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HomeMy WebLinkAboutBuilding Permit ApplicationC 10d'2017 ........... PLICABLE-11% IN PWmD*.6R:--.4 i0id�M' -f0­.k AP A&&ttb- Permit Number. RECIEVED uik ing., 1:00 OCT 2 6 2017 ' Nimbi 'd,DevelopmeatSeivices PerMitting Dept. St. Lucie'County 23 AiOkt- L 44982 C-0ii Residential X ...0ERMITAPPot. N VOR; Roof M-0 PROM 16725 S'6cean,*6r Lot 3 66*Jensen Beach, FL 34957. Legal Description: HOLIDAY OUT AT ST LUCIE -SEC B BLK R LOT 3 AND EQUAL PRO-RATA INTEREST IN COMMON ELEMENTS :.PtOpeftVT 404: 4511-502-0156-000.0 Lot No. Site P.afiNa,me,-.- Block No. Project Name; Setbacks Front Back: Right -Side: Left'Side: Tear off existing shingle roof and install new 5.'V M ilil--fliii . sh . Metal Roof 3�Z iTc � 6=­ "Addition wo 2 to be 13P i, in er c isperm. ONVAC El IIGas AS lank -Piping Electric Plumbing Sprinklers Total Sq. Ft of Construction: 870 -'CDSt of Construction:$ 5,70000 - y 75,; E meZ Narfie. Linda Kant :'Ad dress - :10725 S Ocean Dr Unit 366 Isfilutters 0 Windows/Doors I ­�j Generator UV Roof S Ft of First. Floor-- UtilitiesUdwerElSeptic Building Height: City: Jensen Raneh —State: FL tode.* 34967 Fax*. Phone No. 6I7-877-3807 Fill in4ee- P eTdieHbld6t'dh.n'6**t-Paggti-f'-dit-f-ii6-htfrom the Otiyner listed — a If valueoftot mare, 4 mmetkoniald"L"at'I'a Company: Treasdre Coast Concepts Inc. Ado rie, ss: 3458 SW Pluto St CftV.- Port.Saint Lucie — State,& Zip Code: 34953 Fax- 772-905-4910 Phori 772-777-8130. &Mail:'. tc44ficepts@aol.coln State orCounty Lidehte: CdC1330362 1764tdred. h'tps.*//mail-google.cOm/maiVu/0t4inbox/15eed8afa8bd2ae6?projector--i 10/5f2017 ; � _ Pg 2 permit application.jpg == r SUPPLEMENTAL 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: r 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 S.t. Lucie CountSl makes no representation that is granting a permit will authorize the permit holder to build the subject structure Which is in con' . ict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict.or prohibit such structure. Please consult wtth your Home Owners Association and review your deed forany restrictions which may apply. In consideration of the grantingof this requested permit, ) do hereby agree that I will, in all respects, perform:the work in accordance with the approved plans, the Florida Building Codes and St Lude County Amendments. The following building permit applications are exempt from undergoing a full concurrencV 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 your paying twice for improvements to your property. A Notice of Commencement�,r1*ust be recorded and posted on the jobsite before the first inspection. If you intend to obtain financing, Commencement, with lender or t attorney before commencine work or recordinE vour Notice of Commencement. �% // Signature.of Owner Agent-Avlftnvr g re ctor/Lice Holder STATE OF FLORID,` /� /� COUNTY OF��1L>I��� Y v ' /-1.. STATE FLORIDA COUNTYOF �. The f sing in nt was admowledg fore me by The instrument was dmowledg before me L this' day of 30 s y of 20 y mbw'l �(?,X�I�Q Nami of person making statement Name.of person making statement Personally Known OR Produced Identification Personally Known OR Produced Identification Type of id tificatio J Type ofidentiflcafio ProducedfLl Q Produced (Sign re o Notary ,. .'` ' ' ' TEiXEIRA Commission No. + -I (Si �. a�Pia•,,� ANGELA M H Co n-. Notary Public State of Al N Public , �-Commission # FF 23P730 • Commonwealth of Massachusetts =' n 5 :N'9f = My Comm. Expires May 27, 2019 i i �� , „,•onaeoullu lull luttuildl,u REVIEWS FRONT ZONING SUPERVISOR P f0 S TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED ........... DATE COMPLETED Rev. 8/2/17 hups:Hmail.google.com/maiYuiOt4inbox/15eedd666b6edab8?projector-1 ' 1/1