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