HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED � /
Date: V�— �1- L� SCANNED PerrnitNumber: I �bN b1415
BY
St. Lucie County �cFll"
Building Permit Application p FFe2110
Planning and Development Services St.
INp iB
Building and Code Regulation Division 414V eAe
2300 Virginia Avenue, Fort Pierce FL 34982 r'�EIlk Q�t
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential
PERMIT APPLICATION FOR: Shutter
Address: 9550 S OCEAN DR 1207
Legal Description: ISLANDIA I CONDOMINIUM UNIT 1207 (OR 3507-438)
Property Tax ID #:4502-601-0111-000-9
Site Plan Name:
Project Name: Hurricane shutter (accordion
Setbacks Front Back: X
1 accordion shutter (balcony area)
Right Side: Left Side:
Lot No.
Block No.
CONSTRUCTION`1N FORMATION:
Additional work to e e under tispermit—checka appy:
DHVAC Li Gas Tank ❑Gas Piping Shutters ❑ Windows/Doors
Electric 0 Plumbing ❑Sprinklers 0 Generator 0 Roof = Roof pitch
Total Sq. Ft of Construction: _
Cost of Construction: $ 3,900.00
S Ft. of First Floor:
Utilities:]Sewer OSeptic Building Height: 160'
OWNER/LESSEEt -
,CONTRACTOR:
Name Charles A DiDomenico
Name: Edwing Sosa
Address:9550 S OCEAN DR #1207
Company: Edwing's Unlimited Shutter Services, LLC.
City: Jensen Beach StatJl_
Zip Code: 34957 Fax:
Phone No.
Address: PO BOX 881085
City: port St. Lucie State: FL.
Zip Code: 34988 Fax: (772) 905-9431
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: 28457
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
v't
SUPPLE_MENFALCDN_S�RU�TIOfL1EIV�Pt1l��i�IFORMATIO(��
ec., t M a.: } ^:r- e .?c"?re.{o-
�� ..,roIx �"
DESIGNER/ENGINEER:
Name:
— Not Applicable
MORTGAGE COMPANY:
Name:
— Not Applicable
Address:
Address:
City:
Zip: Phone
State:
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER:
Name:
Not Applicable
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 ansi 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
commenciniz work or recordine vour Notice of Commencement.
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature f Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF 5 T- L4Ge-
COUNTY OF Oz��4y
The forgoing instru en t was acknowledged before me
The forgoing instrument was acknowledged before me
this�dayof 7f LACf ,20(` by
this 2yday of�20\c\by
l�c4 It..f- IJI e&%nLh: cc
Name of person making statement /
(/
Name of p on making statement
Personally Known OR Produced Identification
Personally Known OR Produced Identification
Type of Ider �ification
Type of Identification
Produced 11�,L.
Produc :`
-1
co
(Signature of Notary P of �i8f1 - "
nat reo ublic-Sta ,'
g .) Nota Fublic-StateofPlarid
hIk-fitataofFloridaAtARCON
Co [on Ipton i FF 962942
Commission No MYCMi6'rP.BainaMa 29;2020
P Y
CommissioniiGGt353ta
3 (amm.ExpfresAu
Commission No. '•.'Fa.�at5c 1 g16,20
a BondsdthroughNational Wary Assn
am: Wrmh natio,alhm you
i
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17