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HomeMy WebLinkAboutBuilding Permit Application �! a�f �l�TaO 6 SLS All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED r(� Date: Permit Number: 1 `u() - -- Building Permit Application RECEIVED Planning and Development Services I�G° Building and Code Regulation Division 2300 Virginia Avenue,Fort Pierce FL 34982 L,n4 Department ;n county i Phone: (772)462-1553 Fax: (772)462-1578 Commercial W u Residential PERMITTYPE: PROPOSED IMPROVEMENT LOCATION: Address: 9490 S Ocean Dr Unit 215,Jensen Beach, FL 34957 Property Tax ID#: 3535-701-0014-000-5 Lot No. Site Plan Name: Block No. Project Name: Michael Davis DETAILED DESCRIPTION OF F WORK: CONSTRUCTION INFORMATION: Additional work to be performed under this permit–check all that apply: _Mechanical _Gas Tank _Gas Piping ZShutters _Windows/Doors Electric _Plumbing Sprinklers _Generator _Roof Pitch Total Sq. Ft of Construction:G vl,U Sq. Ft.of First Floor: i Cost of Construction:$ 1:1#!g Cc) Utilities: —Sewer —Septic Building Height: 0� 0 OWNER/LESSEE: CONTRACTOR: Name Michael Davis&Paul Santagata Name:Edward J.Heritage Address:9490 S Ocean Dr Unit 215 Company:Folding Shutter Corporation City: Jensen Beach State:_ Address:1862 Dr Martin Luther King Jr Blvd Zip Code: 34957 Fax:NSA City: West Palm Beach State:FL Phone No.954-732-0509 Zip Code: 33404Fax: 561-640-8204 E-Mail:miked902@gmaii.com Phone No 561-683-4811 Fill in fee simple Title Holder on next page(if different E-Mail info@foldingshutters.com from the Owner listed above) State or County License SCC131151041 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. SUP.,PLEMENTALCONSTRUCTION LIEN LAW iNFORMATION.: DESIGNER .ENGINEER. Not Applicable MORTGAGE COMPANY. _Not Applicable Name: - Name: !_ Address, Address: ... Gly State` City: : State • Zip: Phone Zip: Phone 'FEE SIMPLE TITLE HOLDER: Applicable BONDING COMPANY: -._-.:Not Applicable Name:.. - `Name: Address: Address. .. City: City: . Zip:. _- . Phone: Tip: Phone. OWNED/CONTRACTOR AFEIIDVIT:Application Is.hereby made to obtain 9 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 Coun c kes no representation that is granting a pertntt wii!au prize ttie ermit holder,to build the subject cture which i5 in oflnt�[ct wig any applicable Nome Owners Association rules,bylaws ran =c which may restrict or prohibit such structure.Please consult with your Nome Owners Association and review your Seed far any restrictions wh(ch may apply. In consideration of the granting of this requested permit,I do hereby agree that i will,In all respects,perform the:tivork in accordance with the approved plans,the Florida Building Codes and St.Lude County Amendments. The following building permit applications are exempt from undergoing-a full concurrency review:room addltloms, actessory.structures,swimming pools,:fences,walls,signs,screen rooms and accessory uses to another non-residential use "WARNING TO OWNER: YOUR FAQ TO RECORD,A WnCE OF COMMENCEMENT:MAY RESULT'RN YOUR P'AVIING TTM FOR NPROVEMENTS TO YOUR PROPERTY. ANOTICE OF COMMENCEMEM' MUST BE RECORDED ARID POSTED ON THEO1+ .LOB SlI E BEFORE THE FtRST INSPECTION. iF YOU INTEND TO OBTAIN. FINANCINGO CONSULT M YOUR LENiYEROR AIN ATTORNEY,R1EFORE.RECOI�NGYOUR-NOTkA OIF COMMENCEMIINT."r-.: Signeture`of Owner/ as Agentfor0wner Signature of Contract older SPATE OF FLORIDA STATE OF FLORIDA COUNTY OFPS'MBOAch COUNTY OF The.forgoing Instrument. as acknowledgerj before me .The ping Instrument Was acknovJledge efore me thl5 day of v" `:. --,2© i�`f by tht day ofZ0 by i EMssd.d,fterttepe Name of'person"makin statemeht. Name of person making statement` s� Personally Known xx OR Produced ldentifira at�r ;5? Personally Known xX . OR Produced identifica � r- Type of Identification ®.o r Type of Identification d c� Produced IL Prodiic�d _ _ w c o a P rod o �6l - VVV Q {signature of Notary Public-State of Florida (Sigr ature.of Notary Public State of Florida Commission No. (Seal Commission No. (Seal) , REVIEWS FRONT ZONING SUPERVISOR ! PLANS VEGETATION SEA TURTLE MANGROVE T.-COUNTER € REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW i DATE RECEIVED.... DATE CQMPLETED