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HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: -AN CA- 6 RECEIVED Building Permit Application Planning and Development Services Building and Code Regulation Division Commercial 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 PERMIT APPLICATION FOR: W 1 f\ Address: 10044 S OCEAN DR APT 1005 JENSEN BEACH FL 34957 Property Tax ID #: 4502 804 0077 000 1 Site Plan Name: Project Name: SEP It 2021 St. Lucie County Permitting Residential X CHANGE OUT FRONT DOOR - NO SIZE CHANGE New Electrical Meter Second Electrical Meter Additional work to be performed under this permit— check all that apply: _Mechanical _ Gas Tank _ Gas Piping _ Shutters Electric _ Plumbing _ Sprinklers Total Sq. Ft of Construction: Cost of Construction: $ 1,801.95 �i3)� Utilities i> •, Na City: - State: TA Zip ode: lt;� Q S1 Fax: Phone No. T19- 7yO �JL E-Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) _ Generator Sq. Ft. of First Floor: Lot No. Block No. Windows/Doors _ Pond Roof Pitch Sewer _ Septic Building Height: Name: JAMED D.DAVIS Company: J&G CARPENTRY INC d Address:13461 79TH CT N City: WEST PALM BEACH State: FL Zip Code: 33412 Fax: Phone No 561-855-4052 E-Mail State or County License CGC 022831 If value of construction is 2500 or more, a RECORDED Notice of Commencement is required. If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required. DESIGNER/ENGINEER: x Not Applicable Name: Address: City: State: Zip: Phone FEE SIMPLE TITLE HOLDER: x Not Applicable Name: Address: City: Zip: Phone: MORTGAGE COMPANY: Name: Address: City: Zip: Phone:. x Not Applicable State: BONDING COMPANY: x Not Applicable Name:_ Address: City:_ 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 permit will authorize 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 your deed for any restrictions which may apply. 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 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 recordinp, your Notice of Commencement. Aw- "-v ii ea ure of :Ow er see/Contrac as Agent for Owner Signature of Coera or License Holder V�)E OF FLORIDA STATE OF FLO IDA COUNTY OF COUNTY OF VA lr- Q-r C 1,• Swo;n to (or affirmed) and subscribed before me of Sworn to (or affirmed) and subscribed before me of V Physical Pres nce or Online Notarization ✓ Physical Presence or Online Notarization this L.d�ay/of202�Iby this1 day of SC4iC_m <.r , 20WIby A ,� Name o person making statement. •j Name of person making statement. Personally Known OR Produced Identi Q&ion Personally Known _� OR Produced Identification Type of Identification s s+ o ai Type of Identification Produced UG a 3 Produced C= Z m.. Ir< A- X0rm o n w T ;(Signetofflotary Public- State of Florida) i � -� ;L "-; " Id LLH V (Signet re of Notary Public- tat' .of- .' rida 0CJ �: �„ �, � * - * ommission it GG 968864 raga 1Z,70ZS Commission No. (Seal) w o ° ,. o NUS+'° = Y r2sA April 12, 2024 Commission No. 9> a (g &Ii 2 oppl° onded"hruBudgetNotaryServices REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev. F5'I4 ORM—MCBM JWRsW 1. 202 StM of Florida County of PALM BFA['i-i Pue� ANGELAYOUNG o,�PRY Crmmission It GG 968864 Expires April 12, 2024 c of o 9TFOF FL�� Bondad Thru Budget Notary Services Pace M)t wy Seal Stamp Above Swortm to W aWffm Q aQd.subsubed befte me by mmm Of mpkSkalpresafm —OR— dus �,,�€ Se-rt� �c�,by Dw Aftn& Year J MF_S D P&M-A Name of Awma S1ve.mft o►Af mWW Y Paw Stage efl4"Wa ebIr•cI a:YO NG' n►ammjy Typed Priiltsd aF wed ]o Ply Known © Produced TAM of iCWokadon PCoduced: CompXeting this infommOon can-ciePer OftfCOM OfAe•dCCUftw9 Or fraudukM reottgctwW of t7t f&m to an rr *corded downeM Descriptlen of AUadmd Ooal wm* 'idle or Type of Docursle * Docurnerst Date- Number ot•Pagm