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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: so, Permit Number: 10@9 • t IND FQ s R J St �t1!'/O ey t>ECENED ® 0.0 Building PE' knit Application jug 0546 Planning and Development Services ,,,mittin9 Dep3ftment Building and Code Regulation Division St. Luce 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 Address: 10000 S OCEAN DR 904, JENSEN BEACH Legal Description: THE MIRAMAR UNIT 904 AND PRO-RATA SHARE IN COMMON ELEMENTS (OR 3654-2809;3945-1056) Property Tax ID #: 4502-701-0049-000-0 Site Plan Name: COOPER Project Name: COOPER Setbacks Front NA Back: NA Right Side: NA Left Side: NA WINDOW REPLACEMENT (2 OPENINGS WITH EXISITING SHUTTERS) Lot No. Block No. CONSTRUCTION=INFO,RMATION: ' t ffi;I rtiona wor to e e orme un ❑HVAC ert is permit — cneCK all apply: Gas Tank ❑Gas Piping_ Shutters Windows/Doors ❑Electric 0 Plumbing Sprinklers ❑ Generator Roof ❑ Roof pitch Total Sq. Ft of Construction: SgI�Ft.I of First Floor: Cost of Construction: $ 2485.00 Utilities: LJSewer Septic Building Height: _OWNER/LESSEE:% .r , CONTRACTOR: Name COOPER DENI (LF EST) Name: MICHAEL GOODWIN Address:10000 S OCEAN DR 904 Company: JENSEN BEACH ALUMINUM City: JENSEN BEACH State: FL Zip Code: 34957 Fax: Phone No. 772-631-6939 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 IT vaiue or construction is %z5uu or more, a RECORDED Notice of Commencement is required. t SUPPLEMENTALCONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: _Not Applicable Name: FLORIDA ALUMINUM ENGINEERING MORTGAGE COMPANY: _ Not Applicable Name: Address: 5440 MARINER STREET 110 Address: City: TAMPA State: FL Zip: 33609 Phone: 813-374-2403 City: State: Zip: Phone: FEE SIMPLE TITLE HOLDER: _ 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 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 to Record a Notice of Commenceme ay res n ur paying twice for improvements to your prop y. A Notice of Commencement must r rd n posted on the jobsite before t i tins cY n./If y intend to obtain finan ' g, consu attorney before c c rd" our Notice of Commence s Signatulle of Owner/Less ntractor as Agent for Owner Signature of Contractor/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF �_!)C/� COUNTY OF c2T. The forgo-ng instrument was acknowledged before me this y of t/ 20/10-by The forgoing instrument was acknowledged before me this E!Nsy-off--1-06y 20 L2_ by (Name of person acknowledging ) (Name of person acknowledging ) (Signature f-Notary Public- State of Florida (Signature tary Public -State of Florida ) Personally Known —L OR Produced Identification Personally Known OR Produced Identification Type of Identification Produced Type of Identification Produced Commission No. Seal Commission No. (Seal) :%:':;'••;, ANN M. GAUMOND ,..fii>;'••., ANN M. GAUMOND Revised07/15/201 _• '�' "`•` '•` �= IXPIRES:Dewm6er7,2021 Bmded llw Nash PibGdtJ9&rxlReie ':;: MY COMMISSION # GG 269714 :F..... ;,d= EXPIRES: December7,2022 '. Osc•,0,.• BOndedTleu Nogry POW U9dermtem REVIEWS FRONT COUNTER ZONING REVIEW SUPERVISOR REVIEW PLANS REVIEW VEGETATION REVIEW SEA TURTLE REVIEW MANGROVE REVIEW DATE COMPLETE INITIALS