HomeMy WebLinkAboutBuilding permit app o?oG A oa o o rs
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: 2Q000UNITY
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-- _ Building Permit Applicatic% ®120?0
Planning and Development Services permIttl,
Build
2300'ng and Vi Virginia venue,Fort Pierce'FL 34982 St oe Regulation DivsionCa e C u�ent
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Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential
PERMITTYPE:
PROPOSED IMPROVEMENT-LOCATION:
Address: 9490 S Ocean Dr-Unit 311
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Property Tax ID#: 3535-701-0018-000-3 Lot No.
Site Plan Name: Block No.
Project Name: Adler
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DETAILED DESCRIPTION OF WORK:
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[CONSTRUCTION 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: Sq. Ft.of First Floor:
Cost of Construction:$ 2 / d Utilities: —Sewer —Septic Building Height:
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OWNER/LESSEE: . CONTRACTOR:
Name Robert Adler Name:Edward J.Heritage.
Address:43892 Yellow Wood Way Company:Folding.Shutter Corporation
City: Carlifornia :; State:_ Address:.:1862.Dr Martin L'uthet,King Blvd
Zip Code: 20619 f Fax`nia,�, City: West Palm Beach State:FI
Phone No 240-92.5 3216 33404: F 561-640-8204
Zip Code: .,.Fax:
E-Mail:rmadler@outlook.com Phone No 561-683-4811
Fill in fee simple Title Holder on next page(if different E-Mail info@foldingshutters.com
from the Owner listed above) State or County License SCC131151041
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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SUPPLEMENTAL CONSTRUCTION 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 YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
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Signature of Owner ee C as Agent for Owner Signature of ContraporlCce r
STATE OF FLORIDA STATE OF FLORIDA
COUNTY O F PALM BEACH COU NTY O F PALM BEACH
The ff%43ing instrume t was acknowledged before me The for ing instru Went was acknowledge before me
this y`� day of 2QD by this/Z day of 7 20by
EDWARD J HERITAGE EDWARD J HERITAGE
Name of person making statement. Name of person making statement.
Personally Known - OR Produced Identification Personally Known - . OR Produced Identification
Type of Identification Type of Identification -
Produ Prod
(Signature of Notary Publi sof parrida,A.Evans (Signature of Notary Puk�Iw StatP 11*011Jans
NOTARY PUBLIC
Q Q o�, NOTARY PUBLIC
Commission No. -.STA(EftOF FLORIDA Commission No. q TATE 09PORIDA
�. ?Comm#GG262789 - - Y ?Comm#GG262789
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
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