HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
•
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,fort Pierce FL 34982 `y/
Phone:(772)462-1553 Fax: (772)462-1S78 Commercial /\ Residential
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
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Address: 9500 S OCEAN DRIVE
Legal Description: ISLANDIA II CONDO 1290-413
Property Tax ID#:. 4502-602-0007-000-0 Lot No.
Site Plan Name: 1 Block No.
Project Name: ISLANDIA
Setbacks Front Back: Right Side: Left Side:
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Remove and replace lights poles at tennis court, using existing feed.
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ttiona wor o e er orme un er t sperm —c ee a apply,
�HVAC Gas Tank ❑Gas Piping _Shutters ❑Windows/Doors
X Electric 0 Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ 28644.00 Utilities:n Sewer 11 Septic Building Height:
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Name ISLANDIA II CONDO Name: JAMES K WILLIAMS
Address: 9500 S OCEAN DRIVE Company: ARLINGTON ELECTRIC
City: JENSEN BEACH State: FL Address: 32SI SE DIXIE HWY
Zip Code: 34957 Fax:-- City: STUART State: FL
Phone No. 772-486-88339 Zip Code: 34997 Fax. 772-287-2380
E-Mail: Isleast a01.Com Phone No.772-287-1353
Fill in fee simple Title Holder on next page(If different E-Mail: re @ arlin tonelectricinc. com
from the Owner listed above) State or County License: EC 13007767
If value of construction Is$2500 or more,a RECORDED Notice of Commencement Is required.
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DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY:- ^Not Applicable
Name: 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: _
certify that no work or installation has commenced prior to the Issuance of a permit,
St.Lucie County makes no represen'ation that is granting a permit will aut or€ze the permit holder to build the subject structure
which is In conflict with any applicable Home Owners Association rules,by aws or and covenants that may restrict or prohibit such
structure.Please consult with your Home Owners Association and review your deed far 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 jobsite
before the first inspection. If you Intend to obtain financing, consult with lender or an attorney before
commencing work or recordingAOUr Notice of Commence ent.
Y�
ig tore of Owner/Lessee/Agent Slgn t re of Contractor/License Holder
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ST E OF FLORIDA STAT OF FLORIDA
COUNTY OF MARTIN COUNTY OF 4RTIM
The foiling instrument was acknowledged before me The Forgoing€nstrument s acknowledged before me
this day of ] 20 �by this�� day of 20 �'l by
DAMES -K WILLIAMS JAMES K WILLIAMS
(Name of person acknowledging) (Name of person acknowledging)
(Signature oNokary Public-State of Florida) (Signature ry Public-State of Florida
Personally Known X OR Produced Identification Personally Known X OR Produced Identification
Type of Identification Produced Type of Identificatlon Produced
Commission No, (Seal) Commission No, (Seal)
REGG H ROBINSON { GGq-R0F
' ?�• Notary Public•State of Florida Notary Public-State of Florida '
Revised 07/15/2014 Commission k HH 59076 '�• Commission#HH 59076
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'for ` My Comm.Expires Nov t 2024
an ed g on ed through National N tary Assn.
rough Natfonef Note A
REVIEWS FRONT 7(5NTNCF NS VEGE OVE
I COUNTER REVIEW REVIEW RE EW REVIEW REVIEW REVIEW
DATE
COMPLETE
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