HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONEll
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planning and Vevei,opment.5ervIce
Building and Code Regulation Divi<
2300 Virginia Avenue, Fort Pierce 1
Phone: (772) 462-1553 Fax: (7
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462-IS78 Commercial X
!kddress: 8750 S OCEAN DR 531, JENSEN BEACH, FL 34957
Legal Description:
ISLAND, DUNES CONDOMINIUM A UNIT 531 A/K/A ADMIRAL CONDOMINIUM (OR69C
Property Tax ID #: 3535-601-0019-000-3
Site Plan Name:
�ro-eCt'; Name:
Setbacks Front Back: Right Side: Left Side
4P-q1-dPnti2
a6-459:852-844 AND 870-138E
Rp.,nleq Cle 7 slidina alass doors with 7 Hurricane impact siming glass ciac
Ndditio'nal work to bepertormecl unaertnispermi-E - cnecK an i aNMY•
HVAC El
Gas Tank Gas Piping � Shutters a Windc
Sprinklers Generator ElRoofElectric ❑ Plumbing
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If value of construction is S2500 or more, a RECORDED Notice ot commencement is requu
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DESIGNER/ENGINEER: Not Applicable
Name.
Address:
City:
Zip:
Phone
FEE 'SIMPLE TITLE HOLDER.
Name:
Address:
city:
Zi.p Phone:
State:
_Not Applicable
MORTGAGE COMPANY. Not Applicable
Name:
Address:
City:
It
Z i ps -
Phone.
BONDING COMPANY:
Name:
Address:
C...
zip:
Phone:
State:' -
_Not Applicable
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
I ce rb fy 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 author'ize 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 ma aIour deed for any restrictions whichY Y PY.
In 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 permit applications are exempt from undergoing a1ull 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.
-and posted- on the jobsite before the first inspection.financing, consult
,'Lucie CountyIf you intend to obtain
.,with lender or an attorney --before commencin work or recording your Notice of Commencement.,
Sgnat re of 0 er/ Lessee/Contractor as Agent for Owner Sig ature of ntractor/License Holder
!Ie�u re of
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STATE OF 'FLORIDASTATE OF FLORIDA
COUNTY OF COUNTY OF ti
Sworn to (or affirmed) and subscribed before. -me of Sworn to (or affirmed) and subscribed before me of
ion Physical Presence or Online Notarization
Ph�ical Presence or Online Notarizat'day of�1.11.`4ag?fr by
day V--%j2()W by this2.�
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Name of person making statement.
,'Personally KnownUR Produced Identification
.Type of Identification
.'Produced
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Cow fission No. C
REVIEWS
DATE
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DAEE
CO PLETED
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FRONT
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Name of person making statement.
Personally Known .OR Produced Identification
Type of Identification
Produced
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eN Notary Pubhc State of filarda :: � ��
11 al�}anr�a Jayne Hall I Com sion No.
my Commission GG 2t3V585
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ary'jPubM- St yli
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Jayne Hall
My Comnussion GG 24.758T)
Expires 04/15/2022
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