HomeMy WebLinkAboutBUILDING PERMIT APPF\5 61(22oaIool{
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
R "
COUNTY
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT TYPE:
PROPOSED IMPROVEMENT LOCATION:
Address: 9550 S Ocean Or Unit 1201
Permit Number:
Building Permit Application
Commercial Residential
Property Tax ID #: 4502-601-0105-0004 Lot No.
Site Plan Name: Block No.
Project Name: Mrsan Residence
DETAILED DESCRIPTION OF WORK: IRWI
mil-. I-151 A( O ��AJ r N rjS 0 (i Cca r OIJ 5 U i
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: $ is" La 3 Utilities: _ Sewer _ Septic Building Height:
OWNERILESSEE:
CONTRACTOR:
Name Marilyn Mrsan
Name: Edward J Heritage
Address: 9550 S Ocean Dr- Unit 1201
Company: Folding Shutter Corporation
City: Jensen Beach State: _
Zip Code: 34957 Fax: n/a
Phone No. 989-366-5845
Address: 1862 or Martin Luther King Blvd
City, West Palm Beach State: FL
Zip Code: 33404 Fax: 561-640-8294
Phone No 561-6834811
E-Mail: n/a
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail info@15oldingshutters.com
State or County License SCC131151041
It 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.
I SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
Name:
Address:
City: State:
Zip: Phone
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY: Not Applicable
Address:
City: State:
Zip: Phone:
Address:
Zip:
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 Counttyv makes no representation that is granting a permit will authorize the ermit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules, hylaws ar anScovenants 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
"YARNING 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."
Signature of Owner/ ee or as Agent for Owner
Sig nature of Cont older
STATE OF FLORIDA
STATE OF FLORIDA
COUNTYOF VALMBEADa
COUNTY OF ---
The foJgoing instru ept was acknowledged before me
The fo oinginstrum4ntwas acknowledged before me
I fAtl
this 17 day of �L7 20�i by
this day of 2627 by
EDWARDJWRRAGE
EDWARD J MERRAGE
Name of person making statement.
Name of person making statement.
Personally Known +ram OR Produced Identification
Personally Known vu OR Produced Identification _
Type of Identification
Type of Identification
Produced
Produ
) //
(Signature of Notary Public-Sta ri vans
(Signature of Notary Public- 10AIM la A. Evans
NOTARY PUBLIC
NOTARY PUBLIC
Commission NO. fil OF FLORIDA
Commission No. Sl(g'�IPFFLORIDA
comma GG262789
Corm*GG282789
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW I
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Fe—v777719