HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Permit Number:
Date:
-�--
`� Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial XX Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 CBDG Funding
PERMIT APPLICATION FOR:
PROPOSEDJMPROVEI` ENT LOCATION. j.
Address: 9940 S Ocean DR Apt 1103 Jensen Beach,FL 34957
Property Tax ID#: 4502-502-0110-000-8 Lot No.
Site Plan Name: OCEANA OCEANFRONT CONDOMINIUM ONE APT 1103 AND.7875 Block No.
PERCENT INTIN COMMON ELEMENTS
Project Name:
.3 ,
DETAILED DESCRIPTION OF-WORK. f .
r
Replace 3 windows and 2 sliding doors Accordion shutter across back.
"New Electrical Meter Second Electrical Meter (Affidavit required)
CONSTRUCTION INFORMATION <;
i
Additional work to be performed under this permit—check all that apply-
Mechanical _Gas Tank _Gas Piping _Shutters x Windows/Doors _ Pond
Electric _Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: 1 Sq. Ft.of First Floor:
Cost of Construction: $ ( cr r d bD Utilities: Sewer —Septic Building Height:
OWNER/LESSE" CONTRACTOR:
Name Wiiliam Michael Sear]. Patricia.Ann Burnett Name: Text
Address: 9940 S Ocean DR Apt 1103 Company: Impact experts
Jensen Beach, FL 34957 1405 NE meyers ter
City: State:_ Address:
Zip Code: Fax: City: Jensen beach FL State:
Phone No, Text E- Zip Code: 34957 Fax:
Mail: Phone No 7722859342
Fill in fee simple Title Holder on next page (if different E-Mail Cwodscorp@yahoo.com
from the Owner listed above) State or County License CGC1519929
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.
Sl1PPLEMENTAL„CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: Not Applicable
Name: Name:
Address: Address:
City: State: City: State'.
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: 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 conflicts with any.applicable Homeowners Association rules,bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Homeowners 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 fail re to Record a Notice of Commencement may result in paying twice for
improvements to your prop rty. A Notice of)bmmencement must be recorded in the public records of St.
Lucie County and osted ottc
he jobsite b or,,e the first inspection. If you intend to obtain financing, consult
with lender a ttorne fore cgm ndri work or recordingour Notice of Commencement.
Signature of ntra for-or-Ow r Builder as a cable
STATE OF FLORIDA
COUNTY OF
Sworn to(or affirmed) d subs ribed before me of Physical Presence or Online Notarization
this day of I20�0-2-by
0-
Name of person making statement.
Personally Known OR Produced Identification
Type of Identification Produced
(Signature of No ar—,1u lic-Stab }br�I
Y�Y Public
$o' 6 ;State of Florida N tart'
I __ Conin}i sign # GG 270079
Commission No. , _ �, ;,.,_- e�,Jssion Expires
9 F October 22, 2022
REVIEWS FRONT ZONING SUPERVISOR FLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev 10/12/21