HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:OY- ®7/
n`sl Building Permit Application
Planning and Development Services . f
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:
PROPOSED ImMPR01lWEN T LOCATI,C N,
Address: 7370 S OCEAN DR#316, JENSEN BEACH, FL 34957
Property Tax ID#: 3522-607-0072-000-0 Lot No.
Site Plan Name: Block No.
Project Name:
� ETAILED�D SCRIPTIC►N OF UU
D ORK
INSTALLATION OF IMPACT SLIDING DOORS
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATIC►N
Additional work to be performed under this permit-check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters _Windows/Doors _Pond
_Electric _Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction:$ O00 ` ` Utilities: —Sewer —Septic Building Height:
WNERJLESSEE CONTRACTOR ... . .
NameJOSE M GARCIA Name:OSWALDO J PAYA
Address:7370 S OCEAN DR#316 Company:PAYA CONSTRUCTION
City: JENSEN BEACH State: L Address:1010 SW 73 RD AVENUE
Zip Code: 34957 Fax: City: MIAMI State:FL
Phone No. :2 26 c 9T-- 9 110 Zip Code: 33144 Fax:
E-Mail:M'D 22%`7'7 0- t/-7 in ai L- ��� Phone No(786)458-4638
—ter-
Fill in fee simple Title Holder on next page(if different E-Mail PAYAPERMITLLC@GMAIL.COM
from the Owner listed above) State or County License CGC1526115
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.
SUPPLEMEWL 11700 0 _TION (WEN LAW TRiVIAT[ON
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 paying twice for
improvements to your property. A Notice of Commencement must be recorded in the public records of St.
Lucie County and posted on the jobsite before the first inspection. If you i nd to obtain financing, consult
with lender or an attorney before commencing work or recording o Ice f Commencement.
Signature of Owner/Lessee/ nt nt for owner Signature ofon ac r/License Holder
STATE OF FLOR c- STATE OF FLORIDA
COUNTY OF— COUNTY OF&4-,LE
o to(or affirmed)and sscribed before me of 5 n to(or affirmed)and subscribed before me of
hysical Presence or Online Notarization to
Presence or Online Notarization
this day of 2020 by this day of 2020 by
Name of person making statement. Name of person making statement.
Personally Known OR Produced Identification Personally Known X OR Produced Identification
Type of Identification Type of Identification
Produced Produced
(Signature of ry Public-S a NNotaryPublic State of FI Sig to ary Public-State of
p, Relnaldo Raya
Commission No. { ,.d es ves 04/10/2024 8759 if G g S 9/ �'�"' I)Notary public State o F nda
tom fission No. ` Reinald0 paya
Commission GG 7 10
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE M
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 5/6/20
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