HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: SCANNED Permit Number:
Will BY
ST LUCIE COUNTY
Building Permit Application MAR - 9 2018
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential
PERMIT APPLICATION FOR: Shutter
Address: 8750 S Ocean Dr PH-42, Jensen Beach, FL 34957
Legal Description: ISLAND DUNES CONDOMINIUM A UNIT PH-42 AIK/A ADMIRAL CONDOMINIUM (OR 2582-1380)
Property Tax ID #: 3535-601-0096-000-6
Site Plan Name:
Project Name: Hurricane shutters (accordion type)
Setbacks Front ✓ Back: ✓ Right Side:
2 accordion shutters at the balcony areas (East and West)
er tris permit —
HVAC LJ Gas Tank UGas Piping
Electric ❑ Plumbing ❑Sprinklers
Total Sq. Ft of Construction: _
Cost of Construction: $ 12,000.00
Lot No.
Block No.
Left Side:
apply:
Shutters ❑ Windows/Doors
Generator ❑ Roof ❑ Roof pitch
S Ft. of First Floor: _
Utilities: Sewer []Septic
Building Height: 200 ft.
CONTRAC�i'OR
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NamePatricia K Sampson
Name: Edwing O. Sosa
Address:8750 S Ocean Dr PH-42
Company: Edwing's Unlimited Shutter Services, LLC.
City: Jensen -Beach - - State:FL.
Zip Code: 34957 Fax:
Phone No.772-229=3988 - — -- -
Address: 460 NW-Concourse-Place#1S-
City: Port St. Lucie State: FL.
Zip Code: 34986 Fax: (772) 905-9431
Phone No. (772) 370-0766
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail: ed@edsunlimitedservices.com
State or County License: 28457
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTI'
_ .. ,w ..
iiliEN LAW N' FORMATLON x
I .,
DESIGNER/ENGINEER: Not Applicable
Name: P_,,\
MORTGAGE COMPANY: X Not Applicable
Name:
Address:
Address:
State: i
City: State:
Zip:Phone-13-
Zip: Phone:
FEE SIMPLE TITLE HOLDER: X Not Applicable
BONDING COMPANY: X Not Applicable
Name:
Name:
Address:
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 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
commencing work or recording our Notice of Commencement.
Signature of Owner/ Lesse /Contracto as Agent for Owner
Signatur Iof Contractor/License Holder
STATE OF FLORIDA
COUNTY OF Sf. L u cti e-
STATE OF FLORIDA
COUNTY OF S' X .y.� c. c c,
The forgoing instrument was acknowledged before me
this cl dayof febrk�rj 2019 by
The forgoing instrument was acknowledged before me
this0k dayof Fzhn�� 20_jby
PIriCaG 1(. Saw Sett
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Name of person makings atement
Personally Known OR Produced Identification ✓
Nameo4erson making statement
Personally Known OR Produced Identification ✓
Type of Ider Wication
Produced U. L.
Type of Ide ification
Prodipced L -
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(Signature of Notary Pu li - S t of to id )
Si Notary Public- State of Florida )
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Commission No. 9 a_o rrCC Ic 'State o1.FloriOa_
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