HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED `R
Date: 5-11-16 Permit Number:
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 Residential X
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
Address: 10851 S Ocean Drive, Jensen Beach FI.
Legal Description: Windmill Village By the Sea Condminium Not Unit 129 and Pro - Rata Share in common
elements (or 3737- 1850)
Property Tax I D#: 4511-810-0136-000-0 Lot No. 129
Site Plan)dame: Block No.
Project Name: j
Setbacks Front Back: Right Side: Left Side:
Replacing existing rusted out RV pedestal/ Like for like
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Additional work toe e orme under tispermit—c ec a appy: is
is
HVAC E]Gas Tank ❑Gas Piping _Shutters Q Windows/Doors
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Electric El Plumbing []Sprinklers 1:1 Generator EiRoof
Total Sq.Ft of Construction: S . Ft.of First Floor:
Cost of Construction:$ $330.00 Utilities. Sewer E]Septic Building Height:
Name Ernesto B&Marta R. Hernandez Name: Kenneth Geremia Jr.
Address: 11582 N 60th N.Street Company: Gerelco Electrical
City: West Palm Beach State: FL. Address: 560 NW Enterprise Drive I
Zip Code: 33411 Fax: City: Port St. Lucie State: FL.
Phone No. 772-229-1145 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: EC-13003415
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If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
F.
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DESIGNER/ENG I NEER:
-...-------..-DESIGNER/ENGINEER: x Not Applicable MORTGAGE COMPANY: x Not Applicable
Name: Name: .
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: X Not Applicable BONDING COMPANY: 1Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
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
commencing work or recordin our Notice of Commencement.
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_Signature of Owner/Lessee/Agent Signature of Contr ctor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF St. Lucie COUNTY OF St. Lucie
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me �.
this 11 day of May 20 16bp this 11 day of May 20 16 by
(Name of perso acknowledging) (Name of person ack ledging)
nature of Notary Public-State of Florida) (Si re of Notary Publ' of Florida}
OR Produced identification Person 11 Known �tate
Produced Identification
Personalty Known
Type of Identificatio Produced Type ofd do Pr f
-,-�• -� �� • � MY COMMISSION#FF
Commis [qii '1v! hf!°oREI) Commi s�+g -
C:ORM1it4i5SION,#FF909394 '.,??,,,,I•', S October 11,20�9
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DATE
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INITIALS