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AIIAPPLICABLE INFO MUST BE COMPTETED FOR APPLICATION TO BE ACCEPTEDp.1.. Feb 9,202j
Permit Number:
Plonning ond Development Services
Building and Code Regulation Division
Building permit Application
2300 Virginia Avenue, Fort pierce FL 34gg2Phone: (772) 462-1s53 Fax: lttZl iii-rcta
Commercial Residential x
Property Tax tD 6. 3535-334 -OOO3-210-4
Site plan Name: lsland Viilage Lot No.
Project Name: lsland Village Block No.
New Electrical Meter
_Mechanical _ Gas Tank _ Gas piping _ Shutters
_ Generator
Sq. Ft. of First Floor:
Windows/Doors
_ Roof
_ Pond_ Electric _ Plumbing _ Sprinklers Pitch
Total Sq. Ft of Construction:
Cost of Constructio n: $ 12195.25 Utilities: _ Sewer _ Septic Building Height:
lfvalueofconstructionis2500o..o'e,,REcoRDEDN
lf value of HAVC is $7,500 or more, a RECoRDED Notice of commencement is required.
PERMITAPPLICATION FO_rloN FoR: ;ppact Windows
PROPOSED I M PROVEM ENT LOCATION,
Address: 9437 s ocEAN DR 64 Jensen Beach FI 34gs7
DETAILED DESCRIPTION OF WORI(:
-
second Electrical Meter
Additionar work to be performed under this permit - check a, that appry:
CONSTRUCTION I NFORMATION:
OWNER/LESSEE:
J',16ms Robert S Flotz
Address:9437 S OCEAN DR 64
City: Jensen Beach State:
ZiP Code: 34P57 Fax:
phone p6. 631-455-0915
E_Mail : robfl005@aot.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
CONTRACTOR:
Name: Thomas Scaglione
Company: T-Con Group, lnc.
Address:3246 N Powerline Rd
City: Pompano Beach
Zip Code: 33069 Fax:
phone p6 561-702-3600
E-Ma i I thomas@tcongroup.com
State or County License CBC1251999
state: Fl
-
32195
6
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SUPPLEM ENTAL CONSTRUCTION t I EN LAW INFORMATION:ENGTNEER@
Zip: --Tt,*u
MORTGAGE COMpANy: I_ N"t Appil=..bi"Name:
Address:
Zip: ----pt.lo*l
FEE stMPtE TrrLE Horoen'@
Name:
Address:
BoNDINGcoMpANy, @Name;
Address:
Zip; ....--..---.-- phone:owNER/coNrRAcrmA
I certify that no work or instailation r,., .o,rlrlun.ed prior to tt,u irr*nce of a permit.
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ln consideration of the gSntitg of this requested.permit, ldo hereby agree thatl will, in all respects, perform the workin accordance with the approu;d prrni, iri" iioria, ariiJing c"J., ,lis,. Lucie county Amendments.The following building permit applications are exempt. from undergoing a fuil concurrency review: room additions,accessory structures' swimming pools, fences, walls, signs, screen;;;;r and accessory uses to another non-residentiar useWARNING To owNER: Your failure to Record a N-otice of commencement may resurt in paying twice forrmprovements to your prope.rty' R rvolit" oi c;;#!rent must oe recoroed in ihe pubric iecords of st.Lucie Countv anr
rarirh ran"ro "'^" ^1P.".t^t"d
o1 tfe jobsite before it'.t" iiiit inroection- rf vorrinranrr rn ^r-.+-i^ r;-^--:.-
Lucre Lountv and oosted on the jobsite befo,:.J1il,;ii'iil=":li";:h"'"ii:?:x"riIJ[,:fJfx:{:,;Jiil::li
ncement]
STATE OF FLORIDA
COUNTY ep noriaa
Sworn to (or affirmed) and subscribed before me of-- Physical presence or x Online Notarizationthis sth day of r"o,ray ,2020 by-
17 Lessee/Contractor as Agent
Name of person making statement.
Personally Known
Type of ldentification
OR Produced ldentification x
(Signature ot *o,u
'coftLoo EoodedTh{
signatureorcoffi
STATE OF FTORIDA
COUNTY Qp rrorioa
Sworn to (or affirmed) and subscribed before me ofx Physical presence or --- Online Notarizationthis gth day Of r"ilun,y
Name of person making statement.
Personally Known x OR produced ldentification
Type of ldentification
Produced-.-___-
mmiSsiOn No. cc234378
FRONT
COU NTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TU RTLE
REVIEW
MANGROVE
REVIEW
Thomas ScaglioneRobert Flotz