HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
L- L ` l� ` ` `` Building Permit Application
Planning and Development Services
Buildinq and Code Requlation Division Commercial xxxxx
2300 Virginia Avenue, Fort Pierce Ft 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Residential
PERMIT APPLICATION FOR: Door Replacement
PROPOSED IMPROVEMENT LOCATION:
Address: 8750 S OCEAN DR PH-41
Property Tax ID #; 3635-601-0095-000-9 Lot No,
Site Plan Name: ISLAND DUNES CONDOMINIUM A UNIT PH-41 A/K/A ADMIRAL CONDOMINIUM Block No.
Project Name: Anthony Door Replacement
DETAILED DESCRIPTION OF WORK:
R/R SGD- 2 openings- impact
New Electrical Meter Second Electrical Meter
II
I CONSTRUCTION INFORMATION:
Additional work to be performed under this permit —check all that apply:
Mechanical _ Gas Tank —Gas Piping _ Shutters _ Windows/Doors � Pond
_ Electric _Plumbing _ Sprinkiers —Generator Roof Pitch
Tolal Sq. Ft of Con5truction: Sq. Ft. of First Floor:11
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I DESIGNS/ENGINEER: _ Not Applicable I MORTGAGE COMPANY: X Not Applicable
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AddrP«- • 4-9-bk!_ to O+l(X k Address:
City: \�[yp 6 CC State: FL City: State:
Zto: 929fi7 Phone 2-2C)2' -0Cg Zip; Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable BONDING COMPANY: Not Applicable
Namn Name:
Address i Address:
City; City:
I Lip: _ Phone: I 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. Lune 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.
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in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
The foliowing building permit applications are exempt from undergoing a full concurrency review: room additions,
'.; re-sSuly %tf ULiLJI kS, `.wifT+S Ring puu1S, fel ILel, wails, SI�'ill, SUVLN I I VU110, dI Id dLLCl�Ury LYWS iV dnV Biel 4uf� I ''Li di it>C
WARNING TO OWNER: Your failure to Record a Notice of Commencement may Msult In paying twice for
improvements to your property. A Notice of Commencement must be recorded in the public records of St-
1 nria r'niintV and nnctpri nn the inhcitp hofnrp the first incnartinn if Vn1I intonrf to nhtain finanrino rnncnit
with lender or an attorney before commencing work or recording your Notice of Commencement.
Signature of Ownlfr/ LeSOe/Contractor as Agent for Owner Signature of Co*actot icense Holder
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COUNTY OF _ Y t — COIiNTY OFF
swcrr tc "Cr of fi ., dl a-ra me of I C,....rn to rnr of firrredl and subsr.ibcd 1 2fore rnz nF
x Physical Presence or Online Notarization �j,sical Pr ence or 0 line Notarization
this day of i1P(PYy1 202t by this ay of 202¢ by
Name of person making statement. I Name of person making statement.
Personally Known OR Produced Identification Personally Known OR Produced Identification I
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Type of Identificationn Type of Identification
Produr� -� Produced
(Signature of NokAT Public State of Flo�ri atj
rd'of Nol(ry Public- State of Flori v
Commission No. GW-blu
.1 �y� al Diary Sta LesstaOf
6;p �ngela Staples
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REVIEWS FRONT
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SUPERVISOR 1 PLANS
VEGETATION SEATURTLE+MANGROVE
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COUNTER
REVIEW
REVIEW I REVIEW
REVIEW REVIEW REVIEW
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DATE
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RECEIVED
RECEIVED
DATE
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COMPLETED
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