HomeMy WebLinkAboutBuilding Permit Application �-v
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 5-28-15 Permit Number. 4/
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Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982 x
Phone:(772)462-1553 Fax: (772)462-1578 Commercial Residential
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of lineElm RKANNEM
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Address: 10851 South Ocean Drive Lot#20
Legal Description: Windmill Village By The Sea Condominium No 1 Unit 20 and pro rata share in common elements
(or 2595-2191)
Property Tax ID#: 4511-810-0027-000-3 Lot No.
Site Plan Name: Block No. i
Project Name: I:
Setbacks Front Back: Right Side: Left Side:
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Remove and replace the existing damaged 125 amp RV pedestal
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Ill:I IS 11 110M
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Additional work to e Dertormed under tis permit–c ec all Mat appy: i
i.
HVAC —Gas Tank Gas Piping IJ Shutters Q Windows/Doors is
Electric 0 Plumbing []Sprinklers Generator E]Roof
Total Sq. Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ 400.00 Utilities: Sewer F ]Septic Building Height:
Name Fernando Gattorno Sr.&Fernando Gattorno Jr. Name: Kenneth Geremia
Address: 5627 SW 100th Ave Company Gerelco Electrical i
City: Cooper City State: FL. Address: . 560 NW Enterprise Drive
Zi Code: 33328 Fax: City: Port St Lucie State: FL :
Zip .
Phone No. 772-219-4474 Zip Code: 34986 Fax: 772-340-7475
E-Mail: Phone No. 772-340-7474 ;
Fill in fee simple Title Holder on next page(if different E-Mail: bwillard@gerelco.com
from the Owner listed above) State or County License: �� i
If value of construction is$2500 or more,a RECORDED Notice of commencement is required.
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May. 29. 2015 8:34AM Gere lco No. 5260 P. 1/1
505 -0 q 3V
PDES I IN EENGINEER:������
jyL Not Applicable MORTGAGE COMPANY: X Not Applicable
Name: Name:
Address: Address:
City: State: city:
Tip: Phone: ZIP: Phone:
FEE SIMPLE TITLE HOLDER: X Not Applicable BONDING COMPANY: X 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.Lurie County makes no representation that is granting a Permit will authorize theermit holderta build the subject structure
which Is in canClIct with anY 9
applicable Home Owners Association rules,bylaws or an covenants that may restrict or prohibit such
structure.Please consult with your Home Owners Association and review your dead 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 5t.Lude County Amendments.
The following building parrnit applications are exempt from undergoing a full concurrency review.room additions,
accessory structures,swimming pools,fences,walls,signs,screen rooms and accessory usesto another non-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 Jo6slte
before the first inspection.If you intend to obtain financing,consult with lender or an attorney before
cornmencing-Workor reco In our Notice of Commencement.
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signature of owner
Signature of Contractor/License Holder
T- TLessee,1ACent
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF COUNTY OF.---. -.-5t Lucia
TheInstrument Was acknowledged before me The forgoing instrument was acknowledged before me
this ap" ayof this 28thdavof. MaY 20 15 by
Kenneth'Geramia
(Name of person ac wledging) (Name of person knowledgins)
re of Notary Public-State of Florida), WChature of Notary P blic-State of Florida)
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Personally Known OR Produced Identification Personally Known OR Produced identification
Type of ldentlficati�n—Produced Type of Ident1ficat YnProduced
y TOR I L WAR sl
Commission No. spa on No. '1'.hV;M,, (Seat
FO I L WARN I`
NIVOOMMISSION 0 rz 114190
MY COMMISSION#EE l 4196
EXPIRES Octobef 1 Min
[(407)3a8-01 53EX IRES October 11-1, 16
Revised 07/15/2014 OMil -0153 _Flarldeftlpfy
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETA-17101\1 SEA TO RTI-V MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
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