HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLSC FOR gULICATION TO BE ACCEPTED
Date: ANN BY Permit Number:
St. Lucie County
Building Permit Application
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 XXX
PERMIT APPLICATION FOR: Window/door
PROPOSED IMPROVEMENT, LOCATION:
_: -
,,.,,,,,. 9500 S. Ocean Drive, 1903
Legal Description: Islandia II Condominium Unit, 1903
Property Tax ID #: 4502-602-0177-000-2 Lot No. N/A
Site Plan Name: Islandia II Block No. N/A
Project Name:
Setbacks Front N/A Back: N/A Right Side: N/A Left Side:
Replace (2) sliding glass door units at rear of condo.
WWI WVIR w u[Cl Hll IIICU UIRICI UIIJ P CII I IIL-UIICU' GII .Pp.Y.
HVAC Gas Tank F]GasPiping _Shutters ✓Windows/Doors
Electric 0 Plumbing 1:1Sprinklers 0 Generator Q Roof
Total Sq. Ft of Construction:
Cost of Construction: $ 2000.00
S Ft. of First Floor: _
Utilities:Sewer Septic
Building Height:
Roof pitch
OWNER/LESSEE. `
CONTRACTOR:: ` p.
N ameBillie Miller
Name: aC a orn On
Address.-9500 S. Ocean Dr, 1903
Company: ust Construction, Inc.
City: Jensen Beach State: _
Address: 6007 Citrus Ave
City: Fort Hierce State:
Zip Code: 34957 Fax:
34982 77-467-06TOF
Phone No.
Zip Code: Fax:
Phone No. 772�8__
E-Mail: bmiller9charterschoolsusa.com
Fill in fee simple Title Holder on next page ( if different
E-Mail: trustco2007 COP belsoul .net
State or County License:
from the Owner listed above)
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUP,'LENtENTALTCO�iS7RUCFIONLIN LAWNFCtRMkT{ORi(O"
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.,..
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:
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.
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
iri 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
....ino urnr4 nr rprnrrlina vnur Nntirp of Commencement.
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF s* Lt+.GiL
STATE OF FLORIDA
COUNTY OF 4L.w L •[.
The forgoing instrumen was acknowledged before me
this 3j_day of1201by
The forcing instrument was acknowledged before me
this 33_day of&!ij 20 Pby
Rc'Gin61 +mot `rhwii ,-.
9 adrCAdl " `rU01Z n- %
Name of perso9 making statement
Nameof person making statement
✓
Personally Known OR Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
%1
(Signature of Notary Public- State of Florida)
PU'4
(Signature of Nota Sta 9�{{ F�I rida
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x°: •. CATHERWETHORNTON
Commission No. MY COMMISSIONOT£9�e003
FR EXPIRES: January26,2020
* MYCOMMISSIO,%ryTai}2703
Commission No. IRES:JanuAry26,2020
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REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17