HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
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• Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial X Residential
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax:(772)462-1578
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION:
Address: 9950 South Ocean Drive, Jensen Beach , PL 34957
Property Tax ID#: 4502-703-0000-000-1
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Site Plan Name: Miramar I Condominium Lot No.
Block No.
Project Name: Miramar I Condominium
DETAILED DESCRIPTION OF WORK:
remove 1 cabinet, install 1 cabinet
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit—check all that apply:
_Mechanical __..Gas Tank —Gas Piping Shutters
..._... Windows/Doors Pond
_Electric —Plumbing —Sprinklers —Generator Roof
Pitch
Total Sq. Ft of Construction: Sq.Ft.of first Floor:
Cost of Construction:$ 1000 Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Verizon Wireless Name:Pavel Redko
Address:4700 Exchange Ct Company:Advanced Communication Technology
City: Boca Raton State: Address:15188 Park:of Commerce Blvd, Suite 11
Zip Cade: 32557 Fax: City: Jupiter
Phone No.916-385-4266 State.FL
Zip Code: Fax:
E-Mail:mbaker@tepgroup.net Phone No 916-385-4266
Fill in fee simple Title Holder on next page(if different E-Mail mbaker@tepgroup.net
from the Owner listed alcove) State or County License CGC1521987
if value of construction is 2500 or more,a RECORDED Notice of Commencement is required.
If value of HAVC is$7,500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: X Not Applicable
Name:Jeremy Wooster Name:
Address:32-6 Tryon Rd Address:
City: Raleigh State: NG City: State:
Zip: 27603 Phone 996-385-4266 Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: x Not Applicable
Name:Miramar swaie Condominium Association Inc Name:
Address:9950 s Ocean OR Address:
City:Jensen Beach, City:
Zip: 34957 Phone:916-385-4266 Zip: Rhone:
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 attorney before commencing work or recording our No ' o encement.
Signature of Owner/Lesse > ontractor as Agent for Owner Signature Icense Holder
STATE OF FLORIDA STATE OF FLO� r f
COUNTY OF `; �.L COUNTY OF
Sworn to for affirmed)and subscribed before me of Sworn to for affirmed)and subscribed before me of
k Physical Presence or Online Notarization _J' Physical Presence or Online Notarization
this day of .� ` � � 2$ by this 10"411day of by
Name of person making statement. Name of person making statement.
Personally Known X OR Produced identification Personally Known OR Produced Identific
Type of Identification Type of Ident' ation
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REVIEWS FRONT ZO Q �� ERVISOR PLANS VEGETATION SEA TURTLE A V
COUNTER R o REVIEW REVIEW REVIEW REVIEW
DATE
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