HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONWJ
/ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED 6 1 1
Date: SCANNED Permit Number. g 17
BY
o St. Lucie County RECEIVED
Building Permit Application RECE JAM �R
Planning and Development Services JAN — I
Building and Code Regulation Division Pe g i,=wrununt
2300 Virginia Avenue, Fort Pierce FL 34982 Permitting St. Lucie County
epartment
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential' k'cie county
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line ;
PROPOSED' IMPROVEMENT LOCATION:
Address: 9900 South Ocean Drive l601
Legal Description: Oceana Oceanfront Condominium II -Unit 1601 and UND share in common elements (OR4020-2719)
Property Tax ID #: 4502-503-0155-000-8-
Site Plan Name:
Project Name:
Setbacks 'Front Back:
Right Side:
DETAILED DESCRIPTION OF WORK:
�ornp'e a d' enor,ren 8eling activities to include parti
eloc`at4p ts�Bid.;additio>s "new flooring, new cabinets,
CONSTRUCTION INFORMATION:
i
Gas Tank Gas Piping
LrJElectric IJPlumbing 'L-JSpi
Total Sq. Ft of Construction: 2400
Cost of Construction: $ 200,000.00
Left Side:
' re)odatioris"elec#rival =''.
nt ectr.
Lot No.
Block No.
Plumbing
QWindows/Doors
Roof. �Roof pitch
S Ft. of First Floor:
Utilities:Sewer OSeptic
L j Shutters
❑ Generator
Building Height,
OWNER/LESSEE:
CONTRACTOR:
Name Edward Moore 8 Sharon A Adams
Name: Roy Kraemer
Address:9 Pine Groove Circle
company: Florida's Finest Construction Inc.
City: East Longmeadow Stater
Zip Code: 01028-1300 Fax:
Phope No.1-508-308-4051 -`
Address: 6526 South Kanner Highway
City: Stuart I - ' I State: fl
Zip Code- 34997 Fax: 772-288-2126
Phone No. 772-288-1715
,-Mail: emoore@harringtonhospital.org
n fee simple Title Holder on next page (if different
m the Owner listed above)
E-Mail: royatffci@aol.com
State or County License: CBC047650
It value or cons[ruuion is >Lnuu or more, a MMUMMU notice or commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW_INFORMATION:
DESIGNER/ENGINEER: ,.' .—NotApplicable MORTGAGE COMPANY Not A
pPll`caName:M�ael§m�al,na Name: ble'"'----
Address: soa cyp� clrwe Address:
City: TEwpesra State: FI City:
Zip: 3346e Phone 1�1-2,%2a3+ State:
Zip: Phone:__
FEE
Address:...-
City.
Zip: Phone:
Not Applicable I BONDING COMPANY:
Address:
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
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'l bsite before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencing work or recording your Notice of CommencPrrr9n—f-1 1.
Applicable
Signature of Owner/ WOOMWW"00153
STATEOFFLORIDEXPIRES July 13, 0
COUNTYOF
Martin c�+--
The f�ging stru 1ennt was acknowledged before me
this 9ayof p }e—Y 2017-bv
Name of person making statement
Personally Known OR Produced Identification ✓
Type of Identifiration
Produced iV fS LI C2m-e%
(Signature of Notary Public- Skate of Florida )
Commission No.- l5 01-199'1 (Seal)
STATE OF FLORIDA'
this Lh'dev of
commisslpN a GGO+
' EXPIRES July 13. 2021
me
A-ri�i� /1�lgny�nK' •
Na e'of person making statement
Personally Known ✓ OR Produced Identification
Type of Identification -
Produced
(Signaturh of Notary Public-karte of Florida )
Commission No. tr 0111 "ig 7 (Seal)
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