HomeMy WebLinkAboutBUILDING PERMIT APPLICATION'%i/•/.•/" f r.,r .. ..�.� l.�/. .;�...- i r% .��fi;: %fi�`if/,if: • `•fi/. ,•�1.��: ,. �.
Planning and Development service
Building and Code Regulation Divis
2300 Virginia Avenue, Fort Pierce I
Phone: (772) 462001553 Fax: (7
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462-1578 Commercial X Residentiz
Address: 9900 S OCEAN DR 407, Jensen Beach, FL 34951
Legal Description: OCEANA OCEANFRONT CONDOMINIUM II- UNIT 407 AND UND SHARE IN COMMON ELEMENTS
Property Tax ID #: 4502-503-0041-000-6 Lot No._
site Plan Name: Block Nc
Project Name:
Setbacks Front Back: Right Side: Left Side
Rpnlace9 Slidinolass doors with 1 Hurricane impact snaing grass (oc
�dditional work to be pertormea unaertnisperrni*i-cneCKd11[]doaNNlY�
❑HVAC L.J Gas Tank F]Gas Piping Shutters � Windc
FI Electric PlumbingSprinklers F Generator � Roof
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If value of construction is S2500 or more, a RECORDED Notice or commencement is requirea.
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DESIGNER/ENGINEER:
Not Applicable MORTGAGE COMPANY. Not Applicable
Name*.
Name.
Address:
Address:
City:
State 01ty# State.
ZiPZip:
Phone:
FEE SIMPLE TITLE HOLDER.
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 permitwill- authorize the permit hoider 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 deed for any res�trictions which ma a Iyour y apply.
In consideration of the granting of this requested permit, I do hereby agree that !will, in all respects, perform the work
in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
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The following building permit applications are exempt from undergoing a full concurrenc review: room additions
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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. ff you intend to obtain financing, consult
with lender or an attorney before commencing work or recording vour Notice of Commencement.
Signatt(reof Ow, er/ Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF WkA'i�Tl
Sworn to (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
this 13 day of 3ULq ,i9Mw by
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J(��v�-
Name of person making statement.
Personally Known OR Produced Identification
Type of Identification
Produced
Sig ature of - ntractor/ Lice n se Holder
STATE OF FLORIDA
COUNTY OF _ ��Tf I`►
Sworn to (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
this 1,.1 1%ay of 2��by
Name of person making statement.
Personally Known
Type of Identification
Produced
Sig ature of N tarp ubfiMState i re of Nc
�'7/��'j�� � �'' Notary Public State of Florida
Com fission Na- ,albonna Jayne Hall Com sion No.,
My Commission GG 2t? 585
�xpoes 04/1512022
OR Produced Identification
ubM- St
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47 t�����b�allot Public State of Florida
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Jayne Hall
� : �My Commission GG 20758 '5)
�r�� lv'oP Expires 04/15/2022
REVIEWS FRONT ZONING SUPERVISOR PLAINS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
REC IVED
DA E
CO PLETED
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