HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED ��
Date: Co ��, !2 ��-�' . Permit NumEation . � 3
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Building Permit AppliPlanning and Development Services mentBuilding and Code Regulation Division 2300 Virginia Avenue,Fort Pierce FL 34982 r FL
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential
PERMIT TYPE:plumbing
PROPOSED IMPROVEMENT LOCATION:,
Address: 9940 S OCEAN DR, UNIT 1202, JENSEN BEACH, FL 34957
Property Tax ID#. 4502-502-0119-000-1 Lot No.
Site Plan Name: Block No.
Project Name:
DETAILED DESCRIPTION OF WORK:
REPLACE EXISTING SHOWER VALVES AND SHOWER PANS IN BOTH BATHROOMS, REPLACE EXISITING HOT
WATER HEATER WITH A NEW UNIT THE SAME SIZE AND WITH THE SAME ELECTRICAL REQUIREMENTS.
CONSTRUCTION INFORMATION-
Additional work to be performed under this permit—check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters _Windows/Doors
Electric _Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: 16()o Sq. Ft.of First Floor:
Cost of Construction:$ d Utilities: —Sewer _Septic Building Height:
0,, NER/LESSEE: CONTRACTOR: n
Name MOANA MANAGEMENT INC Name: E�
Address:3 PALMETTO DR Company:
City: STUART, FLORIDA State:_ Address: )5 O ( Z-oboL+-< r2D
Zip Code: 34996 Fax: City: V—C- ��`��C_2_ State:�L
Phone No.954-553f778 Zip Code: 3 L4 5 ( Fax:
E-Mail:ROBYN.BATSON@GMAIL.COM Phone No
Fill in fee simple Title Holder on next page(if different E-Mail (
from the Owner listed above) State or County Licenseo� �
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
If value of HVAC is$7,500 or more,a RECORDED Notice of Commencement is required.
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SUPPLEME°NTAL CONSTRUCTION,LIEN LAW iNFORMATON:
DESIGNER/ENGINEER: x 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:MOANA MANAGEMENT INC Na rne:
Address:3 PALMETTO DR Address:
City:STUART City:
Zip; 34996 Phone:954-553-1778 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 AND
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YDMRIENDER OR AN ATTORNEY BEFORE RECO DING YOUR NOTICE OF COMMENCEMENT."
�_\ r?_ \�a I __'kA_N
Signature f r/Lessee/Contractor as Agent for Owner Sig ur6UN
Contracto / ' ense Holder
STATE OF FLORID SF FLORIDAc�
COUNTY OF _ c�� -( COFy+. �Uct e_
The forgoing instrument was acknowledge efore me The f�o�r�g�ping instrumneDt was acknowledged before me
this I rday of �tl;1 20 l�by this !�`day of 3L.irt< ,26 by
Name of person aking statement. Name of person making statement.
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Type of Identification
Produced Produced
(Signature of Notary Public-State o oris a.., EdWARDKOTC ure of Notary Public-State o
. Y P++4++ EDWAR4 K4TC
/� �j , .o, Notary Public-State Florida pp/ p ,•Qt*p
Commission No.\3` 3a 3 _•: } Commission#GG1 319Pmm sion No.
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My Comm.Expires Oc 8,2421 n = Commission 8 GG 11 8
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Bonded lhrnu h ii P' My Comm.EX iresoct ,2 i
g N,t'analN IaryAssn, Bonded through National Noary sn,
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURT.-E A
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