HomeMy WebLinkAboutBuilding Permit Application 3-18-22All APPLICPJ% E INFO MUST BE COMIL ,,_'ED FOR APPLICATION TO BE ACCEPTEV--r/
Date- Permit Number:
MAR 10
Building Permit Application
Planning and Development Services
Building and Code Reguldtfa-h Division Commercial x/ Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 CBDG Funding
PERMIT APPLICATION FOR:
F -,MEN
Address: 7370 S Ocean Dr Apt 315 Jensen Beach , FL , 34957
Property Tax lD#: 3522-607-0071-000-3
Site Plan Name:
Project Name: Doemer 20613
DETAILED DESCRIPTION
Remove and replace shower pan, durock,, and tile in shower
New Electrical Meter Second Electrical Meter.
(Affidavit required)
Lot No.
Block No:
CONSTRUCTION INFORM W,`
_V/Plumbing
4,'f
AT ......
Additional work to be performed under this permit - check all that apply:
-Mechanical
- Gas Tank - Gas Piping
Shutters
Windows/Doors
Pond
Electric
_ Sprinklers
- Generator
— Roof
Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ $11,432.51 Utilities: Sewer Septic
Building Height:
q/LESS'E5.r.
C N Rsr
A R
Name 2PA ANo 08 c) 6-4 64-
Name: MAY14,
Address: OL 6k to S*7
Company: En
City: 8 0 2 36-0 - State: -Cti
Address: q 415 W 6.1-11 S
"I
Zip Code: IfAQ& Fax:
City: QA7V I C�,M=h State: FL_
Phone No. '-77 Ti S 7-6�6 E-
Zip Code: 14 014 Fax:
Mail:- AA-t 110'-A69- "a 44mz C>'tt
Phone No ro (a I- cl G q - GI (0 s-
Fill in fee simple Title Holder on next page (if different
E-Mail gyro) ts anblEtcd '(W
State or County License CV-L 17-50 3 ffl
from the Owner listed above)
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.
DESIGNER/ENGINEER:
Name: _
Address:
City:
Zip:
Phone
FEE SIMPLE TITLE HOLDER:
Name:
Address:
Citv:
Zip: Phone: _
Not Applicable
State:
Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY: Not Applicable
Name: _
Address:
City:
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 au applicable Homeowners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consu t with your Homeowners Association and review your deed for any restrictions which may apply.
In consideration of the granting of this requested permit, I du 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, sheen 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 before commencing work or recording your Notice of Commencement.
Signature of Contractor - or - Owner Bui er as applicable
STATE OF r
COUNTY OF ORIDA p I Im
Sworn to (or affirmed ands bscribed before me of ZPhysical Presence or Online Notarization
this &1day of 20_.by
I'VlOA, kf:� I /
Name of person making ent.
ststate
Personally Known ✓ OR Produced Identification
Type of Identification Produced
(Signature of Notary Public- State of F orida),
Commission No (Seal)
PATRICIA MCGLASHON
MYCOMMISSION;#GG33S073
, ,,W EXPIRES: September 14, 2023
Bond,d Thru Notary Public Underwriters
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev 10/12/21