HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
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Date: Permit Number: C �(li. )05- WDID
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MAR 09 ?020
Building Permit Application Perittin
Lug �eHart ment
;Planning and Development Services County
;Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
'Phone: (772) 462-1553 Fax: (772) 462-1S78 Commercial Residential
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PERMITTYPE:
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Address: 9500 S. Ocean Dr. #1906
Property Tax ID #: 4502-602-0108-000-6 Lot No.
Site Plan Name: Islandia 2 Condominium Block No.
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Project Name: Bongiorno
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We will turn the master bath tub drain into a shower drain, put in a. curb and shower pan liner, and change out the shower valves in both bathrooms.
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install new toilets', faucets, and shower trims, then remove and replace the water heater.
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Additional work to be performed under this permit — check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters _ Windows/Doors
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_ Electric Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 2,450.00 Utilities: _ Sewer _ Septic Building Height:
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NameJacqueline S. Bongiorno
Name: Chris Rogers
;Address:9500 S. Ocean Dr. #1906
Company: Coastal Plumbing Services, Inc.
City: Jensen Beach State:
Address:271 SW Lakehurst Dr.
City: PSL State: FL
Zip Code: 34957 Fax:
Phone No.
Zip Code:. 34983 Fax:
E-Mail: rex rt1976@ aol.com
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Phone No 772-940-1144
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Fill in fee simple Title Holder on next page ( if different
E-Mailtimnelson81 @gmail.com
State or County License CFC#1428462
from the Owner listed above)
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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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:
JAddress:
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 YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
Signature of&w r/ Lessee/Contractor as Agent for Owner
Signature of Cont ctor/License Holder
STATE OF FLORIDA l
(.(.t-141P�l
STATE OF FLORIDA
;COUNTY OF `Sl
COUNTY OF
The forgoing instry grit wa acknowledged before me
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The forgoing instrent was acknowledged before me
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this � day of l0 ► 2620 by
this �� day of . i� 202 by
Eat
�U�VI 22-
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Name of person making statement.
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Name of person making statement.
Personally Known X
Known OR Produced Identification
Type of Identification Notary Public State of Florida
T eofIdentification
JORIP11rsonally
ProducedMyCommsonGG90192 ARVALHO
ducedry Public State of Florida
Expires 03/22=24
TRACY CARVALHO
per My Commission GG 950192
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(Signature of Notary Public- State of Florida
(Signature of Notary Public- State of Florida)
Commission No. (Seal)
Commission No. (Seal)
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
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REVIEW
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DATE
RECEIVED
DATE
COMPLETED
Rev. 2/7/19