HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 4'I�'`b 7.d Permit Number: �)M6-tly6/
Sir.dLM RED
o �
'k °r Building Permit Application JUN 1 2020
Planning and Development Services ,Permitting
��ST. Lucie County
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:
Qd 3 3.v Rs L -,;�. y"_•a ..%ac sky 4E s a `+1 �. �'_ y v. ; e C �y ^CL ]13 ]3.',^v sk. x
FF &
ea�kw. .+...d �22111,011,11-101M
"
.,_... .,v...,sna�nxxa��. .... _ .....�..::�^....... ......k: : ��x"x .z .�.....,x.� z. ...�•'.•.�" ....
Address: 9500 S Ocean Dr. Apt.1906
Property Tax ID#: 4502-602-0180-000/6 Lot No.
Site Plan Name: Islandia II Condominium Block No.
Project Name:
... ." ^ .. ^ r rHE
i, yg is a y S "." ..,"""", ks r: CMnl 'N
" S§
c >,.^, >
Q P �{311 1 OeR li ...^, r�"""". ., :. .. r ss .�.
"C �'
zk" to r eek€.3>o.;
"^ ^" € "^b ^>
40 Gallon Water Heater change-out
New Electrical Meter Second Electrical Meter
ka"u"Ce 3". 1l C x1 i -..�.. Z Z A e Z' ZZ- 3- ��a £� �'R e^ 4 �. :^�'va u""a" a"^
oi dna »..,,,. s..E,"""e^�.� ^. .€... �...,H i .""..."a."ww" ;..".^..a,€€"€""." €.. .c. Ry : €."€"""::� er �`�"..".�..^...^"�"""..� "� TiCT RIFQR1QN�IRA k e,.." ".. " a � e.�^_u, ^.��"�����^s"��� ���" ,� "����a ._<..e..e��z�y.. a:`� �e"es€a�^�^ c€c��
Additional work to be performed under this permit–check all that apply:
_Mechanical Gas Tank —Gas Piping _Shutters _Windows/Doors _Pond
Electric VPlumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ $750.00 Utilities: —Sewer —Septic Building Height:
ffin. nuz o �,.. x e a ':.i [3 .d24y
„ "%>".v. as € RsR �a° .fie"act R eyes € :;s s s S
{ e € e T L age
r � 5 �� �s � rc a a €r € €€ s s e e
vy.... ....__.e. t..... _...'ti..ttn Yaa.t-k K.y r.. xi. _u".n4s R .'e.a•"Ax k.F�,'...v7vCk'^9A.C �H. 4ya.� '7ot P eE 3xn :krc R k^^ e t ^..:
NameJacqueline S Bongiorno Name:Chris Rogers
Address:9500 S Ocean Dr.Apt.1906 Company:Coastal Plumbing Services, Inc.
City: Jensen State: FL. Address:271 SW Lakehurst Dr.
Zip Code: 34957 Fax: City: Port Saint Lucie State:FL
Phone No. (Sly 15?3 r Moo Zip Code: 3498:3; Fax:
E-Mail: Phone No(772)940-1144
Fill in fee simple Title Holder on next page(if different E-Mail timnelson81@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.
4!?frSIGNEREN�GtNEER: ..:N4tl�pplicable;_ 1VIO.RTGrt►i`,E.0011�IPANY_ _(Nst App1icafl�
Name _
Name --
` LL Adclr-tt _ — A Ads ress -
r Cit _ Statey .
one
t-
State
Phone
Z � Ph
Appt cab'I:e= BN131NG COMPANY.. - J�y-- h4ofApplicable�
FEE511IP�LETITL�HOLDER:
r.
Naar
Address.:
• Addr" s .
Zip
.a DiN111E1�/`CONTI ►CTOB AFFtD1IT:Application is hereby made to oEbtafn a hermit to do the work and lrisfallatron asindicated a
I certifythatto vuork or installatrora hacommenceti prior;to6essuanee:_ofr°a,perm�t:,
St:l+uc� CoUn mikes no re reseritat�on that is granting a ermi wnil authorize,f pegmbuild the subject structure
` _; �w'`" s�n'`can� t'':'�itha a I�cabl�eNoime wnersAssoc�etiorrtules,bylaws,orar"td_tovenants�that:rriay�re"strictcsrpro�itbitysuch'
struet�re :PleasezconsuTt.with your�h�ome>()wners�Assr%ciation�arid;rdview�yourd�edforan�c��trictranstell�tch.mayapply:
. Irk cc�3ns�d�eration oft'he granting�of�fiis regiested permit,-�I;do here6y�agree t�ia#1 will,�in�all�resp�cts,perform tie wor`k�
in accordanse�vthhe aprove8alaos;�the Fiofida,Building Odes and SE::�Lu� Coynty Amendments:
The-foflowin b iCding permit app : Xnpt frau�ndergaing a^fullconctirrency review room addtt�ons,
g 4 Mcat�ons are ex
�k�-nt.
r; accessorystruc ur ,s�nntniftil pools,#ett es,v is{signs;screen<roorns nd accessoryusesto anntl�erfion resic�e�tlai;use
F: AR.tl1�G TO QM If Eff Your fa3ture to Reca�d a Notice of Commenrerx ent may result ir< a ing tinrice far
rm rov men s to- _our ropert k A IVo#ice`�o Com'rnence Fent must be•recorded iWthe ffiW c retards ctfi Sit, ,
Lu to County andf posted ori the,�obsj,a before t a rs inspection if you intendto m teen na�cm consul
.:w�th,.lender,.ar an attain. ' fa>ek tst m.er cin .. vorkAor.re�ah' x sur" mtice_.0 Coixtine,he melt _..,,. .:
7.
Sig tine of Own.. Lessee%Gorftractor as Agent for Qwner Srglaatu`�e oto ractQrCicr�se I tol-der
STATE OF FLQRIDA
�STATEOF FLORID45k ' _
.CQUN'1�YF
�� s. ,. - CUU.NTYF �-
G e m
Sworn to jor aff filo-d)aR su stribecl before fne of Worn to rorya irmed angg scnjaed beta a me of
3 a °F
a1
Plical Presence ar Amine Notarrzat�on P�iysicaf Preseo _ WN"t
' ' this `
tfis Tay of , ,�2020 by M�day.o ,w u
O�D�b
s,
Name,ofpersonmaking statement. N e of person makmgstatement<
= �` -PersonaliyKnown_�t1R Producetfi-Identificataori: x �ersortaU�'KnoLiu[► � OR Produced l�entifi�ation � � °
Y oirde t4fication ..
Tyls oftid'enticatio`n �Pe
irrodOted: is ��. Pro , d�,rte
duce
jsignaure ofi'Nofiary (5ignaure of N a fr Ey L�la�fGID+
' £` r- Nofary�ppbq�&hW:ot F�or7da" .` N�Y,�ubr�State of Flontli
r {�
� Cb[nm�son No:�:.�s 4�`� �':h �RAG�rt��G s� 9i•� - �ommis�_io�:No `- �,• :`rRAGY;�CAR�tALal
D8/T?J2624 'b01 }
REVIEWS �Fl;ON7 G ZON1fG `SIJPER1l�50�t, PLANS MEG SEATL�RTIE II'ANGROUE 5 ,
COU1�lTER REVE1/ RtaUIE x RE�/IEW RET{EW� .REVIEWv�
R: RFCE1j1ED -
DATE.
.. .f.. .--. .... -..__
;COMPLETED.....
a