HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: G 11�I ad Permit Number:
JUN -1 8 2020
Building Permit Applicat �T'LucieCounty, Permitting
Planning and Development Services
Building and Code Regulation Division Commercial Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578
PERMIT APPLICATION FOR:
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Address: 9900 S. Ocean Dr. Jensen Beach, FL 34957 Unit 407
Property Tax ID#: 4502-503-0041-000-6 Lot No.
Site Plan Name: Oceana II North Block No.
Project Name:
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In the master bath we will replace the shower pan and valve,In the guest bath we will replace the shower pan and valve,then call in for our Top-Out
inspection.We will come back and install the new faucets and toilets in the bathrooms,then put in a new kitchen faucet and call in for
our final inspection
New Electrical Meter Second Electrical Meter
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Additional work to be performed under this permit-check all that apply:
_Mechanical _Gas Tank —Gas Piping _Shutters _Windows/Doors _Pond
Electric V Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ .9, Utilities: —Sewer —Septic Building Height:
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Name S'7r_VE,+-AtJNE LEF- Name:Chris Rogers
Address: i3y S Ras ;i/N S t. Company:Coastal Plumbing Services, Inc.
City: &iVC9- State:Cc Address:271 SW Lakehurst Dr.
Zip Code: s0a-30 Fax: City: Port Saint Lucie State:FL
Phone No. Zip Code: 34983 Fax:
E-Mail: Phone No(772) 940-1144
Fill in fee simple Title Holder on next page(if different E-Mailtimnelson81 @gmail.com
from the Owner listed above) State or County License CFC#1428462
If value of construction is 2500 or more,a RECORDED Notice of Commencement is required.
If value of HAVC is$7,500 or more,a RECORDED Notice of Commencement is required.
DESIGNER/ENGINEER, _Not Applicab.:le MO RTGAG,E,COMPANY !Nb ,
Applicable
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FEE SIMPLE3TITLE HOLDERS Not Applicafjle BONDING COMPANY.; 4 =Ngt,Applicableµ
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OWNER/"CONTRACTOR AFFIDLIT Application is hereby m deco obtain a,permit_to do the work:and msallation as indicated
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I'cerfifythatFrio work or iristallat on,-•has commencedpnor;to the jssuance of a permit:,
StJuicAt Coun makes no cepresentatton that is;grantir►g a perrnit will authorizeitheµpermit holder to buildathe"sub�eetstructure
which is ih eon�ict"with an -,applicable Nome Ow.Hers Association'rules;;bylaws or and_couenantsthat may restrict or prohiibittsuch`
structure.;Please coiisulfw theyour:Nome'QwnersSAssociatlon<an .(review. tyo-ur deed,for'any"restcictionswhlc}i;may=apply: ;
in consideration of the grantmgrof,this requested permit,I;do hereby agree that,l will,in all�respects,perform the work
in accordancewlth,the approved dans;the Florltla,BulldingCodes'and St:Lucie County:Am�endments.I
The following building permit a0, Pi' tionsjare exempt from undergoing a full`concurrency review room,addItW-ki !
aceessorysfructures,swimming'pools,:fenees,�w,alls,signs;screen,rooms and accessory uses to another non resL4,. al use
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WARNING.-. OWNER:4our`failure{to Recortl a Notice of Commencement may result in paying tuvice fob
impro__vements5to yourYproperty. ArNotice'of Commencement must be recorded}m the p,'ublic records of St
Lucie Count ;•and osted on the:.obslte before the'first nspection 'If you intend tolobtain piinancing consult
. __ with:l`ender,a.rxantiafiorrie ".4befor.corrtmencin work,orre'cor"di,n :our Notice of.Commencement,-_w
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.z $ignatureof Qwn., /, Lessee/Contracti_or as Agent>for Owner Signature
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tactor/License Holder =
STATErOF'FLORIDA : STATE"OFA LORID m, Y`
! CO,UNTYtOF t.IT
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l' Sworn to;(or affirmed)and subscribed before me of Sworn to`(or,affirmed)and subscnlietl before
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_. �C i?hysiscal Presence�or OnlineNotanzatidri X-iP ysica) PresenFe or, Online}Ngtanzation
} this y df '�r'1 ' 2020. by' `'`this d"ayof V�larl ✓— 2020 7by'
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` Nam l f person making statement i`IVame of person making statement
=_ Personally-Known ' OR.Peddiaced IdentificatIon ( � Personally Known k DR.P.roduced l'denti`ficafion
Typepof`Identifcation; Type,of Identification r:
Produced+ � -• . ,' Produced _- '�
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' (Signature offNotary� i +h 4 (Signature of N a tl'L�'BL�Raip° x
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=_ DATE
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