HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
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: 10072 S OCEAN DR 7 NORTH JENSEN BEACH, FL 34657
Legal Description: CLARIDGE BY THE SEA
Property Tax ID #: 4502-805-0011-000-4
Site Plan Name: ROGER SAHNI
Project Name: SAHNI RESIDENCE
Setbacks Front Back: Right Side: Left Side:
CHANGE OUT 2 AC SYSTEMS 3 TON/ 16 SEER/ 8KW
®H VAC
❑ Electric
"Shutters
❑ Plumbing Sprinklers 11 GeneratorRoof Roof Fitch
Lot No.
Block No.
❑ Windows/Doors
Total Sq. Ft of Construction:
Cost of Construction: $ 13,200
S Ft. of First Floor: _
Utilities: Sewer 0 Septic
Name ROGER SAHNI
Address: 10072 S OCEAN DR 7 NORTH
City: JENSEN BEACH _ State: FL
Zip Code: 34657 Fax:
Rhone No. 772-229-2992
E -Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Name: STEVIE SANDERS
Building Height:
Companv: STEPHEN K DENNY
Address: 406 COMMERCE WAY
City: JUPITER State: FL
Zip Code: 33458 Fax:
Phone No. 561-743-9554
E -Mail: LSLATER@STEPHENKDENNY.COM
State or County License: CAC1813800
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
RV
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY. Not Applicable
_
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
BONDING COMPANY: Not Applicable
Name:
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
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 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 andted on the jobsite
before the first inspection. If you int to obtain financing, consult with lender or n torney before
commencinp,,Work or recording Y00r Notice of Commencement.
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORI
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The for oin instrument was acknowledged before me
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Name of person making statement
Name of person making statement
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Personally Known OR Produced Identification
Type of Identification
Type of Identification
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Rev. 8/2/17