HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONa
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED /
Date: SCANNED Permit Number:11111111b Ian/
BY
St. Lucie Countv
Building Permit Application
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 x Residential
FP
ERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
ROPOSED IMPROVEME(VT LOCATIQN; r: , ,
Address: 9650 S OCEAN DR 1907, JENSEN BEAH, FL
Legal Description: THE PRINCESS OF HUTCHINSON ISLAND UNIT 1907 (OR 301
Property Tax ID #: 450-610-0177-000-7
Site Plan Name: RASMUSSEN
Project Name: RASMUSSEN
Setbacks Front NA Back: NA
Right Side: NA Left Side: NA
DOOR REPLACEMENT (1OPENING WITH EXISITING SHUTTERS)
Lot No.
Block No.
k CONSTRUCTION INFORMATIQN:'i'
Additional work to be nertormed un er t is permitTk all app y:
C�HVAC Gas Tank ❑Gas Piping_ Shutters Q Windows/Doors
ElElectric 0 Plumbing ❑Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: _
Cost of Construction: $ 7200.00
S Ft of of First Floor: _
Utilities: iSewer Septic
Building Height:
OUI7NER4ESSEE;
CONTRACTOR. _
Name RASMUSSEN, PHILLIP& CYNTHIA
Name: MICHAEL GOODWIN
Address:43 QUARRY RD
Company: JENSEN BEACH ALUMINUM
City: PORT LUDLOW, WA State: _
Zip Code: 98365 Fax:
Phone No.360-821-1060
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.
Utamriicn/CIVb11Vttm _ IVOL APPIIca Die MORTGAGE COMPANY: Not Applicable
Name: FLORIDA ALUMINUM ENGINEERING Name:
Add res5: 5440 MARINER STREET SUITE 110 Address:
City: TAMPA State: City: State:
Zip: 33609 Phone: 813-374-2403 Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable BONDING COMPANY: _Not Applicable
Name: _
Address:
City:
Zip:
Name: _
Address:
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 er it applications are exempt from undergoing a full concurrency review: room additions,
accessory structures, s im ing pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
WARNING TOO R Your failure to Record a Notice of Comme emen m result in your paying twice for
improv ents to y r roperty. A Notice of Commencement s be %cgr*,d and posted on the jobsite
before hA fir�t in p ct n. If you intend to obtain financing, co t wi I er or an attorney before
Signature
as
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF S% . VC/e57 COUNTY OF <-7—
The forgo' instrument was acknowledged before me The forgoing instrument was acknowledged before me
thi{� dyof��/L 20%-9by tf r{�7� of /��/p/ 20/9 by
(Name of person acknowledging) (Name of person acknowledging )
(Signature of Notary Public- State of Florida) (Signature of Notary Public- State o Florida )
Personally Known i OR Produced Identification Personally Known ✓OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. `- Commission No. ....,
A.GAUMOND AN WG UMON
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Revised 07
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