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HomeMy WebLinkAboutPermit Application - SLC - 03 22 21All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 03 2Z 21 Permit Number: -nLLicL rz- 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: Screed Patio PROPOSED IMPROVEMENT LOCATION: Address: 10851 S OCEAN DR 160 Property Tax ID #: 4511-810-0167-000-6 Lot No. Site Plan Name: WINDMILL VILLAGE BY -THE -SEA CONDOMINIUM NO 1 UNIT 150 AND PRO-RATA SHARE IN COMMON ELEMENTS (OR 4244-2881) Rlnrk NI n SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: x Not Applicable Name: Seaside Engineers/Edward Roske Name: Address: 4265601hC1 Address: Vero Beach FL City: State: City: State. Zip: 32987 Phone 772-202-6008 Zip: Phone: FEE SIMPLE TITLE HOLDER: x Not Applicable BONDING COMPANY: x Not Applicable Name: Narrle: 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 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 attornev before commencine work or recording our Notice of Cornmencement. Signature of Owne1V LesseAltontractor as Agent for Owner Signature of Contra or/Lic Iva Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF Martin COUNTY OFMartin Sworn to (or affirmed) and subscribed before me of Sworn to (or affirmed) and subscribed before me of x Physical Presence or Online Notarization x Physical Presence or Online Notarization this 29 day of January . 2020 by this 29 day of January , 2020 by Jonalhan Slarratt Jonathan Stanatt Name of person making statement. Name of person making statement. Personally Known x OR Produced Identification Personally Known x OR Produced Identification Type of Identification Type of Identification Produc d Produced (Signature of otaryPublic-5t8i�dP rl l auSs++ 5i"` r o1.sr lay S pu41ic5taie l { nature of N ry Public- Sta da )Notary, GG2351 oz r; !^ +Ftingzn Ymkag Ri% G2 �'s' Commission NO. r"` R tip710A61 - yn ?- An CarrtmiaPc 3G 235 �+ Is5ion No. GG235102 Y lLe �" +rz5 07i0d12�122 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE l COMPLETED k'v-