HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONWj
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Manning and Vevelopment,5ervlce
Building and Code Regulation Divh
2300 Virginia Avenue, Fort Pierce 1
Phone: (772) 462-1553 Fax: (-7
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uiiciing Hermit Apr
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462-1578 Commercial X
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Address: 8750 S OCEAN DR 1633, JENSEN BEACH, FL3495-1
Legal. Description: ISLAND DUNES CONDOMINIUM A UNIT 1633 A/K/A ADMIRAL CONDOMINIUM (OR 1806-1385)
Property Tax ID P
'Site Plan Name:
"00 ffeld:�I ffs- Ill 01416k
Project Name:
Setbacks Front Back: Right Side: Left Side:
:RPnlace 4 slidina glass doors with 4 hurricane impact snaing glass aac
�dditional work to be pertormea unaer inis Pt!r-1T11L - c:neLK a.. 11 aNN'Y•
ElHVAC LJ Gas Tank Gas Piping _Shutters a Windc
Electric' Plumbing Sprinklers � Generator � Roof
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If value of construction is S2500 or more, a RECORDED Notice of commencement is requirea
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DESIGNER/ENGINEER,
Name.
Address:
City:
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Zip:
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Not Applicable
State:
Phone-
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FEE SIMPLE TITLE HOLDER.
Name:
Address:
City:
Zip: Phone:-
_Not Applicable
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MORTGAGE COMPANY.
Name:
Address:
City:
Phone: -
1 BONDING COMPANY:
Name:
Address.,
City:.
Zip:
Phone:
Not Applicable
State:
Not Applicable
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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 Cvunty makes no representation that is granting a hermit will authorize the Permit holder to build the subject structure
which is in conTUCt with any applicable Home Owners Associationrules, bylaws or and covenants that may restrict or ply.ohibit such
structure. Please consult with your Home Owners Association and review your deed for any restrictions which may a
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.
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 your Notice of Commencement.
Signat4re of Ow/er/ Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF
Tt t�-f
Sworn to (or affirmed) and subscribed before me of
) P sisal Pres nce or Online Notarization
7
2Q2^ k by
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this day of 1&Xj'r.%J
Name of person making statement.
Personally Known OR Produced Identification
Type of Identification
Produced
Sig ature of ntractor/License Holder
STATE OF FLORIDA
COUNTY OF YI/��-"r(
Sworn to ( or affirmed) and subscribed before me of
Physical Presence or Online Notarization
this 1!7 O?Iay of At�l1o4,)5#4" by
Name of person making statement.
Personally Known OR Produced Identification
Type of Identification
Produced
Sig aturre of N taro ubli State i re of N ary ub - St
s'�/yr/�ry � '1y, Notary Public State Of Olorida ot Public State of Ron a
Com fission No. C2J Jayne Hall 1 Com sion No. a Jayne HaII -
v�:: Y My Commission GG 20V585 3My Commission GG 20758�i
4q�np� 1� 0411512022 Expires 04/15/2022
FRONT ZONING SUPERVISOR PLANS I VEGETATION SEATURTLE MANGROVE
REYIEWS COUNTER REVIEW REVIEW I REVIEW I REVIEW REVIEW REVIEW
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REC IVED
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