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HomeMy WebLinkAboutBuilding Permit Application 2.2-5 //7 v ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: ? r' Permit Number: RECEIVED Building Permit Application Planning and Development Services JUL 17 1018 Building and Code Regulation Division Virginia Avenue, Fort Pierce FL 34982 Permitting Department 2300 Vir 9 St.Lucie County Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X PERMIT APPLICATION FOR: Plumbing PROPOSED IMPROVEMENT LOCATION: Address:` Legal Description. DUNE WALK BY THE OCEAN a/k/a SAND DOLLAR NORTH BLDG B UNIT 514 (OR 1441-318) Property Tax ID#. 352260700820003 Lot No. Site Plan Name: Block No. Project Name: Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK: 0 3©9A4S CGG G CONSTRUCTION INFORMATION: Additional work to ff rorme un er t is permit—c ec a appy: ❑HVAC Gas Tank ❑Gas Piping 11 Shutters ❑Windows/Doors ❑Electric Z Plumbing Sprinklers 11 Generator ❑ Roof Roof pitch Total Sq. Ft of Construction: Sof First Floor: Cost of Construction: $ 400 Utilities-11 Sewer[]Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name Olga B Torres Name: ALLEN STEINMAN Address:209 NW Av H Place Company: SERVICE AMERICA City: Belle Glade _State:FL Address: 2755 NW 63RD CT Zip Code: 33430 Fax: City: FT. LAUDERDALE State:FL Phone No. Zip Code: 33309 Fax: 954-977-3591 E-Mail: Phone No. 954-979-1100 Fill in fee simple Title Holder on next page(if different E-Mail: epermitsgroup@servicesmerica.com from the Owner listed above) State or County License: CFC057026 If value of construction is$2500 or more,a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: 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: 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: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. s Signat re Owner/ ssee/Contractor as Agent for Owner Sign atu e o on t r/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF _i�,rr,a.a. rf COUNTY OF`v,,->,- d The forgoing instrument as acknowledged before me The forgoing instrume t was acknowledged before me this /, day of /� 20 Eby this ./ day of i 20 /—by /T�/Il/1 �tifCr I'4ri-4i7 X4 (Name of pers n acknowledging) (Name of pers acknowledging) ' - -- __ •••� Si ' Pub tc-State of Ftdr a (Signature of Notary Public-State of Florida ) ( � rY Personally KnoPersonally Known Type of IdentifiFjtFycedST�W.C.DALEY Type of Identificat n,i { 4ed�Aw - MY COMMISSION r� '' MY COMMISSION A GG 088830 Commission No. ;mt EXPIRES:Mp+ D�Q Commission No. '•: ��€ EXPIRES:4�hb,2o21 ',,P �t•, Notary 6fic i Neve '",,c;�tq•'• Borded TTru Ibtxy PuD�c Undelefa Revised 07/15/2014 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS