HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED n t t
Date: 7/17/2018 Permit Number:
SCANNED
BY
St. Lucie Cggs�
Buildins/�e
Planning DevelopmentServices
Building nd Code Reg ulatio u
2300 V' ginia Avenu Pi ce FL
Pho : (772) 462 553 Fa : (77
S OCEAN DR UNIT 1206, JENSEN BEACH, FL 34957
RECEIVED
I JUL 2 4 2018
r ST. Lucie County, Permitting
--
Residential -0
Legal Description: OCEANA OCEANFRONT CONDOMINIUM ONE APT 1206 AND .7120 PERCENT INTIN COMMON ELEMENTS
(OR 4132-616)
Property Tax ID #: 4502-502-0123-000-2 Lot No.
Site Plan Name: WA Block No.
r
Project Name: 'V W
Setbacks Front Back: N A Right Side: N/ A Left Side: N t7
�T��opcd. C'_Ae\bD RR0,n6ua4I6y_
L_IHVAC L=1Gas Tank
❑✓ Electric 0 Plumbing
Total Sq. Ft of Construction: 899
Cost of Construction: $ 25000
Piping ❑ Shutters ❑ Windows/Doors
nklers ❑ Generator 41 Roof ❑ Roof pitch
S Ft. of First Floor:
Utilities:llSewer❑Septic Building Height:
J�0 WER LESSEE a� J ky
� �°<�'r..���.�'�Y���� � ;
�,ONT,RACTOR='�
Name RAYMOND L PARDOYL
Name: TOD BATSON
Address: 9940 S OCEAN DR UNIT 1206
Company: MOANA MANAGEMENT
City: JENSEN BEACH State: FL
Zip Code: 34957 Fax:
Phone No.
Address: 3 PALMETTO DR
City; STUART State: FL
Zip Code: 34996 Fax:
Phone No. 772-828-9855
E-Mail: todbatson@gmail.com
State or County License: CGC-1525290
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEIVIENTAL��CONS1iRUCTIOIV,L EN�L�AVN�INF�
R °AT ONi - A,}� Y t
DESIGNER/ENGINEER: _ Not Applicable
Name: RAYMONDLPARDOYL
MORTGAGE COMPANY:
Name:
Not Applicable
Address: 9940 S OCEAN DR UNIT 1200. JENSEN BEACH, FL 34957
Address:
City: JENSEN BEACH State:
Zip: Phone
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER: 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 firssMspection. If you intend to obtain financing, consult with lender or an attorney before
commencirte work or recording vour Notice of Commencement. 14
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Signatu f wner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA
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STATE OF FLORIDA 11
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COUNTY OF a
COUNTY OF SST- p
The forTing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this_fG dayof lcly 20ffby
thisj2dayof Ttif� 20 by
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Name of per on making statement
Personally Known OR Produced Identification
Name of person making statement
Personally Known ")L OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
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Rev.8/2/17