HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONi
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED _ Q
Date: SCANNED Permit Nu er:
By
St. Luce County RECEIVE
Building Permit Applicati n JUL 2 3 2018
Planning and Development Services
Building and Code Regulation Division Permitting Department
2300 Virginia Avenue, Fort Pierce FL 34982 St. LO U n ty, FL
Phone: (772) 462-1553 Fax: (772) 462-1578 CommercialjWfihq
PERMIT APPLICATION FOR: Alteration G=
PROPOSED IMPROVEMENT LOCATION:'
Address: 9940 S. OCEAN DRIVE #202
Legal Description: OCEANA OCEANFRONT CONDO ONE APT 202 AND .7875 PERCENT INT IN COM ELEMENT
Property Tax ID #: 4VX502-0019-000-0 Lot No.
Site Plan Name: Block No.
Project Name: KITCHEN REMODEL
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
KITCHEN REMODEL C-,ec dc,-FOL.G%-) eC-- i 1 .
CONSTRUCTION INFORMATION:
itiona wor to e e orme under tis permit — cheCK all apply:
1JHVAC Gas Tank []Gas Piping In _Shutters ❑ Windows/Doors
RJElectric 21 Plumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: 5 Ft. of First Floor:
Cost of Construction: $ 8000.00 Utilities:ESewer ElSeptic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name EDWARD & GLORIA TALLMAN
Name: HEMANT PATEL
Address:9562 CAMPI DR
Company: HEMJEN BUILDERS, INC.
City: LAKE WORTH State:FL
Zip Code: 33467 . Fax:
Phone No.561-714-7260
Address: 6085 NW 66 WAY
City: PARKLAND State: FL
Zip Code: 33067 Fax: NONE
Phone No. 561-441-1770
E-Mail:TTALLMAN@FIREHOUSESUBS.COM
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail: HEMJEN@GMAIL.COM
State or County License: CGC1506661
It value of construction is,iZWU or more, a RECORDED Notice of Commencement is required.
I�
SUPPLEMENTAL CONSTRUCTI N LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable
N a me: RATILAL D PATEL P.E.
MORTGAGE COMPANY:
N ame: HEMAW PATEL
Not Applicable
Ad d ress: W85 NW 66 WAY
Address:
City: PARKLAND State: FL
Zip:33067 Phone561441177o
City: PARKLAND
Zip: Phone:
State:
FEE SIMPLE TITLEHOLDER: Not Applicable
Name:
BONDING COMPANY:
Name:
Not Applicable
Address:6M NW 66 WAY
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
commen ' work ur Notice of Commencement.
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/Lice se Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF �����„
COUNTYOF MC,P,Aft
The oing instru ept vias acknowledged before me
The forgoing instrument was acknowledged before me
thi day of \\ . 20Aj- by
this ar day of —Su 2014� by
r-�f��--��.\�\ I,�er, -)
Pry
of person making statement /
Name of person making statement
—PeName
sonally Known Identification
Idly
Personally Known �� OR Produced Identification
Tro�
Typ f I tion
Type of Identification
Prod u d
Produced
nature of Notary Publi
(Signature of Notary Public- State of Florida )
r-,n ,toxe�e•., fRANCISCORPALACI"S
Commission No. `—�` Notry�eQlc•StateatFlaHni
,u __fIOREENB.7HOMAS
CommissionNo.FFQIU(..3g 'T° "' IS144
Commission eFF177147
,� OMMISSIONtFF91053t
•..,pr,n;,,.•' Mr Comm. Expires Noy 20 Iola
EXPIRES: December 15, 201
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7 25�t
Rev.8/2/17