HomeMy WebLinkAboutBuilding Permit Application All,APPLICABLE'INF#7 MUST BE'COMPL'ETED fOR APPLICAT..{ON TO�BE ACCEPTED foo.
Date: Permit-Number:
a
Building Permit Appication
Planiiing:and Development,Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34482
Phone:'(772)462-1553 Fax:(772)462-1378 Commercial Resldential-
PERMIT APPLCATl:ON FOR: Electrical
PROPOSED IN[PROVEMENT Loot,( :N
Address: 9640 S OCEAN DR UNIT 608,JENSEN:BEACH, FL 34957
Legal Description::ocEANA OCEANFRONT CONDOMINIUM:ONE APT 608 AND.7@75 PERCENT IN IN:GOMMON;ELEMENTS'(OR 684=2928}
Property Tax ID,#: 4502-502-0065-000-7 Lot,No.
Site Pian Name: Block No._
PrOjectName:
Setbacks _front _ Back: ... Right Side teft"Side: ..
DETAILED DESCRIPI`!ON Qf UUORK
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I/4 %�L�f',' ``��f/�-' ;- `/lam �'►%L+�c�Lv g , Lr 7✓Yf/ ����'�OG��/ r7�
/� /�j C:l.��`l /����i✓�OrnS � �'�,�' sV��s�/ Com«
C(1NSTRUCTI:ai 1NFORMATIQIV
Add
Itiona wor to e performed":under t Is permit-c ec a app y:
(J VAC E Gas Tank " Gas Piping Shutters Q Windows/Doors
ectric =Plumbing []Sprinklers Flenerator °.o Roof Roof pitch.
Tot i Sq:Ftof Constriction: S :.Ft.of First:Floor .
- -
Cost of Construction:$ ties. Sewer :Septic Building Height:
' ryO1NNER�LESSEE _ .;� COI�ITRACTOR t
Name=ROBYN BATSON Name: 301yu CQtV o`r
Address: �,(,1,,, � p ;Company: eA 1C.
.City:. STUAR-T State:FL Address:� 1(4 I S W a M
i a-`f tit
Zip Code: .34996 Fax: City.: (�L State:FL
:Phone No.954-553-1778 Zip Code: >1-4q S -1:) Fax:
=E-Mail:robyn.0atson@gmaitcom Phone=No. Z7 3a'a 9
Fill in fee simple Title Holder on next;page.j if different E-Mail:.) UKyano 6,08 2kxs'gf'_
from,the Owner.listed above) State or County License:
If value of construction Is$250D or more,a RECORDED:Notice of Commencement.is required.
I
i
;SUPPLEMENTAL CONSTRUCTION LCEN'LAW INFQRNIATION z
i,. DESIGNER/ENGINEER: x Not Applicable MORTGAGE COMPANY: _Not Applicable
Name:ROBYN BATSON _ ___. Name:.
Address:9940 S OCEAN DR UNIT 608,JENSENBEACH,FL 34957 Address:
City: MART State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable
Name:ROBYNBATSON Name:
Address: Address:
—�' „�, .
City:STUART- City:.
Zip: �4%6 Phone:ss--w3-17m 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 permitwill 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 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 our Notice of Commencement.
/
Signature o Owner/Lessee/Contractor as Agent for Owner SigITE
ifi of CO or License Holder
I
STATE OF FLORIDA L, ST OF FLO(
COUNTY OF _ ��f 1 _ COUNTY OF �'T.�u �'
The for ting instrument was acknowledged before me The fo�pIng inst ume t was acknowledged before me
this la_ day of —11-Lw— .20 j by this `toh!]
4 day of 20�by
O a V 17 oL (r
Name of pe on making statement —Name of person making statement
Personally Known ' OR Produced Identification Personally Known_i OR Produced Identification
Type of Identification Type of identification
Produced Produce
6a4_
(Signature of Notdry Public-State of Florida) (Si of Notary Public-State o
���� * COLLEEN KENNA
Commission N "�YM�°�- WENMABARD (Seal) Commission No. "e No abbiic,Stateo'9..I.
�I
commission#GG 070733
Commission#FF 159726
'v=Explrefi February 7,2021
+c: r�ncea00 aAS701f My Comm.expires Sept 14,2018
REVIEWS FRONT ZONING SUPERVISOR PLAN VEGETATION SEA TURTLE MANGROVE
COUNTER :REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE 1
RECEIVED
DATE
COMPLETED
Rev.8/2/17
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