HomeMy WebLinkAboutAPPLICATION DeBREE 2j i ! ir. �j: f � rr. i/� r fir!%fl:��i !:r j� •i��� f%,ifi�ffr.�•i�f�.%. �fiFijif�f�/'.��Ffii(ff�iiC:�fiF��:f�4'J;;:.r.,.,��jr��:.,.f .,., ..,
Planning and Development Service
Building and Code Regulation Divi<
2300 Virginia Avenue, Fort Pierce 1
Phones. (7721 462-15S3 Fax' (7
u ilding Permit App
4982
462-1S78 Commercial X
Address: 9500 S Ocean DR Apt 304 Jensen Beach, FL 34957
Legal Description: ISLANDIA II CONDOMINIUM UNI.T.304(OR 1540-1809)
iesidenti-2
Property Tax ID #: 4502-602-0018-000-0 LotN
c
iite Plan Name: Block f
project Name:
Setbacks Front Back: _Right Side: Left Side:
Replace
fixed Wi I
$«
•II11IR<RIY.RUN* MIs][.`N0IiIlFn1►UTO MTNI11IO[e
■
:ICI:TIION lot E.'11[ I li[RIRIf.i.`I.Y![0I6l[.'Y.1gLoF
vaaitionai worK to ae ertormeci uncierthis permi-t-CheCk all h apply:
FIHVAC LJ Gas Tank OGas Piping Shutters
Electric Plumbing []Sprinklers � Generator
otal Sq. Ft of Construction: S Ft. of First Floor:
:ost of Construction: $ 24,500 Utilities:] Sewer ❑ Seri
It value of construction is S7-sQ❑ or more_ a RECORDED NetlrP et CnmmPnrPmPnt ic. rPhuirPd_
1/'11 Windc
.71 Roof
wilding Heig
0
ak m*e Ire
DESIGNER/ENGINEER:Not
�7
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 AFFIDVIT.o, 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.
Inconsideration 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,
accessary 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.
Signatqre of Ow,4er/ Lessee/Contractor as Agent for Owner
v ' m,
STATE OF FLORIDA
COUNTY OF
Sworn to (or affirmed) and subscribed before me of
Ph isal Presence or Online Notarization
this IJ719day of 3UIJ (.050 ,afrQ@-by
2.vd 2 1
���o�'(' �I1(l� l ►r..t
Name of person making statement.
Pers Onally known OR Produced Identification
Type of Identification
Produced
Sigoature of Nktary\PubliMState�gi
Si g ature of ntractor/Lice nse Holder
STATE OF FLORIDA
COUNTY OF
Sworn to (or affirmed} and subscribed before me of
111104 Physical. Presence or Online Notarization
this 164'� day of 4UJ 06 , 20?15r by
((woo,%
Name of person making statement.
Personally Known
Type of Identification
Produced
OR Produced Identification
ianaJWre of N&arv\PubA- StaL&QfE1Qri
�7�t f��� ��' r Is Noiary Public State of londa
Com fission No. � balbonna Jayne Hall Cam sion No.
me My Commission GG 2017585
F_.. xpireS 0411512022
RE y IEWS
DATE
REC IVED
DAT E
COMPLETED
ev,
t'�` Not Public State of Hari a
t)
� �� ? Y; (��a Jayr* Hail
M : •r My Commission GG 201 58
Expires 04/15J2022
FRONT ZONING
PLANS COUNTER REVIEW I SUPERVISOR
REVEWREVIEW � VEGETATION
REEWSEA
REVIEWLE I MANGROVE
REVIEW