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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED l Date: % ' ' %% Permit Number: I 71). Q..? ✓0 (P • R(A 16 t) -- • � `�''Bui mg41erm t Application NOV 13 2017 Planning and Development Services %� SCANNED Building and Code Regulation Division 1 1 ` 1� cc,V BY 2300 Virginia Avenue, Fort Pierce FL34982 St. Lucie Coul Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential PERMIT APPLICATION FOR: Other Tu,1-)rf 1/ljOLK �C_ r6U r PROPOSED IMPROVEMENT LOCATION: Address: 9550 South Ocean Drive, Jensen Beach FL 34957 Legal Description: Islandia I Condominium Comprising a part of Section 02 Township 37S Range 41E MPD Property Tax ID ti: 4502-601-0000-000• D Site Plan Name: Islandia I Condominium Project Name: Islandia I Condominium Setbacks Front Back: _ Right Side: Left Side: Lot No. Block No. DETAILED DESCRIPTION OF WORK: III Rebuild/Repair dune walkover damaged during Hurricane Irma. ,bc1 0W n2 G(,o55 CD09'5 R CONSTRUCTION INFORMATION: III o nai worK Lo Lie errormeu unuer Crr6 PerllllL—Lr HVAC Gas Tank ❑Gas Piping Electric 0 Plumbing ❑Sprinklers Total Sq. Ft of Construction: Cost of Construction: $ IOZ OOo — Shutters ❑Windows/Doors Generator 0 Roof = Roof pitch Sq. Ft, of First Floor: Utilities:Sewer E]Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name Islandia I Condominium Name: James T. Conroy Address:9550 South Ocean Drive Company: J. Conroy, Inc. City: Jensen Beach State: FL Zip Code: 34957 Fax: Phone No. 772-229-3400 Address: 4370 SW Cherokee Street City: Palm City State: FL Zip Code: 34990 Fax: 772-419-3021 Phone No. 772-419-3006 E-Mail: isleast@aol.om Fill in fee simple Title Holder on next page (if different from the Owner listed above) E-Mail: Julconroy@yahoo.com State or County License: CGC1524766 If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: _ Not Applicable Name: isiandia i Condominium MORTGAGE COMPANY: Name: James T. Conroy _ Not Applicable Address: 9550 South Ocean Drive, Jensen Beach FL 34957 Address: 95.50 south Ocean Drive City: Jensen Beach State: Zip: Phone City: Palm City Zip: Phone: State: FEE SIMPLE TITLEHOLDER: _ Not Applicable Name: BONDING COMPANY: Name: _Not Applicable Address: 4370sw chemkee sheet 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 Counri 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 WARN14IG TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for improIrcina ents to your property. A Notice of CommencA�mrient must be recorded and posted on the jobsite be f rea first inspection. If you intend to obtain finatjcjnggonsult with lender or an attorney before co work or recording vour Notice of Commehhddeem nt. Si n to o Owner/ Lessee/Contractor as Agent for Owner f Contractor/License Holder S TE F FLORIDA FLORIDA C �r L_�e/c OFTheg Ythl;dayof JUNOF instrument was acknowledged before me g instrument was acknowledged before me thisay of f�l e ✓ 20 17by 'Y7o d , 20 /7 by cv Name of person ing statement Name of person making statement Personally Known OR Produced Identification Personally Known t/ OR Produced Identification Type of Identification Type of Identification Produced Produced 0 2 (Signature of N Pu I'c- (Signature of N - f Florida Commission No. + s: KELLY M. PHiL_LI_Pr t1� �'8Y 109�GGYI r 3'':: y KELLY M. PHILLIPS1c Commission NoMann lyy • FJraires September29, 2021 * n . '�;= Expires Septemher29, 2021 sanded TiwTmyFain lnmrincitWN0b7019 ''%.4«.^..'+° 9ar401 Thu Tmy Fain humanca mxS.7019 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE //-30 /7 RECEIVED DATE COMPLETED Rev.8/2/17