HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONl
c � _
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
r
Date: SCANNED Permit Number:
BY • _aw St. Lucie County RECFED ED
Building Permit Application NOV 0 3 2017
Planning and Development Services
Building and Code Regulation Division PERNUTTING
2300 Virginia Avenue, Fort Pierce FL 34982 St. Lucie County, FL
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
ROPO$ED IMPROVEMENT LOCATION
Address: 9400 S Ocean Dr. Unit 605
Legal Description: Ocean Towers Condominium B-Unit 605 and Undiv share in common elements (OR 4011-1387)
Property Tax I D #: 3535-702-0044-000-7
Site Plan Name:
Project Name:
Setbacks Front Back: _
Right Side: Left Side:
Lot No.
Block No.
DETAILED DESCRIPTION.OF. WORK
replace 1 door and 3 windows size for size 0ctS �yAC(_'C?D`0c�0—_*410 WF
t.k91.5 SrA'}?AG� ca.1rNTAuJ S��HC �.�%Z/
/�o3-cAG
'CONSTRUCTION INFORMATION
rtiona wor to e e orme un ert ispermit—c ec a appy:
11HVAC F] Gas Tank Gas Piping _ Shutters ❑ Windows/Doors
11 Electric 0 Plumbing []Sprinklers Generator Roof
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction: $ 7430.00 UtilitiesSewer OSeptic Building Height:
OWNER/LESSEEi _ _ e .
,CONTRACT
Name Janet Deacon
Name: Raquel Swanner
Address: 9400 S Ocean Dr. Unit 605
Company: The Home Depot
At Home Services
City: Jensen Beach State: FL
Zip Code: 34957 Fax:
Phone No.
Address: 6500 NW 12TH Ave. Suite 110
City: Fort Lauderdale
Zip Code: 33309
Phone No. (754)224-2010
State: FL
Fax: 1CcOueL
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail:
State or County License: C
1514813
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLENIENTALCONSTRUCTION'LIEN LAW 1NF0'R�/IATION
a
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: _Not
Name:
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 inspecVp5,)f you intend to obtain financing, consult with lenAeppr attorney before
STAT@"OF FLORIDA
COUNTY OF
The for o'n,gg instrument was acknowledged before
me this
g�5 day of OCIV 20 17by
.L `al vue,1 5WAN/Vi
(Name of person acknowledging )
STATE OF FLORIDA
COUNTY OF
The fp oing instrument was acknowledged before me
this r�� day of Off— 20_17 by
90.1v&ll '; WAWA✓_/
of person acknowledging)
wi
(Signature of Notary Public- State of Florida) (Signature of Notary Public- State of Florida )
Personally Known x OR Produced Identification Personally Known x
Type of Identification Produced Type of Identification
Commission No.
R. OVALLEY
Revised 07/15/2014
No.
OR Produced Identification
Iced
°:°:?;a";
TIMOTHY R. O'MALLEY
-
Ic11`COMM
ES:August702021
EXPIRES: August 7, 2021
Bonded Thiu Notary Public Undem,,
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS
I Rhin- Q9Z7