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HomeMy WebLinkAboutAPPLICATION Irvine*ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTEDNW Alate. 4-30-2 Permit Number: Ailding Permit A%licatioU Planning an eve pment Services Building and Code Regulation Division - 2300 Virginia Avenue, Fort Pierce FL 34982 % • Commercial Residential Phone: (772) 462-1553 Fax: (772) 462-1578 PERMIT APPLICATION FOR: Window/door PRO SED IMPROVEMENT LOCATION: Address: 8750 S Ocean DR Apt 931 Jensen Beach, FL 34957 Le��D• ripISLAND DUNES CONDOMINIUM A UNIT 931 A/K/A ADMIRAL CONDOMINIUM Property Tax ID #: 3535-601-0043-000- Lot No. Site Plan Name: Block No— _ t Pr c— • e� ac DETAILED DESCRIPTION OF WORK: Rep c:7 slidig gla:do Tl. 7"A I PPCtg gl s o s CON TRLICTION INFORMATION: Additi workto a pertunder this p mi — ec app 1�4 rj eHVAC Gas *GasPiping Shuion "ow �IEI 0 0 Plumbing •�S rinklersIf] Generator Roof Roof itch we Total Sq. Ft of Construction: _ S Ft. of First Floor: Colt of Constltit $ 67,990 Utilities: --Sewer ASeptid10kuilding Height:— • i OWNER/LESSEE: CONTRACTOR: Name Patrick Irvin Name: Janet Milici _— Address: 8750 S Ocean DR Apt 931 Company: Natural Flow, Inc4e City: Jensen Beac _ State: FL Address: 391 NE Baker Rd. City: Stuart State: FL • Zip Code: 34957 Fax: Phone No. 651-592-4411 Zip Code: 34994 Fax: 772-334-1078 E-Mail: pwi@patrickirvine.com No. 772-334-1011 Fill in fee simple Title Holder on next page ( if different • #hone ail: Janet@naturalflow.net from the Owner listed above) Ste or County License: SCC 131151263 If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. DESIG,WR/ R: _ Not A licabl MORTGAGE COIANY�i Not Applicable•' Name. Name: Address: Address: City: State: • City: State: Zip: Phone Zip: Phone: FEE SIMPLE TITLE HOLDER: _ Not Applicable Name:_ Address: City: Zip: Phone: • BONDING COMPANY: _ Name: _ Address: City: Zip: Phone: *-_Not Applicable 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 ermit. St. R.tcie Cownt�ak n itatio1Rh itl"ermit1qill�uthori t permit holder to build the subject structure which is in con lict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit s= 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,in*.s, 4s, signs, s ro or es not rIid u-- ARNING TO OWNER: Your failure to Record a Not Of Co mencement y r It in aymg tAic�fo improvements to your property. A Notice of Commencement must be recorded in the public records o St. Lucie County and posted on the jobsite before the first inspection. If you intend to obtain financin consult with lender or an attorneybefore commencingwork or recording your Notice of Commencement Signat re of ow er/ Lessee/Contractor as Agent for Owner • Sig ature of ntractor/License Holder STATE OF FLORID'— ST TE OF FL COUNTY OF COUNTY OF • Sworn to (or affirmed) and subscribed before me of Sworn to (or affirmed) and subscribed before me of Physical Presence or Online Notarization y Physical Presence or Online NotarizationAh this �eday of I- Al L 2820 bMlli this ! day of ;�21 � 1t- by � •LVZi Lv�l Name of person making statement NEW Personally Known OR Produced Identification Type of Identification • — Produced • (Sig ature of NQtarffubimasta Com fission o. ��i 5 RE �•T - COUNTE� Name of person making statement. Personal y nown OR Proc uce en i ica lon Type of Identification • • ProduL.ed 4 19 fare of Nkary PubH- St • Notary Public State lorTS ioa _ albonna Jayne HaII Com My Commission GG 20 585 �Y. Expires 04/15/2022 ZONING• SREVIEW�EVIEW ERVIS0LANSI REVIEW TV�t r, 7 •c� tary Public Stale of F lJ / D O w_ o(�{a Jayne Hall My Commission GG 20: Ex Expires 04/1512022 VEGETATION �EA TUR� ANGRO REVIEW REVIE REVIE IVED• -- 11IM011I610- •• • _ PLETE� — _ _ —7 1—