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Home My WebLink About7410 S OCEAN UNIT D708 - PERMIT & SUB FORMSAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: O i Building Permit Application Planning and Development Services Building and Code Regulation Division Commercial 1, Residential 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 PERMIT APPLICATION FOR: PROPOSED IMPROVEMENT LOCATION: Address: l— f4 ,A/ /P P— . (-) ✓/ 7-P 7 0 Property Tax ID #: Lot No. Site Plan Name: J 'a^d�l//GZ/47J- Cc%o�J A-7Oe Block No. `— Project Name:�'1�� DETAILED DESCRIPTION OF WORK: 6"� yc. � t�<= �/fir i >/ ✓��.-�' t t/�i".� d': ✓ � 1' i'% %lt;.� „dl,li%J/! , n-°i� t ;1 ' r �'��r_:.,e ✓! f �J`; /c? r°ll� c zs'" 1 J,��,, ,,`l -W /t- f-/% 1 i� /i 1 ee' 64 »i/,AfcI- r_`� t. r��,9f i s�9�1✓i �rr:'� L T F .� 7 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 �C Electric x Plumbing `Sprinklers Generator _ Roof Pitch Total Sq. Ft of Construction: 4 � 3 (> f� L).fr->��+� Sq. Ft. of First Floor: Cost of Construction: $ t L Utilities: ZSewer _Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name v 11-16=l Name: Address: bZ �l� f✓ i21� 7e-l-x- Company: ; s City: f G•r1.1,��J: i��.1 State: 4�-C Address: � ' =ea J-A-j 1;14 -cf e'--- ,4 ✓4 Zip Code: -333 17 Fax: City: e-fj-c' State: /-c - Phone No. 3'95- - 2 a 8 - j:.''`f 4/ Zip Code: J 41 di S :? Fax: --- E-Mail: X�' ... �'3d� Phone No �Z y - 4 Fill in fee simple Title Holder on next page (if different E-Mail , f�"U,./y'y' �' �r�✓ ass Jib �:ilsr* from the Owner listed above) State or County License <' � e 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: _ Not Applicable Name: Name: Address: Address: City: State: City: State: Zip: Phone Zip: Phone: FEE SIMPLE TITLEHOLDER: _ 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 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 Notice of Commencement. Signature Owveessee/Contractor as Agent for Owner Signature o ontra t r License Holder STATE OF FLORIDA STATE OF FLORi. COUNTY OF _ 7�'1( � ��'\ COUNTY OF�� C` , V \� SwPy4 to (or affirmed) and subscribed before me of Physical Presence or Online Notarization this �� 1 day of 4-W-f 202� by SwOF to (or affirmed) and subscribed before me of V h sical Presence or Online Notarization this � day of n(1( �a" 2024 by sk XtU J n Name of person making statement. Personally Known OR Produced Identification Name of person making statement. Personally Known OR Produced Identification Type of Identification Produced • s � 14PC) Type of Ident' ication Produce Q7 SLJ _`Td (I U AV (Signature of Notary P c of Flo N Notary ulic State of Florida tyot Commis�`ion GG 923210 r }�_ Commission NdF �I?32i `-.oF My cot>3atkpires Oct 15, 2023 Bonded through National Notary Assn. (Signature of Notary Public t' Jor dac�ssaNOPa M a r ; ` • �. �otary Public -State of Florida �`� 51L • a' s mml{ sign. +<GG 9232t0 Commission No. Cl t 2✓C °''d off` (�!xpirss Oct 16, 2023 f`:' My Bonded through National Notary Assn. REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev. PERMIT # ISSUE DATE _ PLANNING & DEVELOPMENT SERVICES 4 J = `- ~ Building & Code Compliance Division s - - - < BUILDING PERMIT SUB -CONTRACTOR AGREEMENT /,e-o/3C2i /P&'JI=/z S (Company Name/Individual Name) the /PGSub-contractor for (Type of Trade) have agreed to be Pizec/If/ .0-J e0�; 1104 (Primary Contractor) 3 y iS? For the project located at 2�/D -r y C6-4,✓ -DIZ41,1 ,r 10 706 el-'.9 e,4/ (Project Street Address or Property Tax ID #) It is understood that, if there is any change of status regarding our participation with the above mentioned project, the Building and Code Regulation Division of St. Lucie County will be advised pursuant to the filing of a Change of Sub -contractor notice. CO &SIGNWRE alifier) JS" ,r /V �� - 7v Ale 0 PRINT NAME 665-C/_�'27Z_ COUNTY CERTIFICATION NUMBER State of Florida, County o tm Lam. The foregoing instrument was signed before me this 1 I day of r2e�, by S\ ,L �0 C C) who is personally known _or has produced a 1� L as identification. STAMP Si tore o Public \J (- V_ Print N ofamfNNotary Public MICHELLE GREEN Notary Public State of Florida .9`0` Commission 9 GG 286318 '•'�oF°` My Comm. Expires Dec 20, 2022 Bonded through National Notary Assn. Revised 11/16/2016 SUB -CONTRACTOR SIGNATURE (Qualifier) PRINT NAME COUNTY CERTIFICATION NUMBER. L State of Florida, County of a 1` V The foregoing instrument was signed before me this 61by of i1► ,20L�1,by.� who is personally (mown _or has produced a ! L_ as identification. STAMP Signature of pQotary Public / Oliq Print Name of Notary Public L"Ay "oe11otary Public Stateof Florida Maria Mccoy My Commission HH 062965 .�o Expires 11/12/2024 PERMIT # ISSUE DATE COUNTY F L D R I D Ar1._1111'11'11 ON PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division (Company Name/Individual Name) the E c /Z-i C-4 i- (Type of Trade) BUILDING PERMIT SUB -CONTRACTOR AGREEMENT have agreed to be Sub -contractor for (Primary Contractor) For the project located at 7 V / n J- 0 C c'A�/ ) Z , / P '70e ATE.✓ C.✓ l'c . (Project Street Address or Property Tax ID #) It is understood that, if there is any change of status regarding our participation with the above mentioned project, the Building and Code Regulation Division of St. Lucie County will be advised pursuant to the filing of a Change of Sub -contractor notice. ",'Jx e1i CON SIGN ualifier) PRINT NAME CG-C� 1.s'2 7 Z,57 COUNTY CERTIFICATION NUMBERS r State of Florida, County The foregoing instrument 4was signed before me this a day of 20by ��,nC C-)C ) who is personally known _or has produced a L ► J L— as identification. i ignature Publi \kk'ir it C C->f�ci C U/1 Print Name of Notary Public ,,"SUB-COKPPArCTOR SIGNATURE (Qualifier) R'1��e_yP'Tynv�_ PRINT NAME F C_ 1 sao (�`t3 COUNTY CERTIFICATION rtNUMBER / � /- State of Florida, County of —1\ / l(A /l/ � V 1 The oregoing instrument was TTsigned i before me this Q day of � ,20 by 1/t VV�VW(� 1 (�nG who is pe nally (mown or has produced produced a as identification. kn W STAMP -UAL Sig ture of No ublic l }` Prin Name of Nota4yPublic MICHELLEGREEN �r: �,•: ?; ,;�•„� Notary Public -State of Florida Commission .# GG 286318 My Comm, Expires Dec 20, 2022 Revised 11/10/2016 bonded through National Notary Assn, STAMP DESIREE N. LLAPUR y p°mom Notary Public, State of Florida " Commission# GG 368068 My comm. expires Oct.18, 2023