HomeMy WebLinkAbout9550 S OCEAN DR.All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
t `, 1` ` `' `` "�'` Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION:
Residential X
Address: 9550 S OCEAN DR. #208 JENSEN BEACH, FL 34957
Property Tax ID #: 4502 601 0012 000 5 Lot No.
Site Plan Name: Block No. UNIT 208
Project Name: 9550 S OCEAN DR. #208
DETAILED DESCRIPTION OF WORK:
UPGRADE MASTER SHOWER
New Electrical Meter Second Electrical Meter
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
Total Sq. Ft of Construction: Sq. Ft. of First Floor:_
Cost of Construction: $ 10000.00 Utilities: —Sewer _Septic
Building Height:
Pond
Pitch
OWNER/LESSEE:
CONTRACTOR:
Name FRED JSALVATI
Name:ALBERTO MUNOZ
Address: 9550 S OCEAN DR. #208
Company: PREMIER PRO PLUMBING CORP
City: JENSEN BEACH State: _
Zip Code: 34957 Fax:
Phone No.
Address: 393 NW STRATFORD LN.
City: PORT ST LUCIE State: FL
Zip Code: 34983 Fax:
Phone No 772 224 9110
E -Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E -Mail cobuildersl5@gmail.com
State or County LicenseCFC1428268
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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DESIGNER ENGINEER:
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Not Applicable
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MORTGAGE COMPANY. Not Applicable
Name:
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Physical Presence or Online Notarization
Name:
Address:
this ay of , 2020 by
Address:
City:
State:
Personally Known OR Produced Identification
City: State:
Zip: Phone
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Zip: Phone:
FEE SIMPLE TITLE HOLDER:
Not Applicable
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BONDING COMPANY: Not Applicable
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ZONING
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SEA TURTLE
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City:
Zip: Phone:
Zip: Phone:
REVIEW
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, l 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 intend to obtain financing, consult
with lender or an attor-nev before commencine work or recordine vour Notice of -Commencement.
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Signature of Own / Lessee/Contractor as Agent for Owner
ignature of Contractor/License Holder
STATE OF FLORID
STATE OF FLORIPA
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Name of person making statement.
Name of person making statement.
Personally Known OR Produced Identification
Personally Known OR Produced Identification
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Type of Identifi ti n
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PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 5/b/LU