HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO II! UST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
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Date: l —vJ �1 S Permit Number: / f�
. SCANNED
Building Permit Application BY
Planning and Development Services St. Lucie County
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: To Select from dropbox, click arrow at the end of line S� gfer
ENT LOCATION:
Address: 9650 S OCEAN DR 706, Jensen Beach, FL 34957
Legal Description: THE PRINCESS OF HUTCHINSON ISLAND UNIT 706 (OR 1819-1680)
Property Tax ID t#: 4502-610-0066-000-6
Site Plan Name:
Project Name: 1 Accordion Hurricane Shutter on Balcony
Setbacks Front Back: x Right Side: Left Side:
Lot No.
Block No.
DETAILED DESCRIPTION OF WORK: 1, 111
One Accordion Type Hurricane Shutter on Balcony
CONSTRUCTION INFORMATION: III
E1HVAC LJ Gas Tank
Electric 0 Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 6,700.00
Piping X]Shutters ❑Windows/Doors
nklers D Generator E]Roof
S Ft. of First Floor:
Utilities:CnSewer 0Septic Building Height: 180' Feet
OWNER/LESSEE:
CONTRACTOR:
Name Scott & Beverly A Montgomery
Name: Edwing Sosa
Address:9650 S OCEAN DR 706
Company: Edwing's unlimited Shutter Services LLC
City: Jensen Beach State: FL
Zip Code: 34957 Fax:
Phone No. 4N0.-82j-3585
Address: 460 NW Concourse Place #16
City: Port St Lucie State: FL
Zip Code:34986 Fax: (772)9D5-9431
Phone No. (772)370-0766
E-Mail: r16eymont=ery6g0l.c0m
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
If value of construction is $250o or more, a RECORDED Notice of Commencement Is required.
SUPPLEMENTALCONSTRUCTi fV;L}EN;LAWINFORMATION
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 Count makes no represent2tion 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 ano 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
STATE OF FLORIDA o r
COUNTYOF sfLuc/e
M.Awylj` D & s
Signature of Co tractor/License Holder
STATE OF FLO A
COUNTY OF _ GLGl e
The forgoing Instrument was acknowledged� {b�•efore me The forgoing instrum nt was acknowledged before me
this � day of TW/ 6 20 ot_by this�� ay of IA, �n 20 by
W f Jana
(Name of person acknowledging) (Name of p on acknowled Notary Public -state of F6
• My Comm. Expires Aug 26,
J' a Commission # EE 2236
Lary
(Si r1ure of Nota r
ublic- State of Florid(!) (Signature of Notary Pub c-
OR Produced Identification
Type of Identifi
tVo�`,'w1e'ya�� �OAiQN�OFiRSOtTNI
Commission No. �'• Notary Publjs'ate
Conjm. Expnes Se
Commission #TF
Revised 07
Personally Known OR Prod Identification Li
Type of Identification Produced
Commission NO, 6ti 33 (Seal)
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