HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONr
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: SCANNED Permit Number:
111, BY
St. Lucie County
RECEIVED
Building Permit Application JUN os tote
Planning and Development Services
Building and Code Regulation Division Permitting Department
2300 Virginia Avenue, Fort Pierce FL 34982 St. Lucie county
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial x Residential
PERMIT APPLICATION FOR: Renovation III
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Legal Description: ISLAND DUNES OCEANSIDE CONDOMINIUM I UNIT 403
Property Tax ID #: 3536-602-0027-000-5 Lot No.
Site Plan Name: Izzo Block No.
Proiect Name: Izzo
Setbacks Front Back: Right Side: Left Side:
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Gas Tank
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❑Gas Piping
dpPly.
❑Windows/Doors
_Shutters
ZElectric
Plumbing
Sprinklers
1:1 Generator
Roof
Total Sq. Ft of Construction .!6Q 1 a (� Sct. of First Floor:
Cost of Construction $ .� C�C3— Utilities: Sewer I Septic Building Height:
Roof pitch
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Name Lori Izzo
Name: Justin They
Address:36 Deer Run Ln
Company: Island Kitchen and Bath
City: Goshen State: CT
Zip Code: 06756 Fax:
Phone No.203-206-3665
Address: 10875 S. Ocean Dr.
City: Jensen Beach State: FL
Zip Code: 34957 Fax:
Phone No.772-678-8219 - 772-237-7348
E-Mail: ithieryikb@gmail.com; nblaszkaikb@gmall.com
E-Mail: rizzo85995@aol.com
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
State or County License: CBC1259508
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
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DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: —
Not Applicable
Name:
Name:
Address:
Address:
City: State:
City:
State: _
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
BONDING COMPANY: _Not
Applicable
Name:
Name:
Address:
Address:
City:
City:
Zip: Phone:
i 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
cornmencing work or recording our Notice of Commencement.
Signature of Owner/ LesKe1FrCcYnfafAbr as Agent for Owner
'. Con ractor/License Ho er
STATE OF FLORIDA
STAFLORIDA
0E.
COUNTYOFstL�
COFst—
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this S day of Ju.nC_ , 20_�J by
this __5 day of 20 %S by
Lod I=
Jusiin Thiery
Name of person making statement
Name of person making statement
Personally Known OR Produced identification x
u
Personally Known x OR Produced Identification
Type of Identification
Type of Identification
Produced Ddvxs License
Produced
(Signature o ublic- State of Florida j
(Signature of Notary Public- State o Florida j
P;k. ICHAELRAAZ
Co ssion No. MYC }.zQN5FF904140
°t " : C ELRAAZ
Commissio MY ION9FF904140
* *
*
EXPIRES: Jdly 28, 2019
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a EXPIRES: Jury 28, 2019
it°PO! Bonded Thr>_.uid'sry Berrues
�'F'cr nna`O Bonded Thru Bud el No
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
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DATE
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DATE
COMPLETED
Rev.S/2/17