HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
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Date: Permit Number: 1 0O(.D•t.SB -1
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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
OERMITAPPLICATION FOR: Plumbing
PROPSEDIMPROtVEMENTLO�gTIOuN � f � L
r.0 .f., .
Address: 9940 S OCEAN DR UNIT 608,JENSEN BEACH, FL 34957
legal Description: OCEANA OCEANFRONT CONDOMINIUM ONE APT 608 AND.7875 PERCENT INT IN COMMON ELEMENTS(OR 684-2928)
Property Tax ID#: 4502-502-0065-000-7 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DE �1!
ATAI'LED DESCRIPTI®NOFWOR�K , -- r
ems,`x�� B,xeS
'14" �S10�t� �7 ✓To�s �/o�� �� %?, Nero
v�jiac.a--torr �A/�LS ,
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CONSTR�IJCTIONINF®RMATION� � INN
=. ,'a-c. SFr. .�_ u Y.•,�"rr�C�.. „�.r.'✓+Y r. .3 N. '"-. ��'Se
r Additionalworkto e e orme under this permit—c ec a appy: _.._, .:d
HVAC 0 Gas Tank ❑Gas Piping _Shutters Q Windows/Doors
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El Electric 0 Plumbing Sprinklers E Generator 0 Roof Roof pitch
ITotal Sq. Ft of Construction: S .Ft.of First Floor:
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Cost of Construction:$ l tl dC� Utilities: ^Sewer F]Septic Building Height:
, ,: e•,+`rrx:�P afy +;''.�"'e^'��'�, '�a a '�' P r C4�T4 � TCaR
K wR0UNEESSEE l �x a 90
Name ROBYN BATSON Name: JOHN HYER
Address:3 PALMETTO DR Company: HYER QUALITY PLUMBING
City: STUART State:FL Address: :1 es® I 1Z i�>
Zip Code: 34996 Fax: City: �--a2'C PS,-_Cx_e_ State:FL
Phone No.954-553-1778 Zip Code: 34951 Fax:
E-Mail:robyn.batson@gmail.com Phone No. 772-462-1642
Fill in fee simple Title Holder on next page(if different E-Mail:
from the Owner listed above) State or County License: CFC1427856
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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SUPPLEMEN Al.CONSl'RIJCTION LIIEN LAUV INFOR,R,I ii'N
ry
DESIGNER/ENGINEER: x Not Applicable MORTGAGE COMPANY: Not Applicable
Name: Name:
Address:9940 S OCEAN DR UNIT 608.JENSEN BEACH,FL 34957 Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable
Name:ROBYN BATSON Name:
_ Address:3 PALMETTO DR Address:
City:STUART City:
iZip: 34996 Phone:954553-1778 Zip: Phone:
OWNER/CONTRACTOR AFFIDVIT:Application is hereby made to obtain a permit to do the work and installation as indicated.
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.
Iln consideration of the granting of this requested permit,I do hereby agree that I will,in all respects,perform the work
iln 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 financi It with lender or an attorney before
comm
garing work or recording our Notice of Comme cement.
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Sign ur wrier/-Lessee/Contractor as Agent for OwnerS' nature o tractor/ icens Holder
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STATE OF FLORIDA STATE OF ORIDA
COUNTY OF 5- :_ kc,"Z t z COU OF G,V-(C_
The forgoing instrument was acknowledged before me The forgoing instru nt was acknowledgedab�fore me
this�day of .20ybby this day of (� 20��5 by
Name of person making statement ry Name of person making statement
Personally Known_�OR Produced Identi at! z Personally Known OR Produced Identificati =o
Type of Identification o Type of Identification N? o
Produced .2 €_ Produced
o f o E Q
_off E e W Dov
wa•EEoEe
u ,`
1 ou 9
(Signature of Notary Public-State of Florida} (Signature of Notary Public-State of Florida}
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Commission No.6 L"' I 1,3 wASeal) • .
0k A",
Commission No.l� (T 13i .L (Seal) "`
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Ord** f°F
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17