HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INf O MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
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Date: <A2X5 SCANNED Permit Number: ii
BY mi
St. Lucie County Building Permit ApplicationPlanning 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: 9900 S OCEAN DR #606, JENSEN BEACH, FL. 34957
Legal Description: OCEANA OCEANFRONT CONDOMINIUM II- UNIT 606 AND
UND SHARE IN COMMON ELEMENTS (OR 3805-2048)
Property Tax ID #: 4502-503-0060-000-5
Site Plan Name:
Project Name: Mark E Riley Shutter
Setbacks Front Back: X Right Side: Left Side:
1 accordion Shutter, balcony area.
Lot No
Block No.
Windows/Doors
Roof
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction: $ 2,450.00 Utilities. t Sewer D Septic Building Height: 140 ft.
YOWNER"/.LESSE_E
3 _, k- R
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CONTRACTORn,` Yob a v
Name Mark E Riley & A. Ann Riley
Name: Edwing 0. Sosa
Address:7220 SW Harbor Cove DR
Company: Edwing's Unlimited Shutter Services, LLC.
City: Stuart, State:FL.
Zip Code: 34997 Fax:
Phone No.(321) 749-1066
Address: PO Box 881085
City: Port St. Lucie State: FL.
Zip Code: 34988 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.
SUPPIEN 'NTA'VLQlVSTR�UCT10�111 1� Y LAiIU
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„DESIGNER/ENGINEER:
.4. s`V. fie.. .5. �+ ��. � s: ,.�4{.. ' �,. ��.4..+55">�t e sw's'.�� n
X Not Applicable
Name:
MORTGAGE COMPANY:
Name:
X Not Applicable
Address:
Address:
City: State:
Zip: Phone
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER: X Not Applicable
Name:
BONDING COMPANY:
Name:
_Not Applicable
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.
Uj=_
1hWiy1q goCA
Signa ure o Owner/ Lessee/Contractor as Agent for Owner
Signature of C ntractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTYOF 31• Lwae
COUNTYOF
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this tS day of M u2011 by
this'' Sday of t C\ c, � 20_�y
" t I4r r1 Ri I2V
Name of persoA making statement /
Name of pers making statement
✓
Personally Known OR Produced Identification V
Personally Known OR Produced Identification
Type of Ider%ication
Type of Identification
Produced tJ.L•
Produced ANA MAR(ELA ALARCON
Notary Public -5tateofFlorida
uy®�9�,AN L. to'!
- Commission a GG 135318
My Comm. Expires Aug 16, 7021
•••,�
( gna ur tary Public-
(Signature of Nota I' a§e ofg� 'f��dn i FF 992932
's My Comm Exphrfs Mty 29, 2020
`
Commission No. F ondedt rd tirmyNotaryAssn.
Commission No. (Seal)
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
/
RECEIVED
e Z�
DATE
/�}j
COMPLETED
7/1'
Rev. 8/2/17