HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONplann►ng and Development Service
Building and Code Regulation Divi�
2300 Virginia Avenue, Fort Pierce I
Phone: (772) 462-15'53 Fax' (7
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U.i Ila ing Perm -it App
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462-1578 Co'Mm'PrCial,X
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Address: 9940 S OCEAN DR 1202, JENSEN BEACH, FL 34957
Legal- Description: OCEANA OCEANFRONT CONDOMINIUM ONE APT 1202 AND.7875 PERCENT INTIN COMMON ELEMENTS
Property Tax I D #: 4502-502-0 119-000-.1 Lot No.
>ite Plan Name: Black Nr
Project Name:
Setbacks Front Back: _ _Right Side: Left Side
Replace
doors
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Aaamonai worK to be ertormea unaer t-nis permit - cneCK ail na apply:
EIHVAC Gas Tank. [:]G as Piping Shutters
Electric Plumbing Sprinklers Generatc
itai zoq. r
ost of Cc
slaws
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Z31 . rt. or rust riour:
es:- -.-]Sewer Seri
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It value nt construction is S7_500 or more. a RECORDED Not -ice of Commencement is required.
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Roof
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Address:
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ZIPIA Phone
MORTGAGE COMPANY.0
Name:
11 Address,
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FEE SIMPLE TITLE HOLDER. Not Appli"cable !
Name./
Address: �
city: �
/|.~ Phone: �
BONDING '.'�.'NY�
Name:
Address: -
city:
Z 61p Phone:
Not Applicable
State:��r�-----` \
Not Applicable
OWNER/ CONTRA OR AFFIDVITs. 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 aperm -it,
St. Lucie Count makes no representation that is granting a permit will authorize the permit holder to build the subject structure
Which is in con fict 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 our deed for an restrictions whi'ch may a
y y I - Ply.
In consideration of the granting of this requested permit, I do -hereby agree that I will, in all respects, .,._ the .~
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 ad,'Itions,
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses toanother non-residential use
WARNING TO OWNER: Your failure to Record a Notice of Commencement ay result in paying twice for
improvements to recorded 'in the public records of St.
Lucie .cu.,,dposted '`^Jobsite�-`''-'^'�i'�`�`'``.`.,'c'`''-`='-.ico.�-.
. with lender or an attornev before co mencing work or recording vour Notice of Commencement.
Signat4re of OW/er/ Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF
-T I , J.
Sworn to (or ��'°_'...,_`'_.`�..�,.. me .`hi day of: 2'r. AB 1 24. AQJ by
W
Onlaine No'tarization
ysical. Presence or
t h i '..
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Name o`erson making statement.
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Personally Known OR Produced Identification----`
Type of Identification
Produced
Tsi' ature of N tary ubfiMState
1'�
9
Comrnission No. C
Sigiature of Vn�ra ctor/ Lice n se Holder
STATE OF FLORIDA
COUNTY OF -
.Sworn to (or affirmed) and subscribed _e.'
Physical Presence or Online'Notarization
4v \4 Q� by
this day of tu-No* __ ___ 2
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VJy 2 00or— _W 02(
Name of person making statement.
� Personally Known OR Produced -Identification
Type o.'ds-t'I'c`.o-
| P rod uced
It 0
Notary Public State of 91onda
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I b.onna Jayne It I Co M
_w My Commission GG 20585
re of N ary PubA- St
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4 Not P;Abhc State of Flon a
Sion No. (=4a jayne Hall
my Comffussion GG 207 56
00 1 �Oe Expires OV15/2022 __J
FRONT ZONING I SUPERVISOR I PLANS
COUNTER REVIEW I REVIEW. I REVIEW
VEGETATION
REVIEW -
SEA TURTLE
REVIEW
MANGROVE