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All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 7 2---2022) Permit Number: 1001 - 06 03
1
., ..„.,„ ...
COUNTY.
FLORIDA -
Permit Application
1 Residential
mausiamommor Building
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
PERMIT TYPE: SHUTTERS
PROPOSED IMPROVEMENT LOCATION:
Address: 9960 S. Ocean Drive, Jensen Beach, FL 34957
Property Tax ID #: 4502-702-0000-000/0 Lot No.
Site Plan Name: Block No.
Project Name: Miramar II Condominium
DETAILED DESCRIPTION OF WORK:
I
Installation of Accordion Shutters to 9 Openings on Lobby Level
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit — check
Mechanical Gas Tank Gas Piping___ _
Electric Plumbing Sprinklers— _____
Total Sq. Ft of Construction:
all that apply:
Windows/Doors___Shutters
Generator Roof Pitch—
Sq. Ft. of First Floor:
Cost of Construction: $ 12,621.08 Utilities: Sewer Septic Building Height:_
OWNER/LESSEE:CONTRACTOR:
Name Miramar H Condominium Name: Robert Altino
Address:9960 S. Ocean Drive Company: Galeforce Hurricane Shutters
City: Jensen Beach State: FL Address:1429 SE Villiage Green Drive
Zip Code: 34957 Fax:City: Port St Lucie State:FL
Phone No.401-524-5875 Zip code: 34952 Fax:
Em a il: canamjdf@yahoo.com Phone No 772-337-6200
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-M a ilgaleforcetc@gmail.com
State or County License CBC1251430
..
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.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER:Not Applicable MORTGAGE COMPANY:
Name:
Not Applicable
Name:
Address:Address:
City:
Zip: Phone
State:City:State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
Name:
Not Applicable BONDING COMPANY:
Name:
Not Applicable
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 ind .cated.
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 bui ding 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-resident al 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 LENDJER-0 AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF CO NCEAENT."
nature wner/ Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF
The forging instrument was acknowledged before me
this 2211cay of , 201-0 by
.?\ .-1- Pt 1 -1-i: 1'1 b
Name of person making statement.
Persona ly Known / OR Produced Identification
Tyne of Identification
Produced
Pd#,L,L,
(Signature of Notary Pu lic- State of Florida J
Gabrielle Symons Pottle
0.0411
0 NOTPKVaqUBLICCommission No. N.
--.STAlt or FLORIDA0
Comm# GG367483
a/4774" Expires 9/12/2023
FRONT ZONING SUPERVISOR
COUNTER REVIEW REVIEW
REVIEWS
Signa of Contractor/License Holder
STATE OF FLORIDA')
COUNTY OF JaLir L LL,CLE
The forgoing instrument was acknow ,edged before me
this 2-2-hl day of j , 20 2-0 by
D
Name of person making statement.
Personally Known OR Produced Identification
Type of Identification
Produced
(Signature of Notary
Commission No.
PLANS
REVIEW
VEGETATION
REVIEWREVIEW
.47 sitriti
NOTARY PUBLIC
STATE OF FQA
Tomm# GG367483
Expires 9/12/2023
SEA TURTLE
REVIEW
MANGROVE
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rey. 2/7/19