HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONTo: Page 2 of 3 11/12/2015 2:26:23 PM EST 15618806316 From: Bartolucci Insurance Group 561-88
ALL APPUCABLE INFO MUST RE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 11/12/15 Permit Number: 1511-0196
Building Permit Application SCANNED
BY!.
Planning and OevelopmentServices St. Lucie County
Bai/ding and Code Regulation Division
230o lhrginlo Avenue, Fort Pierce Ft 34982
Phone,.(772)462-1553 Fax: (772) 462-1578 Commercial x Residential
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line (i c t t, qk0 f III
Address: 9950 South Ocean Drive Jensen Beach 34957
Legal Description: All that part of the south 112 of the north 1/2 of government lot 4 section 2 township 37 south, range 41 i east,
St Lucie County, FL, lying east of the easterly right of way of state road Al k
Property Tax ID #: 4502-703-0001.000.0 Lot No.
Site Plan Name: Block No.
Project Name: 68824 Vodzon Miramar I Condo
Setbacks Front Back: Right Side: Left Side:
Add antennas to exisling rooftop along with associated equipment ca
I511-0I G.4 ISIV019 s-
HVAC LjGasTank L JGas Piping
Electric Plumbing ❑Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $ 8,000.00
Shutters ❑Windows/Doors
Generator Roof
Ft. of First Floor.
utilitiessSewer Septic Building Height _
Name Vedzon Wireless
Address: 777 YarnatO Road #600
City: Boca Raton state: FL
Zip Code: 33411 Fax:
Phone No. 954-234-7070
Fill in fee simple Tide Holder on next page I N different
from the Owner listed above)
if value of construction is $2s00 or more, a RECORDED
Name: Jon Crompton
Company: J Crompton Electric Inc
Address: 1290 Old Congress Ave
City: West Palm Beach State: FL
Zip Code: 33409 Fax:
Phone No. 964-234-7070
E-Mail: Christy@venlcalpropertysolu0ons.com
State or County License: EC13002872
To: Page 3 of 3
11/12/2015 2:26:23 PM EST 15618806316 From: Bartolucci Insurance Group 561-88
Name- kmley-Hom�--�
Address: 1920 Wekiva Way
City: West Palm Beach State: FL
Zip: 33411 Phone: 56"45-0665
FEE SIMPLE TITLE HOLDER: _ (dot Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY: X Not Applicable
Name:
Address:
City: State::
Zip: Phone:
BONDING COMPANY: X Not
Name:
Address:
City:
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 ang covenants that may restrict or prohibit such
structure. Please consult with your Home Owners Association and review your deed or 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
_ Signature of Owner/ Lessee Agent
j�NV1:0 65HYLT0L—tntc:L
(Name of person acknowledging)
(Signature a otaryblic- State of Florida)
Personally Known OR Produced Identification
Type of Identification Produced
Commission No.
Revised 07/15/2014
Signature of ntractor/License Holder
(Name
of person acknowledging)
(Si of Nota Public- State of Florida)
Cnature ry
Personally Known lf� OR Produced Identification
Type of Identification Produ e
!lS3L40a ...::44
Commission No. EMISSION # EE'
-'" ,oi,y;,•- EXPIRES Jenuary:09..
REVIEWS
FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVI W
PLANS
REVIEW
VEGETATION
REVIEW
SEATURTLE
REVIEW
MANGROVE
REVIEW
DATE
COMPLETE
`
u�rrrnu