HomeMy WebLinkAboutpermit applicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 7/25/2016 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
PERMIT APPLICATION FOR: Electrical
Commercial Residential XX
PROPOSED IMPROVEMENT LOCATION:
Address: 10851 S Ocean Dr. Lot # 39 Jensen Beach, FL 34957
Legal Description: WINDMILL VILLAGE BY THE SEA CONDO NO 1 UNIT 39
AND PRO RATA SHARE IN COMMON ELEMENTS (OR 2663-2257: 2749-689:3840-974)
Property Tax ID #: 4511-810-0046-000-2
Site Plan Name:
Project Name: CASTILLO
Setbacks Front Back:
DETAILED DESCRIPTION OF WORK:
EMERGENCY REPAIR
REPLACE PEDESTAL WITH SAME
Right Side: Left side:
***************NEED EMERGENCY INSPECTION TODAY***********************
CONSTRUCTION INFORMATION:
Additional Work toe e orme un er
1JHVAC Gas Tank
Electric Q Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 1595-00
tnis permit --cl
DGas Piping
Sprinklers
a
Lot No.
Block No.
LJ Shutters E]Windows/Doors
ElGenerator F]Roof
S Ft. of First Floor: _
Utilities: USewer F—I5eptic
[OWNER/LESSEE:
Name SILVIA CASTILLO
Address: 13971 SW 109 STREET
City: MIAMI State:FL
Zip Code: 33186 Fax:
Phone No.
E -Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
CONTRACTOR:
Building Height_
111
Name: FRANK FITZPATRICK
Company: ALFRED BRESSAW ELECTRICAL CONT INC
Address. 654 NE DIXIE HWY
City: JENSEN BEACH State: FL
Zip Code: 34957 Fax: 7723348776
Phone No. 772334.4014
F -Mail: ABRESSAW@HOTMAIL.COM'
State or County License: EC0000915
If value of construction is $25oo or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable
Name:
MORTGAGE COMPANY: Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone:
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 thepermit 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 l will, in ail 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 recording your Notice of Commencement.
_ Signature of CIrvner/ Lessee/Agent
Signature
STATE OF FLORIDA�y STATE OF FLORIDA
COUNTY OF W// COUNTY OF
The f rgoing instruWnt Vas �� acknowledge I before me
thiay of t 2p by
(Name of person acknowledging)
Signature of Notary Public -State of FI _ a )
Personally Known �OR Produced Identification
Type of IdWJifi Up,@,RWd"ed.. a _ _ _ _ __
a Notary Public State of Florida
Commissi (Seal)
® 4� tiny Commission FF 012576
®" Ro Expires 05!21!2017
Revised 07/15/2014
REVIEWS FRONT ZONING
COUNTER I REVIEW
DATE
COMPLETE
INITIALS
Holder
The oing instrurrr nt Was acknowledged before me
thi day of �4 20 by
(Name of person acknowledging )
taA
(Signature of Notary Public -State ofI`aJida )
Personally Known __�OR Produced identification
Type of Identifir*puoRpQALcwrl+_.t+ % kA ...
Commission
SUPERVISOR I PLANS
REVIEW REVIEW
Notary Public State of Florida
Dianna KnightSeal
My ommission FF 012576
..
OrFV Uxfiires05121f2017
VEGETATION SEA TURTLE I MANGROVE
REVIEW REVIEW REVIEW