HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE IN�! J IIUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Jj
Date: � ✓I Permit Number: 0 t/ 0
• SCANNED
Building Permit Application St. Luce County
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Shutter III
Address: 9650 S OCEAN DR 2005, Jensen Beach, FL. 34957
Legal Description: THE PRINCESS OF HUTCHINSON ISLAND UNIT 2005 (OR 151
Property Tax ID #: 4502-610-0185-000-6 Lot No.
Site Plan Name: Block No.
Project Name: Qne Accor4lah
Setbacks Front Back: x Right Side: Left Side:
DETAILED DESCRIPTION OF WORK: ,
Hurricane Shtters Accordion type Balcony area (one hurricane shutter)
CONSTRUCTION -INFORMATION:
diona wor to e e orme under tispermit—c ec a appy:
OHVAC U-GasTank E]GasPiping Al Shutters Windows/Doors
0 Electric 0 Plumbing Sprinklers 0 Generator 0 Roof
Total Sq. Ft of Construction: _
Cost of Construction: $ 6, 700.00
S Ft. of First Floor: _
Utilities:"n Sewer 0 Septic
Building Height: 180T
OWNER/LESSEE:
CONTRACTOR: `
Name Joseph Yanikoski
Name: EdwingSosa
Address:9650 S OCEAN DR 2005
Company: Edwing's Unlimited Shutter Services LLC
City: Jensen Beach State: FL
Zip Code: 34957 Fax:
Phone No. (4S 1} 6OF- 4311
Address: 460 NW Concourse Place #16
City: Port St. Lucie State: FL
Zip Code: 34986 Fax: (772) 905-9431
Phone No. (772)376-0766
E-Mail: joept ;6osl•i�;y-eng;neerinq,coni
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail: ed@edsunlimitedservices.com
State or County License: 28457
it value of construction is Rsuu or more, a RECORDED Notice of Commencement is required.
Nil2- P 6C L(
-SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: x_ Not Applicable
Name:
MORTGAGE COMPANY:_x Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable
Name:
BONDING COMPANY: x Not Applicable
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
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 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.
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 your paying twice for
improvements to your property. A Notice of Commencement must be recorded 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 vour Notice of Commencement.
..L &WIVly JOdd, s
Lessee/Agent Signature of Con I
ractor/License Holder
STATE OF FLORIDAf, _ LUC,,e
kti0 COUNTY OF
The forgoing instrument was acknowledged before me
this I S day of 7Lt n c 20 LS by
7o5e;;lt - yg"iKeJKi
(Name of person acknowledging )
kv0-1,CA q S; f4l
Known
Type of Identificat
Commission No. t
Revised 07/15/2014
The forgoing instru ent was acknowledged efore me
thiso� � -day of 20 j� by
r.
Notary Public - State of
My Comm. Expires Aug 2
Commission # EE 22
Banded Through National Not
—Wgnature of NdYary PubUc- State of Florida )
L. SOSA
Fgl�f��F a Personally Known OR Produ Identification
'es Ma 2a 2016 Type of Identification Produced L
F EE 200716 66 J 2-3 ?
alignal Notary Assn. Commission No.� (Seal)
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