HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: �` %(� \ o '0 010 Permit Number: "Wm$
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Buildin� fI!t Application
Planning and Development Services Qe Ste' Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982 ST. ngPhone: (772) 462-1553 Fax: (772) 462-1578 Commercial —k— Resl
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED`INIPROVEME`NT LOCATION; - F
Address: 9940 S Ocean Dr. Unit 403 Jensen Beach, FL 34957
Legal Description: Oceana Oceanfront Condominium One Apt 403 And .7875 Percent Int In Common Elements (OR 982-629)
Property Tax ID #: 4502-502-0040-000-6
Site Plan Name:
Project Name: Harris - 10828787
Setbacks Front Back:
Right Side: Left Side:
Lot No.
Block No.
('DETAILED DESCRIPTION OFrWORK "•'
replace 3 windows and 2 doors size for size (NOA 17-0420.05, 17-0630.07, 17-0630.01)
SCANNED
BY
St. Lucie Countv
CONSTRUCTION 'INFORMATION:
rtiona wor to e e orme under
tispermit—check
all apply:r
rn
E:1HVAC —Gas Tank
Gas Piping
_Shutters
Windows/Doors L-
11 Electric 0 Plumbing
[]Sprinklers
ElGenerator
1:1 Roof
Total Sq. Ft of Construction:
Sq. Ft. of First Floor:
Cost of Construction: $ 13231.00
Utilities: Sewer E Septic
Building Height:
,OWNER/LESSEE: '- n ,
-CONTRACTOR:
Name Shirley Harris
Name: Arthur Wayne Francis
Address: 9940 S Ocean Dr. Unit 403
Company: The Home Depot
City: Jensen Beach State: FL
Zip Code: 34957 Fax:
Phone No.
Address: 6500 NW 12TH Ave. Suite 110
City: Fort Lauderdale State: FL
Zip Code: 33309 Fax:
Phone No. (754) 224 - 2010
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail: Jonathon.thomas@expeditepermit.com
State or County License: CGC061641
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
If -
Name:
Address:
City: State:
Zip: Phone:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable I BONDING COMPANY: _Not Applicable
Name: _
Address:
City:
Zip:
Name: _
Address:
City:_
Zip:
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
The following building permit applications are exempt from undergoing a full concurrency review: room additions,
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for
improvements to your property. A Notice of Commencement must be recorded and posted on the jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencine work or recordine vour Notice of Commencement.
Signature of Owner/A nt/ ssee
STATE OF FLORIDA
COUNTY OF St Lucia
The forgoing instrument w s acknowledged before
methis l'o dayof 5epi" 20 18by
Francis
person
!$iglfature'!if Notary Public- State of Florida )
Personally Known x OR Produced Identification
Type of Identification Produced
OtPRYASJ' Jonathon Thomas
Commission No. ��,r�? e�SA,RY PUBLIC
-STATE OF FLORIDA
Revised 07/15/2014 'race ien0 Expires 9/18/2021
v
Signature of Contractor/lj ens er
STATE OF FLORIDA
COUNTY OF SLLuala
The for oing instrument w s acknowledged before me
this l8 day of ewer , 2018 by
Francis
(Name of
State of Florida )
Personally Known x OR Produced Identification
Type of Identification Produced
��O
SP Commission No. ARY PUBLIC
TE OF FLORIDA
m# GG141189
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