HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: Ig I I oiq } 1
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) 462-1578 Commercial Residential_
PERMIT TYPE:
PROPOSED IMPROVEMENT LOCATION:
Address: 10800 S. OCEAN DR, JENSEN BEACH, FL 34957 y m � e i
Property Tax ID #: 4511-801-0001-000-7 Lot No.
Site Plan Name: Block No.
Project Name: TURTLE REEF CLUB
DETAILED DESCRIPTION OF WORK: -
INSTALL (3); WINDOWS AND (3) ROLL DOWN REMOVAL
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:
Cost of Construction: $ 14,700.00
Sq. Ft. of First Floor:
Utilities: _Sewer _Septic
Building Height:
OWNERAESSEE:
CONTRACTOR:
NameTURTLE REEF CLUB
Address:10800 S. OCEAN DR
City. JENSEN BEACH State:
Zip Code: 34957 Fax:
Phone No.772-229-1772
Name: Jeffrey Tollison
Company: All American Shutters & Glass
Address: Donna Road
City: Vest Pa1m Beach Stater
Zip Code: 33409 Fax:
Phone No 561-712-9882
E-MailPermits@allamericanshutters.com
E-Mail: HyllESQUIDA@DEFENDERRESORTS.COM
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
State or County License CGC 1512423
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.
ase _
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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 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,
5t:-Lucie:County makesno_representation_that is granting -a ermit wlllauthorize the permit holde�to uild Lhe subJect structure
which is in conflict with any applicable Home Owners Association rules, bylaws or and covenantsthat may restrict or prohibit such
structure. Please consult with your Home Owners Association and reviewyour deed for any restrictions which may apply.
In consideration of the granting of this requested permit, i do hereby agree that 1 will, in all respects, perform the work
In accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments: a
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 attomey.before
commencing. work or recording your Notice of Commencement.
nature of Owner/Agent/ Lessee Signature ofP6n* or/L a Hol er
T,AN w� ; Sc 1412 A a L- 2 STATE OF FLORIDA
OF iR1UA ,�
COUNT( OF Gi Luc l COUNTY OF �a
The rgg� hg instrum@n was acknowledge�d�efore me The forpoing'instrument w s acknowledged before me
thls a~ day of �GtD P/' 20 _lam by thi � � day of D 20,Y by
(Name of arson acknowledgin } —
- --- - - - -
{signature of Notary_ Public- State of Florida }
Personally Known `Z OR Produced identification
Type of Identification Produced
(Name of person.acknoWledging )
(6Tgnature of Nota ublic State of Florida J
Personally Known �OR Produced Identification
Type of identification Produced
Commission No, NNIFER MARIE LUCE Commission No.
Z-000 COMMISSION # GG164596
Revised 07/15/2014
Commission 1I 6GO05916
Expires: Oct. 22, 2020
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