HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED /�
Date: N\}�'((' Permit Number:aon_ /(� r' �') I®�
--0 R I D A
Building Permit Applicatio REr
Planning and Development Services MAR 0 4 2020
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982 ST, Luc' oun
9 ty, Permitting
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residents
PERMIT TYPE:Alteration - Level 1
PROPOSED IMPROVEMENT LOCATION`:W4,111_,_,_,
- v 2-
Address: 8750 S OCEAN DR 936,JENSEN BEACH, FL 34957
Property Tax ID#: 3535-601-0048-000-5 Lot No.
Site Plan Name: Block No.
Project Name: 936
"DETAILED DESCRIPTIONfOF WORK - - � `�
INTERIOR DEMOLITION(NON-STRUCTU
hCONSTRUCTIQN 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: 1630 Sq. Ft.of First Floor:
Cost of Construction:$ 4 f, OOy Utilities: _Sewer _Septic Building Height:
OWNER/,LESSEE Y a CONTRACTORils
Name John J McGuigan III Name:Chris Woods
Address:8750 OCEAN DR#936 Company:Impact Experts
City: Jensen Beach State: FL Address:1405 NE Meyers Ter
Zip Code: 34957 Fax: City: Jensen Beach State:FL
Phone No.978-806-7084 Zip Code: 34957 Fax:
E-Mail:381whyman@bellsouth.net Phone No 561-248-4552
Fill in fee simple Title Holder on next page(if different E-Mail cwoodscorp@yahoo.com
from the Owner listed above) State or County License CGC1519929
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.
p
SUPPLEMENTAL,CONSTRU ION 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:
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 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 JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT-
WITH YO R LENDER OR AN ATTORNEY BEFORE RECORDING YOUR MICE OF COMMENCEMENT."
-aJ� (2,-----
/-)—Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF /Vlg,z+i h COUNTY OF / da r'4-)
The forgoing instrument was acknowledged before me The for oing instrument was acknowledged before me
this qday of MawGL 20W by this day of 20 20 by
r',, LJC96 S 0/6v-?, 1ag �-S
Name of person makin7st ement. Name of person making statement.
Personally Known OR Produced Identification Personally Known V OR Produced Identification
Type of Identification Type of Identification
Produced Produced
gnature of o aryPubT � •ate of ure of Nota P a
MY COMM #GG 436487 ;•fit•• ;�: T_ ,G
OKES
�. '.. OMM
EXPIRES'e5� 18
Commission No. c ThN Urgers Commission No. =a: :� 0 13648
7
;POF OP.,S IRES: r 18 2021
TiMu�+Y Pu1Rc Underwriters
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev.