HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE
INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
I -
RECEIVED !
Building Permit Application MAY 3 1 2016
I>:
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
PERMIT1APPLICATION FOR: p '
To Select from dro box, click arrow at the end of line
Address: I 10851 S Ocean Drive Lot 147,Jenesen Beach FI.
Legal Description: WINDMILL VILLAGE BY THE SEA CONDOMINIUM N01 UNIT 147 AND PRO RATA SHARE IN COMMON ELEMENTS
(OR 1723-2257)
Property Tax ID#: 4511 810 0154 000 2 Lot No. 147
Site Plan Name: Block No.
Project Name: !`
I
Setbacks Front Back: Right Side: Left Side:
REPLACED BROKEN LUG IN METER SOCKET JAW
f
I.
I
Additional work toe e orme under is perm —checka appy:
EIHUAC El Gas Tank ❑Gas Piping Shutters a Windows/Doors
i
11EI Ictric El Plumbing []Sprinklers Generator Roof
Total Sq. Ft of Construction: S . Ft.of First Floor:
Cost of Construction:$ $95.00 Utilities:]Sewer E]Septic Building Height:
slim 11
Name I Wayne&Caren B Bozer Name: Kenneth Geremia
Address 10851 S Ocean Drive Lot 145 Company: GERELCO Electrical
city: Jensen Beach State: FL Address: 560 NW Enterprise Drive 4
—
34957 Port St Lucie FL {
Zip Code: Fax: City: State: ,
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@gerelcoelectrical
from the Owner listed above) State or County License: EC 13003415 j
If value i f construction is$2500 or more,a RECORDED Notice of Commencement is required.
I
J
1A
NONE=
fi
ti
DESIGNER ENGINEER: x Not Applicable MORTGAGE COMPANY: x NotApplicable
Name Name:
Address; Address-
City: State: City: State:
Zip: I Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: x NotApplicable BONDING COMPANY; x Not Applicable
Namei Name;
Address: Address:
City: City:
Zip: I Phone-, Zip: Phone:
I
certify that no work or Installation has commenced prior to the Issuance of a permit.
St.LucieCoun make no represent tion that is granting a permit%11 authorize the permit holder to build the subject structure
which Is In con,7]lct wlt�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
impr 'vements to you property. Noticb of Commencement must be recorded and posted on the Jobsite
0 r
before the first Inspection if you Intend to obtain financing,consult with lender or an attorney before is
comni,encing work .r re;�rdlngvour Notice of Commencement.
S
Signature of Owner/Lessee/Agent Signature of Contractor/License Holder
STATE Or FLORIDA STATE OF FLORIDA
COUNTYOF ST LUCIE COUNTY OF ST LUCE
The forgoing Instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 127 day of 20 __L-by this 27 day of 20 16 by
(Name of person ac owledging) (Name of person a7ck dwiedging)
Juabfure of Notary Pu -State of Florida) re of'Notary Publ' State ofFlorida)
Personally Know, n )_R I)gndi Ired Idpritifiratinn Personally Known OR Produced Identification
Type of ldentlficatjn P ^RI L WARNER— rype of IdentIfic t ; uce
NE
MY CQIV�IKISSION N r-FW9324 MY COMMISSI�ftfflv
Commission No. AM 4-
EXR99-October-I 1-,-2019-- w_ii�c F20 . ......
'1___EXPJRa9_ ............ ..................
4 r 111 2019
07)398-0163 (407 39"if,3 pb,
Rersed 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS
.....................