HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED j
Date: 20 �� Alunoo a(onj -IS Permit Number:
1 =" Aa RECEIVED
03NNVOS
Building Permit Applicatio MAY 0 3 2018
Planning and Development Services
Building and Code Regulation Division ST. Lucie County, Permitting
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential
PERMIT APPLICATION FOR: Shutter
I PROPOSED,IMPROVEMIENT LOCATION` : n.. , s =rIII
Address: 9900 S Ocean DR Apt 609, Jensen Beach, FL 34957
Legal Description: OCEANA OCEANFRONT CONDOMINIUM II- UNIT 609
AND UND SHARE IN COMMON ELEMENTS (OR 1222-2317: 3923-1742)
Property Tax ID #:4502-503-0063-000-6
Site Plan Name:
Project Name: Hurricane shutter (accordion
Setbacks Front Back: X
1 accordion shutter at the balcony area
0HVAC
11 Electric
Plumbing
Right Side:
Left Side:
I'I Shutters
OGenerator
Lot No.
Block No.
Windows/Doors
ERoof
Roof pitch
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction: $ 2,400.00 Utilities:0Sewer ElSeptic Building Height: 140 ft.
01lUNER/LESSEE �.. ._
CONTRACTOR
�. s �.::;•
Name Lois Prine
Name: Edwing O. Sosa
Address:9900 S Ocean DR Apt 609
Company: Edwing's Unlimited Shutter Services, LLC.
City: Jensen Beach, State:FL.
Zip Code: 34957 Fax:
Phone No.(347) 248-9856
Address: PO Box 881085
City: Port St. Lucie State: FL.
Zip Code: 34988-1085 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.
DESIGNER/ENGINEER:
Ni Applicable
MORTGAGE COMPANY:
-
Not Applicable
Name:
Name:
�x*
Address:
Address:
City:
State: _
City:
State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
x Not Applicable
BONDING COMPANY:
�f 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 ppermit will authorize the Permit holder to build the subject structure
which Is in , f ict with amp applicable Home Owners Assodatlon rules, bylaws or ono 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. Lurie County Amendments.
The fallowing 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: Vow 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
commencingwork or ecordin our Notice of Commencement
Rev.8/2/17
Signature of [oMroCtor I icense Holder
Sign re of Owner/ Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF__ �, L:U CAS
COUNTY OF �-�
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this�dayof fyltll'n, .2oJ0 by
this �day of r�\ .20��y
rtno�
�
Name of person eking statement
persaA
Name of malting statement
Personally Known � OR Produced Identification _
Personally Known OR Produced Identification
Type of Identification
Type of Identification
Produced
Produc
ISigna[ure of Kota P tof p! !
�-Nefiry u fie-Slale or Florida
na ryPabl" O Or � AfMRCELA ALARCON
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Commission No. Corttl�bWn I SIG 002496
Cnmmisslantda. f, � Notary Iic-State of Flonda
1if OdIRn Ecpirw Oct 10, 2020
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