HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: R� Permit Number:
91ro L U C 0r,;�R NOV 0 20'99
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5t.Lucie III
PermiitinBuilding Permit App cation
Planning and Development Services
Building and Code Regulation Division Commercial Residential X
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax: (772)462-1578
PERMIT APPLICATION FOR:
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Address: 10044 S OCEAN DR# 1105
Property Tax ID#: 4502-804-0085 000 0 Lot No.
Site Plan Name: Block No.
Project Name:
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CHANGE OUT FRONT DOOR-NO SIZE CHANGE
New Electrical Meter Second Electrical Meter
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Ct3NSTRUCTI( NINFORiyIATION. � 4= N
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Additional work to be performed under this permit—check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters VWindows/Doo _Pond
_Electric _Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction:$ 2,048.80 Utilities: —Sewer —Septic Building Height:
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� CONTRACTCtR�N
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Name ROBERT DONAHUE Name:,LAMES D.DAVIS
Address:IQO7 Qo 146 I l[I 0,.mad Company: d&G CARPENTRY INC
City:ey acl U,I,.l,Q_ State:QA Address:13461 79TH CT N
Zip Code: l(s 33 5 Fax: City: WEST PALM BEACH State:FL
Phone No.814 724 7248 Zip Code: 33412 Fax:
E-Mail: Phone No 561-855-4052
Fill in fee simple Title Holder on next page(if different E-Mail %-rat'J2 l-- tro P
from the Owner listed above) State or County License GC 0,2283
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.
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qS� t1�FLEM�N7 L C01�ST ` T10N L1 N CAVv 1 N 1 .,,, " tilg r ��
DESIGNER/ENGINEER: X Not Applicable MORTGAGE COMPANY: X-Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: X Not Applicable BONDING COMPANY: x 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 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 leg attorney before commencing work or recording our Notice of Commencement.
Signatur of 4rJQj;ractoLras Agent for Owner Signature of Con ac or/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF `• COUNTY OF p A�M QraCk%
_ Sworn-to r-affirmed)and subscribed before-me of Sw,et�n to(or affirmed)-and-subscribed before me of- -
i I Pres ce or Online Notarization / Physical Presence or Online Notarization
this' of 202& by this(< t dayof n10i)t_,m 4- 2026(byaOa
Name of-person making statement. Name of person making statement.
Personally Known OR Produced Identification Personally Known ✓ OR Produced Identification
Type of Ide 'fication C Type of Identification
Produced I Produced
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(S nat re of of R,u is kAFI�tA W4NEUVE (Signature f Notary P b ic-State o lorida)
_406 G�� Notary Public,State of Florida
Commission o. Commission#I( 61 Commission No.���Y?ue� ANGE�ggyNG
Nty comm.expires July 2024 'T°' ! Commission#GG 968864
9rFOFF%- Bonded Tluu Budget N taryServices
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
-DATE
RECEIVED
DATE _F7 J
COMPLETED
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