HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONti
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Q ^
Date: Z �q
SCANNED Permit Number. L
�--T
BY RECEIVED
St. Lurie County
• Building Permit Applicafi n FEB 0 5 2019
Planning and Development Services ST, Lucie County, Permitting
Building and' Code Regulation'Division
2300 Virginia. Avenue, Fort Pierce FL 34992
Phone: (772)462-15S3 Fax: (772) 462-15 78,Comfnercial Residential X
PERMIT APPLICATION FOR: �
Address: 10152 SE Ocean Drive #412
Legal Description: Atlantis Condominum Bldg B Unit 412E and Pro-Rata share in common elements (or 325-178;3883-1779)
Property Tax ID #:. 4502-803-0029-000-7 Lot No..
Site Plan Name:
Project Name; Pennink
Setbacks Front Back: -_Right Side: Left Side:
Install Accordion Shutters
BlockNo.
.nouuiondi wurKLo ue en VIrIIeU wiuer. LIM pemnL—LneeK du
Elko AC Gas Tank ❑Gas Piping
_ dppry;
X Shutters
windows/D'oors
Electric F� Plumbing
❑Sprinklers
Il Generator
LI Roof Roof'pitch.
ToUiSq. Ft ofConstruction:
5 : Ft. of First Floor:
Cost of Construction: $ 12, WO
00 Util-dies:U5ewerE]Septic
Building Height:
OWN'ER/LESSEE:
^-
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CONflVM- R? - -
Name EV1044
perinift 1C
- -
� Name' John Zervopoulos
Address: 10102. s DCAA d ✓i✓t y 1
Company: AdvancedHurrcaneProtection
.City: dense„ TWACA State: FL
Zip Code: tlgs Fax:
Phone No. -1'79 - ;a0 lad.
Address: 4517 SE Commerce Ave
City: Stuart Stater FL
Z p:Code: 34997 Fax:
Phone No. . 772-220-1200
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the,Ownerlisted above)
E-Mail: lohn@advancedhurricane.net
State or County Licenser CBC1259339
If value of construction is $2500 or more, a RECORDED Notice of Commencement is -required.
�SUPPLEMEIVT�LICON'STRUCTIONLIENr'LAU1/IfVFOR
AM
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby;made to obtain a`permit tddo the work and, installation as indicated.
Lcertify that no work or installation has commenced prior to the issuance.of a permit:
5t. Lucie Counttyy makes,no representation that is granting a permit will authorize the ermit holder to build the subject structure
which is in conflict with any applicable,Home Owners Association rules, bylaws or an9covenants that -ma y restrict or prohibit such
structure. Please consult with:your Home Owners Association and review your deed for any restrictions which mayapply..
In cohsideratioh 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 CountyAmendmeritsi
The following building permit applications are exempt from undergoing a fulhconcurrencyreview: room additions,
accessory structures,,swimming pools jfences, walls,, signs, screen rooms.and:accessory uses to anothernon-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 job'site
before the first inspection. If you intend to obtain financing; consult with lender or an,attorney before,
commencin work, or record' cNotice of Commencement. _.
Rev..8/2/1j
AM
DESIGNER/ENGINEER:
Name:
Not Applicable
'MORTGAGE COMPANY:
.Name:
_NotApplicable
Address: -
Address:
City:
Zip. Phone
State:.
_
,City:; _
Zip:... .Phone:
State:
FEE3IMPLETITLEHOLDER:
Name:
_.NotApplicable
BONDING COMPANY:
Name: _
_Not.Applicable
Address:
Address:.
'City:
Gify:.
Zips 'Phone:
Zip:,' Phone'-,
_
" _.ature of Owe r Lessee Contractoras AgenYfor Owner
- ' nature, - ntractor/License Holder ' "
5T FLORIDA
S E OF FLORIDA
COUNTY OF rl
;COUNTY OF ..Martin
The forgoing instrument was acknowledgedbefore.me
The forgoing instrumentwasacknowledged before :me
thsL_day of� ��.u-20f� by
'tFiis ttm dayof oecemoer ,20ta by
�hn �.p y�V,,,,,g,p rn, �
John Zervopolous
' Name of person making statement
Na"me of.person making'statement.
Personally Known OR Produced Identification.
Personally Known _x OR Produced Identification
Type of Identification
lype.of Identification.
('Pr�odu�ced
Produced. _
($ignat re of Notary Public -State of Florida)
(Signatur 'ofNotaryPublic- f I
Commission No.�e Ic I1
NBT�W State of Florida
Notary Pubuc State of Flonda
mmission,No: GG133395 >` � A(�I(Ea�A Ewoldt
� ubuc
?o Melissa A Ewoldl
o My Commission GG 133395
y� MyCommisswnGG133395
�o� ExpvesOB/10/2021
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