HomeMy WebLinkAboutBuilding permit application I
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED q
Date: Sept 17, 2020 Permit Number: o q0
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Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial XX Residential
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax:(772)462-1578
PERMIT APPLICATION FOR: Installation of a opening btw units
PROPOSED ,IM4PRO,VEMENTWcOC TION Naster.,bedroom
Address.
10600 S Ocean Drive Units 201 &202
Property Tax ID#: 4511-517-0018-000-7 Lot No.
Site Plan Name: Oceana South Block No.
Project Name:
S
DETAIUlY c,DES, aRIPTION OF WORK r"t r; t;"yvrA`
Open wall in master bedroom (Unit 201)through to master bedroom (Unit 202)to make into one unit
New Electrical Meter Second Electrical Meter
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CONSTRUCTION .'NFOAIVIATION f
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: $ 1000.00 Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE "' a CONTRACTOR
Name Linda & Robert Pollick Name:Katherine LaDeene Dodson
Address:10600 S Ocean Dr#201 Company:Agler Kitchen, Bath& Floors, Inc
City: Jensen Beach i State: Address:1970 NW Federal Hwy Ste A
Zip Code: 34957 Fax: City: Stuart State:FL
Phone No.724-589-7318 Zip Code: 34994 Fax: 772-692-0070
E-Mail: ' Phone No772-692-0077
Fill in fee simple Title Holder on next page(if different E-Mail ladeene@aglerinteriors.com
from the Owner listed above) State or County License CBC1250637
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.
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SUPPLEMENTAL CQNSTR'UCTI,ON LIEN LAW INFOMATI RON
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: xx Not Applicable
Name:Mathers Engineering Corp Name:
Address:243,SE Dixie Hwy Address:
City: Start State: FL City: State: 1
Zip: 34996 Phone772-287-0525 Zip: Phone:
FEE SIMPLE TITLE HOLDER: xx Not Applicable BONDING COMPANY: xx Not Applicable
Name: Name:
Address: Address: 1
City: City:
Zip: Phone: Zip: Phone: i
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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 j
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 intend to obtain financing, consult
with lender or an attorney before commencing work or recording our Notice of Commencement. 1
AL" -&�w ' �-44 11L at_'tw a,101— I
Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA -
COUNTY OF %-Liucle COUNTY OF Gl�-Lx-tc,'c-
Sworn to(or affirmed)and subscribed before me of Sworn to(or affirmed)and subscribed before me of
Physical Presence or Online NotariRcalIttinf-A
X Physical Presence or Online Notarizati n
this 1� day of !Ej-4f'oM_iC" .2020 bythis day of�" PfCiFn -cam ,2020 by
Name of person making statement. Na a of person makin statement. `°
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Personally Known OR Produced IdentiPersonally Known OR Produced IdentificaType of Identification Type of Identification
Produced Produced
(Signature of Notary Public-State of Florida) (Signature of Notary Pub tic-State of Florida )
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Commission No.GGN M6M (Seal) `�" !�' Commission No.GG IVIS�S (Seal) ' `''
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev.
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