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HomeMy WebLinkAboutBuilding Permit ApplicationIA Ella aoatooq All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: T . -. 2-� ! Permit Number: ala� -©­73� Building Permit Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial PERMIT TYPE: L'L T�� PROPOSED IMPROVEMENT LOCATION: Address: 9550 S Ocean Dr Unit 1201 Property Tax ID #: 4502-601-0105-000-4 Site Plan Name: Project Name: Mrsan Residence DETAILED DESCRIPTION OF WORK: RECEIVED MAR 0 3 2021 Permitting Department Residential St. Lucie County Lot No. Block No. �- 0 51 A 0 ��w� i �vcis d AP ACCU 1 dIJ S h U l `� CONSTRUCTION INFORMATION: Additional work to be performed under this permit —check all that apply: - Mechanical Electric Total Sq. Ft of Construction: Gas Tank Plumbing Cost of Construction: $ 1 6, C'2 3 Gas Piping _ Sprinklers Shutters _ Windows/Doors _ Generator _ Roof Pitch Sq. Ft. of First Floor: Utilities: —Sewer _Septic Building Height: OWNERAESSEE: CONTRACTOR: Name Marilyn Mrsan Name: Edward J Heritage Address:..19550 S.Ocean Dr - Unit 1201 Company: Folding Shutter Corporation City: Jensen Beach'. State: _ Address: 1862 Dr Martin, Luther King Blvd Zip Code:. 34957 Fax: nla City: West Palm Beach; .;. State: FL Phone No:989-3,6&5845: ' , Zip Code: 33.404 Fax: 561-640-8204 E-Mail: nla Phone No 561-683-4811 Fill in fee simple Title Holder on next page (if different E-Mail info@foldingshutters.com from the Owner listed above) State or County License SCC131151041 IT value oT construction is szbuu or more, a RECUKDED Notice of commencement is required. If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: _ Not Applicable Name: MORTGAGE COMPANY: _ Not Applicable 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 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/ see ctor as Agent for Owner Signature of Cont o older STATE OF FLORIDA STATE OF FLORIDA COUNTY OF PALM BEACH COUNTY OF PALMBEACH The forgoing instru e t was acknowledged before me this !d day of >�� 20�5 by The fo Ding instrumgnt was acknowledged before me this I day of r9b 20 by EDWARD J HERITAGE EDWARD J HERITAGE Name of person making statement. Name of person making statement. Personally Known OR Produced Identification Personally Known OR Produced Identification Type of Identification Type of Identification Produced Produ (Signature of Notary Public- Sta lot rifiljnela vans Q NOTARY PUBLIC Commission No. ffa%TE OF FLORIDA +; Comm# GG262789 �0 rac's (Signature of Notary Public- St lorir la A. Evans NOTARY PUBLIC Commission No. Sl( IMF FLORIDA Coma GG262789 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED iev.2/7/19 �c:asv;,Tri Impact Wind z' Shutters • Doors • EstW—.- r"