HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Na\Qldo)1 1 SCANNED Permit Number:
BY
St. Lucie County
Building Permit Application �Ir�i
D� 2 8 in111 ;
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: Shutter
Commercial Residential
PROPOSED IMPROVEMENT LOCATION: III
Address: 9940 S Ocean Dr. Unit 501
Legal Description: Oceana Oceanfront Cond One Apt 501 and .8625 Percent Int In Common Elements
Property Tax ID #: 4502-502-0048-000-2
Site Plan Name: William & Claire Tivoli
Project Name: TIVOLI
Setbacks Front Back: Right Side: Left Side:
Lot No.
Block No.
DETAILED DESCRIPTION OF WORK: III
I CONSTRUCTION INFORMATION: I
A
Piping
Electric II Plumbing LJSprinklers
Total Sq. Ft of Constructioh::0 &,r
Cost of Construction: $ %�
Shutters 0013J T9 �WibdW6j ors
Generator E]Roof Roof pitch
S Ft. of First Floor:
Utilities:CnSewer,ESeptic Building Height:_
OWNER/LESSEE:
CONTRACTOR:
Name William & Claire Tivoli
Name: Edward-J. Heritage
Address:9940 S Ocean Dr. Unit 501 "'
Company: Folding Shutter Corp
City: Jensen Beach State: FL
Zip Code: 34957 Fax:
Phone No.914-582-2171,
Address: 7089 Hemstreet PI
City: West Palm Beach', State: FL
Zip Code: 33413 ;' Fax: 561-640-8204
Phone No. 561-6834811
E-Mail: r'
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail: info@foldingshutters.com
State or County License: SCC131151041
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER:
Name:
_ Not Applicable
MORTGAGE COMPANY:
Name:
Not Applicable
Address:
Address:
City:
Zip: Phone:
State:
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER:
Name:
_ Not Applicable
BONDING COMPANY:
Name:
_ Not Applicable
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
The following building permit applications are exempt from undergoing a full concurrency review: room additions,
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for
improvements to your property. A Notice of Commencement must be recorded and posted on the jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencine work or recordine vour Notice of Commencement.
Signatureo 0 ner Lactor entfor Owner
STATE OF FLORIDA
COUNTY OF %aI►� rJZ
s
S�gnafure of-Gontr
STATE OF FLORIDA
COUNTY OF
The fRr$oing instruryi was acknowledged before me The forgoing instrument was acknowledged before me
this A day of k/�C. 20 L7by this G�aday of ��C_ 20 l� by
`OR1p'" Edward]. Heritage
�°
Edgard.). Heritage �
(Name erson acknowledging) O>m (Name person acknowledging )
W try °
m�vzv /�
x a D 0> 12
> m
(Signature of Notary Public -State of Florida )N T o 1 (Signature of Notary Pubic - State of Florida )
/ p V >
Personally Known t/ OR Produced Iderdfi`�a�! �� Personally Known (/ OR Produced Identification
Type of Identification Producedn� Type of Identification Produced
F�ISbQL7 w > Commission No. FFf3-0 f`7
Commission No. (Seal) (Seal)
�Wy PAMELA A. EVANS
_PAW$Q NOTARY PUBLIC
ESTATE OF FLORIDA
Revised 07/15/2014 `[ ^TE OF `' : _`;"'.!A a Comm# FF150967
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SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
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DATE
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