HomeMy WebLinkAboutAPPLICATION BROWN JeffPlanning and Development Service
Building and Code Regulation Divi�
2300 Virginia Avenue, Fort Pierce I
Phone: (7721 462-15S3 Fax (7
0
u i�ding Permit App
4982
4-62-1578 Commercial X
Address: 9500 S OCEAN DR 407, JENSEN BEACH, FL 34957
Legal Description: ISLANDIA II CONDOMINIUM UNIT 407
iesident-12
'roperty Tax ID #: 4502-602-0031-000.7 Lot No.
iite Plan. Name: Block Na
jroject Name:
Setbacks Front Back: Right Side: Left Side
Ke-r)lace entry door with a hurricane impact entry doe
additional work to be pertormed under this permit - check all tha apply:
HVAC Gas Tank ]Gas Piping Shutters
Electric 0 Plumbing F�]Sprinklers F�l Generator
otal Sq. Ft'of Construction: S Ft. of First Floor:
:ost of Construction: $ 11700 Utilities: Sewer Ser
IT value of construction is sz5uu or more. a RECORDED Notice of Commp-nrPmPnt iq rpnuirPd_
Windc
❑ Roof
INN
3u-11d-1ng He-Ig
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:
OWNER/ CONTRACTOR AFFIDVITG, Application is hereby made to obtain a permit to do the work and installation as indicated.
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., 1 do hereby agree that 1 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,
41 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 your Notice of Commencement.
Signatre of 0w1i er/ Lessee/Contractor as Agent for Owner
v
STATE OF FLORIDA
COUNTY OF WV AiZT1 t%%J
Sworn to (or affirmed) and subscribed before me of
P�scal Presence or Online Notarization
this,hiday of J3 �-24a.0awby
tv k 1
ZaZf
Name of person making statement.
Personally Known OR Produced Identification
Type- of identification
Produced
Sig ature of Nktary\Publ'IMState
Sig lature of ntractor/License Holder
STATE OF FLORIDA
COUNTY OF j���TI l
Sworn to (or affirmed} and subscribed before me of
Physical Presence or Online Notarization
this � day of 10-AJ tfvoor, 9�- r)y
r 01 k 7 e, 4) 2 i
Name of person making statement.
Personally Known
Type of Identification
Produced
OR Produced Identification
ianature of N&arvNPubN- St
ytr "ty, Notary Public State of brida • � �` p� �'' "�y ,N.ot�y Public Slate of Flori a
Commiss.ion No., O'er � �1�' S`�alp�or,na Jayne Hall Com ' sion No.,t:)( la Jayne Hall
My Commission GG20 585 D �:� `< My Commission GG 20758
RV��,y� 8,xpres 04l15/2022 �}« `off Expires 04415/2022
RE IEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DA iEE
REIVFD
D A
COMPLETED
ev. 5/6/Z