HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:�_�N-A Permit Number:
RECER'r-ED FEB 0 6 2017
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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 Residential X
PERMIT APPLICATION FOR: Electrical
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Address: 10044 S OCEAN DR UNIT 505,JENSEN BEACH,FL 34957
Legal Description; SEA WINDS CONDOMINIUM APT 605(OR 3789-2797)
Property Tax ID#. 4502-804-0037-000-9 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
41A
Replace existing kitchen fluorescent light fixtures with recessed lighting. Install a dedicated Electrical
circuit for existing Microwave. Convert all Kitchen and Bathroom outlets to GFCI as required by code.
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Adclitionalwar l(to0epe ormed under this permit-cneCK all I=apply:
0HVAC L_J Gas Tank F]Gas Piping Shutters Q Windows/Doors
Electric Plumbing OSprinklers Generator F]Roof Roof pitch
Total Sq.Ft of Construction: Sq.Ft.of FirstFloor:
Cost of Construction:$ Utilities: Sewer L=1 Septic Building Height:
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Name ROBYN BATSON Name:. X e-L)I-?n6;e
Address:3 PALMETTO DR Company: h AJ ff) AVAI
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City: STUART State:FL Address:jo C_ 1,r
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Zip Code: 34996 Fax: City: 4 W state:
Phone No.954-553-1778 Zip Code'. 31-P S"5 Fax:
E-Mail:ROBYN'.BATSON@GMAIL.COM Phone No. '7'2a.3:?O .59/3
Fill in fee simple Title Holder on next page(if different E-M a i I--" )L WIAW Q_b-P-I 1:5W+h,-.
from the Owner listed above) State or County License: fit' /366.-0fi11;L
If value of construction is$2500 or more,a RECORDED Notice of Commencement Is required.
SU�Pf?EMENTAL CONSTRUCTION CION`tAW``INFORMATIQN ��, � L � 'f �' � a ��
DEStGNERJENGINEER: x�.Nat Applicable MORTGAGE CClMPANY:Y xy Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: 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.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:roam 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 pasted on the jobsite
before the first inspection. If you intend to obtain financing,consult with lender or an attorney before
commen ' tvak or recording your Notice of Commencement.
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Sign atu f w er/Lessee/Contractor as Agent for Owner ZSTAATEOFFLORID�3
a of ntractor/License Holder
STATE OF FLORIDAp
COUNTY OF V t COUNTY OFI?i
The forgoing instrume t was acknowledged before me The f rgoing instr ent was acknowledged before me
this f day of �r �..,� a 20 1 by this day of fl 2t) ( by
(Name of person acknowledging) (Naperson acknowle ging)
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(Signature of Notary Public-State of Florida j (SiT ure of Notary P tc-State of Florida}
Personally Known^ OR Produced Identification Personally Known OR Produced Identification
Type of Identification Produced Type of Identification
DENISE R SMETANA
Commission Na.FFC)OI' t oD u (Seal) Commission No. �, r a Notarx§@*-State of Florida
Commission+R FF 931316
"'i'-• EDWARBK CH '+ °;` My Comm.Expires Jul 11,201
Notary Public-State of Fiprida '"f+��+ through National Notary Assn.,
RMy Comm.Expires Oct
Revised 07/15/2014 .8,2017
=; Commission is FF027328
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
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