HomeMy WebLinkAboutPermitApplicationALL APPTICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date. 06/28116 Permit Number:
Building Permit Application
Plonning ond Development Services
Building and Code Regulation Division
2300Virginia Avenue, Fort Pierce FL34982
Phone: (7721 462-7553 Fax: (7721 462-L575 Commercial Residential
Address: 9650 S. Ocean Drive; Jensen Beach, FL 34957 - Unit # 703
Legal Descripllqn' The Princess Of Hutchinson Island
Property Tax lD #:
Site Plan Name:
4502-6't 0-0000-0006 Lot No
Block No.
Project Name: The Princess Condo
Setbacks Front Back: _ Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Concrete Repairs
r this permit - cl
l-leas riping
l-lsprinkters
appry:Lr HVAC
Electric
Gas Tank
Plumbing tr
Shutters
Generator
l-l *,nro*s/Doors
tr I Roof
Total Sq. Ft ofConstruction:
Cost of Construction: S
Sq. Ft. of First Floor:
Utilities: l_l r"*", E t.*
lf value of construction is S2500 or more, a RECORDED Notice of Commencement is required.
PERMIT APPLICATION FOR: Concrete
PROPOSED I M PROVEMENT LOCAT]ON :
CONSTRUCTION I N FORMATION :
OWNER/LESSEE:CONTRACTOR:
1',1"mg The Princess Condo
Address:9650 S. Ocean Drive
City: Jensen Beach
ZiP Code: 34957 p1y.772-229-7799
pho ne 71s. 772-229-9690
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Daniello & Associates
Address: 2708 N. Australian Ave, Suite 9
City: West Palm Beach
ZiP Code: 33447 psx' 561-833-3573
phone 11s. 561-835-4788
E-Ma il: info@ConcreteRepairing. net
State or County License: CGC-1518181
I certify that no work or installation has commenced prior to the issuance of a permit.
St- Lucie €ounty.makes no representation that is granting a permit will authorize the permit holder to build the subiect structurewhich is in conflict with any applicable Home Owhers Asiociation rules, bvlaws or and covenants that mav restrict dr prohibit suchstructure. Please consult with riour Home Owners Association and review'your deed for any restrictions vitricfr mafapply.
ln 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 perr"nit applications are exempt frorn undergoing a full concurren€y 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.iobsite
before the first j;.rppection. lf you intend to obtain financing, consult with lender or an attorney befilre
commencins w6rk or ent.
Revised 07115/2A14 STATEOI ) srereoF
REVIEWS FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
IVIANGROVE
REVIEW
DATE
COMPLETE
INITIALS
lt
MORTGAGE COMPANY: _ Not Applicable
Name:
NEER: Not Applica
AddfgSS: 1235 S.E lndian St. suite 103
34ee7 PhOne: 772-zzo46oj
BONDING COMPANY: _Not Applicable
Name:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
STATE OF FtORrqA \
COUNW OF - 1".[ l_ nzt be= +_.\
The forgping instrument.was acknowledged before me
this2-1-' oay of -S v \ ./ , 2o21-hy
(Signature of Notary Public- State
Type of ldentification Produced.
(Name of person acknowledging )
STATE OF FLORIDA \
COUNTY Or?* L rt t Br+.c- Lt
The forgoing instrumen
this[fday of T ',
was acknowledged before rne
(Name of person acknowledging )
(Signature of Notary Public- State
Personally Known K OR
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
CSM Fnoineers
Address:
City:
Zip: _Phone:
Address:
City:
Phone:Zip: _ Phone:
Address:
City:_
zip:
,-,b*rv\n-.)-3 '
- Signature of o',,J*rZL"*;/At;\Signature of Contratt-oi/License Holder
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