HomeMy WebLinkAboutBuilding Permit Application (2) I
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED I
Date: '"r Permit Number: !�
�`L.LU,C Ors NOV a 2621
f ,1 '5t.Lude ounty
PermittinBuilding 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: W�r��►dv�s
Address: 10044 S OCEAN DR#1105 j
Property Tax ID#: 4502-804-0085 000 0 Lot No.
Site Plan Name: Block No.
Project Name:
DTilLED C� SCRIT) }NFWORK ax 3 rL s
..3'>. ,.1. _
CHANGE OUT FRONT DOOR-NO SIZE CHANGE
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New Electrical Meter Second Electrical Meter
Additional work to be performed under this permit—check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters _Windows/Dog;S_ _Pond
Electric _Plumbing _Sprinklers _Generator _Roofi Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floori
2,048.80 9
Cost of Construction:$ Utilities: _Sewer _Septic Building Height:
. s* s. -rx 1 k a `w�* '4 .ma`s
OWNER/LtS EE �_ CONTR�AC C}Rr ��
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Name ROBERT DONAHUE Name:JAMES D.DAVIS
Address:K)7) 7 Q 146 11 LS &m&cl Company: J&G CARPENTRY INC
City:lTeianl u,Lu e— State:PA Address:13461 79TH CT N
Zip Code: Ka 33$ Fax: City: WEST PALM BEACH State:FL
Phone No.814 724 7248 Zip Code: 33412 1 Fax:
E-Mail: Phone No 561-855-4052
Fill in fee simple Title Holder on next page(if different E-Maim� _t, �9 RPr�r v reJ�l�F�• t�z m
from the Owner listed above) State or County License GC 02283
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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DESIGNER/ENGINEER: X Not Applicable MORTGAGE COMPANY: � X Not Applicable
Name: Name: I
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:
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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 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 anotheIr 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 legdar- attorney before commencing work or recording our Notice of Commencement.
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;ig4natur460wnWr/ ractor as Agent for Owner Signature of Con ac or/License Holder
STATE OF FLORI!�• STATE OF FLORIDA
COUNTY OF _ COUNTY OF p AL M�2a�
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Sworn to r-Mfirmed)and subscribed before me of Sw,�rn to(or affirmed)and subscribed before me of
i I Presence or Online Notarization ✓ Physical Presence or Online Notarization
this' of 202i� by this f day of AJOi1—M 4-1 202&(by dal
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Name of-person making statement. Name of person making sttaatement.
Personally Known OR Produced Identification Personally Known ✓ OR Produced Identification
Type of Ide 'fication ti. Type of Identification {
Produced Produced
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(S natIret�r j;u is billFl#it18i0t�NEUVE (Signature(,If'Notary P blic-Statelo lorida)
� °m Notary Public,State of FloridaCommi " Commission# 61 Commission No. t�avaue� ANGE���yNG
N i comm.e0res July 2024 !Commission#GG 968864
9rF01`0. \ 6nd9dThw8udgetN taryServices
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
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COMPLETED
Rev.
5/6/20
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Name of ficant _
APR _ eAppticafian. .
1tk� C � 'n Dot� � �s t '� '7�� 3838
Addre of
APAh Telephone Number-
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DESCRIPTION®F-ADPMQN--CHANGE,� ODIFICEITION,'Ir'I•CC
Submh f (3�copies of aq proposed addfions,charges;ma cations,etc.whi h�- -_::s color of
rrtatenals plans,_draw--, _ the`name of the Company scheduled fo oto the work acidatiy pe gent
urfarmat n ReCesSary fi0 r, _ 2tn mfOmted'det a0TL If ali.113 , Qlfofmako�9:IS xxrt ie�tvrrd W�#iffitS
competed applcc on,the Boar. him atrtomallowl., elect:ilia appGcatton:urrt�1 ail requested mfiarcna on t5 .,
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The I4rah :turat Charge Lamm fee<w�l review the appC lion aFid su ,Wt. to the Bearol of its fnr
stgnatune'wiEhm thvty�___ wori.-Q days frariit receipt Should yop require any aiid onal mfoin i' ,
pleasecontact- Assocea n;Management Company at7752334 8900 orfaxat T12:288 0175 Nloreday
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The undersigned ad lowtedge#hat they have read#his app c an and understand ft►e
Canted for item s _1.
{ )s atiove andlor atchert'Ttte O�nmer(s)also undenc�that apprmval may
as 1 as g days and mh7 a signed aPpn�val rs ;no woik is tDhe sfairbed
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Apps Signature pltrn�s'signature
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APPROVED i REJECTED
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