HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE 114FO IVIUS I ot LUMFL . —PPLI%A I IWIV I LF DE ML,Ucr 1 aw
Date: SCANNED PermitNumber:
BY RECEIVED
6 Ri� St. Lucie County
bmwr M
Building Permit Application SEP 2 6 L'018
Planning and Development Services ST. Lucie County,_Ee
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PERMIT APPLICATION FOR: Shutter -
PROPOSED IMPROVE MENT L OCATION:
Address: 9900 S. Ocean Drive #906
Legal Description: OCEANIA OCEANFRONT CONDOMINIUM Ik UNIT 906 AND LIND SHARE IN COMMON ELEMENTS (OR 2481-2549)
Property Tax ID #: 4502-503-0090-000-4
Site Plan Name:
Project Name: R and M Development LLC;
Setbacks Front Back: _ Right Side: Left Side:
I DETAILED DESCRIPTION OF WORK:
Installation of 1 Accordion Shufter
Lot No.
Block No.
CONSTRUCTION INFORMATION: :111
AMMitinnni IA#nrW tn no no�nnrnori itnriarthic normit—rhaAr oil thnt nni,
E]HVAC Ll Gas Tank
_E1 Electric 0 Plumbing
Total Sq. Ft of Construction:
Cost of Construction: S 3475.00
Piping E Sh''ut'ters 0 Windows/Doors
nklers Elenerator Elitoof = Roof pitch
S Ft of First Floor:
Utilitiesli Sewer E]Septic
Building Height: 1 f
OWNER/LESSEE:
CONTRACTOR:
Name R and M Development LLC
Name: Ed%flng Sosa
Address: 9900 S Ocean Drive #906
Company: Edwing's Unlimited Shutter Services LLC
City: Jensen Beach State:FL
Zip Code: 34957 Fax:
Phone No.
Address: POI Box 881085
City: Port St Lucie State: FL
Zip Code: 34988 Fax:
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: 28q54
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SovPLEMENTAL CONStRUCT161412 ION:
_WINFORMAT
DESIGNER/ENGINEER: Not Applicable
Name:
MORTGAGE COMPANY: Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _NotApplicable
Name:
BONDING COMPANY: —NotApplicable
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 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
in accordance with the al
The following building pei
ctur
accessory stru Ojes, sw'
WARNING 0 E
1 0
improveme,Tnts t ou
before the " rSt i I
or
commencing k or
uested permit, I do hereby agree that I Will, in all respects, perform the work
? Florida Building Codes and St. Lucie County Amendments.
are exempt from undergoing a full concurrency review: room additions,
:es, walls, signs, screen rooms and accessory uses to another non-residential use
Your Jdilure toecord a Notice of Commencement may result in your paying twice for
oro �A
� ice oof Commencement must be recorded and posted on the jobsite
1�nd to btain financing, consult with lender or an attorney before
it ti
11 liff OA t
0
our
;pordiny: our otice of Commencement.
/ V_'1-_Z "I,-
rjwmqvl;�
�ignature t�' Lessee/Contractor as Agent for Owner
Signature of Contractort icense Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF 5 rz, L t, at
COUNTY OF
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this _L_dayof:5W'l;-,?a_6_A- .20_LEby
a
this i3O day of 20 N%by
ML._')'rCA N 0i'mc-e., I
Name of person milking statement
Name of-0erson making statement
Personally Known N(- OR Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced -- - - - - - -
NW'I' 'Purl 4'1' '11naA2,f 'Flow�ld,
Commi0on # GG 135318
Expir�Auqlii,2021
dA A�
�IyCom M
(S�ature of N E
'�(SigAatlt�e# 111otary Publij Faii6'jili "Q4:;"'"' IF
10
my commisslo �#G.Q&4702
Commissi n No. M *021
Commission No. (Seal)
BandeciThm NOW, Public Underwlitem
6� Eqf
REVIEWS
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SUPERVISOR
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VEGETATION
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MANGROVE
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DATE
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01, 1
DATE
COMPLETED
Rev. 8/2/3.7