HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICARLQMUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
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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
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line III
Address:
Legal Description: Island Dunes Oceanside Condo 1 comprising a part of sect 35 Township 36S range
41 E as shown in declaration of condominium or 634-2331 (0.737 AC)
Property Tax ID #: 3535-602-0000-000-0 Lot No.
Site Plan Name:
Project Name: Island Dunes Oceanside Condominium #1
Setbacks Front Back: Right Side: Left Side:
Block No.
DETAILED DESCRIPTION OF WORK:
II
Add four each total new electric door strikes controlled by card readers to 2 each interior common area
doors and 2 each exterior resident storage room doors. Equipment to be additional to existing system
installed
CONSTRUCTION INFORMATION:.
AUCIttional worK to be pe orm�de-r-tFis —permit- check all that apply:
_ HVAC _ Gas Tank _ Gas Piping _ Shutters -Windows/Doors
Electric _ Plumbing _ Sprinklers _ Generator _ Roof Roof pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 6,145.16 Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name island Dunes Uceanside 1 Concloo
Name: ary A. I nomas
Address: cean rive
Company: Systems, nc
City: Jensen Beach State: _
Zip Code: Fax:
Phone No
Address: 4747 NOD Hilloa ,
City: Sunrise State:
Zip Code: 33351 Fax: 72-4531-
Phone No.
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail: gary(Palitcs.com
State or County License:
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
�1
SUPPLEMENTAL, CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER:
Name:
_ Not Applicable
MORTGAGE COMPANY:
Name:
_ Not Applicable
Address:
Address:
City:
Zip: Phone:
State:
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER:
Name:
_ Not Applicable
BONDING COMPANY:
Name:
_Not Applicable
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
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STATE OF FLORIDA //
COUNTYOF �5 - LUl /P
The for%c Ing instrument was acknowledged before me
this�dayof Decrmhe/ . 20 [(a._by
?b Irlk f2 ( - /-/WS
(Name of person acknowledging)
(Signature of Notary Public- State of Florida )
Personally Known �OR Produced Identification
Type of Identification Produced
Commission No.
Revised-07/15/20
l
STATE OF FLORIDA
COUNTY OF D
The forgoing instrurr ent was acknowledged before me
this �ZL day of 20/ % by
ofpeerson a
(signature or NotaW PUMIC- atate or rlonga )
Personally Known OR Produced I tification
Type of Identification Produced
Commission No. r DANIELjN�CHEZ
iftfl8411e PA7C. HOBB8 TARY Plisl
MY COMMISSK)N k FF199592 - %STATE OF FLORIDA
Expires 7125/2018
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
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DATE
COMPLETE
INITIALS
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