HomeMy WebLinkAboutPERMIT APPLICATION - 10725 S OCEAN DRIVE UNIT 513 - 02-24-2022.pdfAll APPLICABLE/ INFO MUST BrE1 COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: ��( 'q 1 0 l., Permit Number:
L U C1
G L � G C L�
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential _
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 CBDG Funding
PERMIT APPLICATION FOR: AC CV- „� e �'1
ot
PROPOSED IMPROVEMENT LOCATION: , �Ot �J
Address: 1W 2.5 S Ocem owe Un�fi �'l3 , jai sen BEY
Property Tax ID #:
Site Plan Name: /� may
Project Name: PSG 01_ 8nae_ Cd
New Electrical Meter Second Electrical Meter (Affidavit required)
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit — check all that apply:
JMechanical _ Gas Tank _ Gas Piping _ Shutters
_ Electric _ Plumbing _ Sprinklers _ Generator
Total Sq. Ft of Construction:
Cost of Construction: $ 58 233
Lot No. V
Block No. 1�
Windows/Doors _ Pond
Sq. Ft. of First Floor:
Utilities: _ Sewer _ Septic
Roof Pitch
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name
r
Name:e
1V�
Address: '� Fe f
Company:Ifd6m Pair Care, lr)c--.
City: State: VL
Zip Code: 3`�9n5a• Fax:
Phone No.��4" E-
Address: SW •�1� ie
City: rt �10of* Locle State: f-L
Zip Code: 34Q^ p Fax: Wk-
Phone No
Mail:�ele�S�[ 1We �`.CSJ�
Fill in f e imple Title Holder on next page (if different
from the Owner listed above)
E-Mail n- o rawcare real
State or County license
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.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable
Name:
MORTGAGE COMPANY: Not Applicable
Name:
Address:
_
Address:
_
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
BONDING COMPANY: Not Applicable
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 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 jbefore commencing work or recording your Notice of Commencement.
L_J�� -
Signature of Owne or as Agent for Owner
STATE OF FLORID
COUNTY OF i�� L�'�
Sworn to (or affirmed) and subscribed before me of Physical Presence or Online Notarization
this _—i day of -t`_ r'"` 2021by
Name of person making statement.
Personally Known X OR Produced Identification
Type of Id tification Produced
(Sig ature of No ary Public- State of Florida)
,a�;��.,, LYMARI REYES
-%�
;2`� Notary Public -State of Florida
Commission No. (Seal) •= Commission M HH 185477
a��?,' My Commission Expires
mOctober 12, 2025
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Rev 5/20/21