HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: S• 7 l 2 •1 9 SCANNED Permit Number: �l q 0 v I
111111111111hBY
,err, N St. Lucie County RECEIVED
a
Building Permit Application MAR 2 6 2019
Planning and Development Services IST,Building and Code Regulation DivisionLucie County Permitong
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential
PMIT APPLICATION FOR: To Select from dropbox click arrow at the end of line II
QPOSED IMPROUEMEfVT LOCATION:
Address: 9490 S OCEAN DR 209 Saint Lucie
Legal Description:
OCEAN TOWERS CONDOMINIUM A- UNIT209 AND UNDIV SHARE IN COMMON ELEMENTS
ProoertvTax ID #: 3535-701-0008-000/0
Site Plan Name: Derosso
Proiect Name: Derosso
Setbacks Front NA Back: NA Right Side: NA Left Side: NA
WINDOW REPLACEMENT(1 OPENING IMPACT)
3188- ...
Lot No.
Block No.
sltSu4.uuly nururclvlHlluiv.. °„ ,.,- _ . .,~-
onal work to be pertormed under tis permit — cneCK a a apply:
HVAC Gas Tank ❑Gas Piping ❑ Shutters Windows/Doors
Electric ❑ Plumbing []Sprinklers ❑ Generator ❑ Roof ❑ Roof pitch
Total Sq. Ft of Construction: _
Cost of Construction: $ 1000.00
S Ft. of First Floor:
�_
Utilities. 5ewer Se
Building Height:
'OWNER/LESSEE:
_
CONTRACTOR:
Name Daniel J Derosso Victoria R Derosso
Name: MICHAEL GOODWIN
Address:32 Briarcliff Rd Shoreham, NY 11786-0000
Company: JENSEN BEACH ALUMINUM
City: State: _
Zip Code: Fax:
Phone No.485-4089
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.
f
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: Not Applicable
Name: FLORIDA ALUMINUM ENGINEERING INC
_
Name:
Address: 6440 MARINER STREET 110
Address:
City: TAMPA State:
City: State:
Zip: 33609 Phone: 613-3744516
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
BONDING COMPANY: _Not Applicable
Name:
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 concurrency review: room additions,
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to anoth non-residential use
WARNING TO OWNER: Your failure t ec d a Notice of Commencement may re I your paying twice for
improvements t our pro y A oti of Commencement must be ecor d posted on the jobsite
before the fi in a io f to to obtain financing, co t th I d ran attorney before
commenci wor re rd' o otce of Commencem
S
Signature of Owner/Lessee ntr for as Agent for Owner
tu_r_e6TU5`ntractor/LiELyse Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF ST I,]TCiI,--
COUNTY OF_� /Oe�
The far o' g instrument was acknowledged before me
th ay of G/f�iQC 20ILby
The forgoing instrument was acknowledged before me
thigx7 oay of Z,/l / 20 by
(Name of person acknowledging )/y7
(Name ofpe/rrssown' acknowledging
(Signatur&-af-Notary Public- State of Florida)
(Signature otary P- ubTiic- State of Tloricla )
/OR
Personally Known ✓ Produced Identification
Personally Known 1Z OR Produced Identification
Type of Identification Produced
Type of Identification Produced
Commission No. Seal)
Commission No. MPall
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Revised 07I15(201 %: q;:` MRES'Dece�rDer�
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