HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: los. oI
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) 462-1S78 Commercial X Residential
PERMIT APPLICAT[ON FOR: To Select from dropbox, click arrow at the end of line
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Address: 10000 S OCEAN DRIVE 803
Legal Description: The Miramar Unit 803 and Pro-Rata Share in Common Elements or
3557-250
PropertyTax ID#: 4502-701-0042-0001 Lot No.
Site Plan Name: DESIRES DALY Block No.
Project Name: DALY
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REMODELING ANDRELOCATINGKITCHEN OUTLETS AND LIGHTING.
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MEN
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tiona woe to je nar orme uncler this permit- cheCK a app y:
❑HVAC lJ Gas Tank ❑Gas Piping -Shutters Windows/Doors
11 Electric 0 Plumbing Sprinklers E]Generator 01 Roof
Total Sq. Ft of Construction: S�Ftj. of First Floor:
Cost of Construction: $ 2400 Utilities: LJ Sewer 0 Septic Building Height:
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Name Damion & Desiree Daly Name: JAMES K WILLIAMS
Address: 13966 S CYPRESS COVE CIRCLE Company: ARLINGTON ELECTRIC
City: DAVIE State: FL Address: 3251 SE DIXIE HWY
Zip Code: 33325 Fax: City: STUART State: FL
Phone No. 954-908-9937 Zip Code: 34997 Fax: 772-287-2380
E-Mail: Phone No.772-287-1353
Fill In fee simple Title Holder on next page ( if different E-Mail: gregg@arlingtonelectricinc . com
from the Owner listed above) State or County License: EC 13007767
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
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DESIGNER/ENGINEER: Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name:
Name:
Address:
Address:
City: State:
City: State:
Zip: Phone:
Zip: Phone:
FEE SIMPLE TITLEHOLDER: _ 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 your Notice of Commencement.
_ Silo ture of Owner/ Lessee/Age
STATE OF FLORIDA MARTIN
COUNTY OF
The forgoing Instrument was acknowledged before me
this lstdayof AUGUST , 20 12by
JAMES-K WILLIAMS
(Name of person acknowledging)
(Signat a Notary Public- State of Florida )
Personally Known X OR Produced Identification
Type of Identification Produced
nse
STALE OF FLORIDA
COUNTY OF MARTIN
The forgoing instrument was acknowledged before me
thislstdayof AUGUST ,20L'1_by
JAMES K WILLIAMS
(Name of person acknowledging)
(Signature o ary Public- State of Florida )
Personally Known X OR Produced Identification
Type of Identification Produced
�� G�€GG H ROBINSON
A�P�% a mmissionNo.
Commission No, • <' a�,•, a GRE G H OBINSON
., .No ary uWic State of Florid =o r"� P� <c ; Notary Public :State of Florida
• « + Commission # GG,033149 ` e
•�iji6 OF F����,, 49
y omm. xprres, ep02
N. �' Commission GG-: ..
Bonded througliNiorial Notary Assn. 's;, 6 My, Comm. Expires Sep 25;;2020
Revised 07/15/201 •�.,RQF F,�,.
'�EEEN` Bonded through National Notary Assn.
REVIEWS
FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
DATE
COMPLETE
INITIALS