HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
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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:
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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.
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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
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':;: MY COMMISSION # GG 269714
:F..... ;,d= EXPIRES: December7,2022
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REVIEWS
FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
DATE
COMPLETE
INITIALS