HomeMy WebLinkAboutBUILDING PERMIT APPLICATION- �e6 JA 63 4 7f6 Jam
ALL APPLICABLE INFO MUST BE CO...,ETED FOR APPLICATION TO BE ACCEPTED `
Date: IU L�� RECEIVED Permit Number: IO I CJ" i
NEC"
JAN 1.5 2019
Permitting Department
Building 4'i=me" ifl ►pplication
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial x Residential
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JAN�p�019
Permitt.
5't Cuci DepartmentCou
I PERMIT APPLICATION FOR: Window/door 1-1 1
I PROPOSFD IMPROVFMFNT LOCATION: 111
Address: 9900 S Ocean Dr#106
Legal Description: Oceana Oceanfront Condo II - UNIT 106 AND UND SHARE IN COMMON ELEMENTS (OR 3613-1360
Property Tax ID #: 4502-503-0010-000-0 Lot No.
Site Plan Name: Block No.
Project Name: Paulhiac'Door Replacement
Setbacks Front Back: Right Side: Left Side:
I DETAILEDDESCRIPTIOWOF WORK; ° °`°'
Replace 2 Doors size for size -Customer has existing Sh !NNED_Tvr11?- S10'55' aw -V>earS
BY
St. Lucie County
CO
71wR
L=IHVAC I l GasTank
LEI Electric 0 Plumbing
Total Sq. Ft of Construction: —
Cost of Construction: $ 11,153
under this permit— cl
❑Gas Piping
Sprinklers
Shutters Windows/Doors
Generator Roof = Roof pitch
S Ft. of First Floor:
Utilities: Sewer E]Septic Building Height:170
OWNER/LESSEE:
CONTRACTOR;
Name Carmen Paulhiac
Name: Roberto Sanchez
Address:9900 S Ocean Dr#106
Company: The Home Depot
City: Jensen Beach State: FL
Zip Code: 34957 Fax:
Phone No.
Address: 6500 NW 12 Ave
City: Fort Lauderdale State: FL
Zip Code: 33309 Fax:
Phone No.
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail: robertosanchezthd@expeditepermit.com
State or County License: CGC1522717
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
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14 gW3 76
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
Name:
Address:
City:
Zip: Phone:
BONDING COMPANY:
Name:
Address:
City:
Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
_Not Applicable
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/ Agent/ Lessee
STATE OF FLORIDA
COUNTY OF Sr gene
The forgoiigg instrument was acknowledged before
met -7" day of 20 lff13 by
084K�z
Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF siwde
The forgqIng instr=ent was acknowledged before me
this�y`dayof .10', ,201Fby
AAuhwA4arR@-F�ie l oan(i4-L tea+ )2D y�_m fav,C ez
(Name of person acknowledging) (Name of person acknowledging )
(Signature of Notary Public- State of Florida ) (Signature of Notary Public- State of Florida )
Personally Known x OR Produced Identification Personally Known X OR Produced Identification t'
Type of Identification Produced I Type of Identification Produced
Commission No.
TIMOTHY R. 0VALLEY
Revised07/15/2014 EXPIRES: August7,2021
bonded Thru Notary Public Undewriters
Commission No. (g(, 117!"55 (Seal)
GUhdMiSSIUN # GG 117135
EXPIRES: August 7, 2021
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