNojj{T ;
COUNTY OF- - _ Martin
The.forgoing in rumentwas acknowledged before.me
The forgoing:instrument was acknowledged before me
this II %day.ofL no n-,it- , 20M by
this ttm day of.. December 20 is by
- A^iin 7ervhc�,o.Om.n�
John Zervopolous
Name of per— s� kingstafement. -
Narrie_of person making statement
Personally Known�`'OR Produced Identification _
Personally Known X_ OR Produced identification
Type of Identification
Type of Identification,
Produced
Produced
DC) it9At?inn.)& ZFW&Aal -
C�� o0�,cAT- t�d�
(Signs re of.Notary Public -State of Florida)
((Sig�re.of Notary.Public-State.of Florida)
Commission No.GG1333 q5 o V I) Notary Pubic State
rQiBd lis n NO. GG133395 o1*41', ealbteryPu- Sate of
? Melissa A Ewoltll
Commission GG
? Melissa A Ewoldt
33395 My Commission
Expires 08/10/2021
-x
a` GG 1
14 or Expires 09/1012021
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER,
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE"
COMPLETED
Rev. 8/2/11