HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO/MUST�I CoIII PLETED FOR APPLICATION TO BE ACCEPTED
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Date: �� Permit Number:
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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
PERMIT APPLICATION FOR: Window/door
PROPOSED IMPROVEMENT LOCATION,
Address: 10410 S OCEAN DRIVE JENSEN BEACH, FL 34957
Legal Description: HUTCHINSON ISLAND CLUB
Property Tax ID#: 4511-514-0000-000/9 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK }
THIS IS A LABOR ONLY PERMIT APPLICATION AS CONDO ASSN IS PROVIDING DOORS. THE FOLLOWING DOORS WILL BE
REPLACED AT UNITS: 201,202,203,204,205,206,207,208,209 AND STORAGE DOOR
:'CONSTRUCTION INFORMATION.
Additional work to be nertormed under this permit—check all that appy:
OLHVAC _I Gas Tank Gas Piping _Shutters a Windows/Doors
11 Electric 0 Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ 7000.00 Utilities.. Sewer]Septic Building Height:
ODUNER/LESSEE CONTRACTOR:
Name HUTCHINSON ISLAND CLUB CONDO ASSN Name: MICHAEL ROBERTS
Address:10410 S OCEAN DR Company: SPECIAL FORCES RESTORATION &CONE
City: JENSEN BEACH State:FL Address: 1235 NE DIXIE HWY
Zip Code: 34957 Fax: City: JENSEN BEACH State:FL
Phone No.772-229-0357 Zip Code: 35957 Fax: 772-334-4131
E-Mail: Phone No. 772-334-2990
Fill in fee simple Title Holder on next page(if different E-Mail: TAMMY@SPECIALFORCESUS.COM
from the Owner listed above) State or County License: CGC 059083
1f value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
rSM1n.UOPE5EMENTAL CONSTRUCTIONLI;EN,.LAW INFORMATION:
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: BREITENBACH ENGINEERING Name:
Address:4853 SE PILOT WAY Address:
City: STUART State: FL City: State:
Zip: 34997 Phone: 772-834-4743 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 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 jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commerlqng work or recordin our Notice of Commencement.
s
_Signature of Owner/Lessee/Agent 'Signature ofContractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF MARTIN COUNTY OFMARTIN
The forgoing instrument s acknowledged before me The forgoing instrument was acknowledged before me
this day of 20 a'by this 7TH day of IDLY 20 /Sby
MICHAEL ROBERTS
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary Public-ftate of Florida) (Signature of Notary Public-Stafe of Florida)
Personally Known OR roduced Identification Personally Known X OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. 0:r r Seal) Commission No. ar ry
`��, TAMERALOFLAND .....�� RALOFLAND
* * MY COMMISSION 4 FF 01 * * MY COMMISSION 9 FF 014554
tArinto;may u.ZU 'RANREG:May 6,201?
Revised 07/15/2014 E��°"�s 8MdTAraeudgetNoWySe"m "t"a ff dee Witfu0a9goNfty8okin
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS