HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: ' / SCANNED Permit Num
BY
e St. Lucie County
Building Permit Ap
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
RED
MAY 2 2 2019
Permitting Department
St. Lucie County, FL
asi en is ----
PERMIT APPLICATION FOR Shutter
PROPQSt JIV{PROU£MENT
t LOCATION
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Address: 9900 S Ocean Dr. #404, Jensen Beach, FL 34957
Legal Description: OCEANA OCEANFRONT CONDOMINIUM II- UNIT 404 AND UND
SHARE IN COMMON ELEMENTS (OR 2299-1849: 3481-682)
Property Tax ID #: 4502-503-0038-000-2
Site Plan Name:
Project Name: Hurricane shutter
Setbacks
Back: X Right Side: Left Side:
1 Hurricane shutter (accordion type) at the balcony area
11HVAC 1-1 Gas Tank
11 Electric 0 Plumbing
Total Sq. Ft of Construction: _
Cost of Construction: $ 3,300.00
Gas Piping lw ]Shutters
Sprinklers []Generator
S Ft. of First Floor: _
Utilities:cnSewer Septic
Lot No.
Block No.
Windows/Doors
Roof = Roof pitch
Building Height: 140 ft
aQWNER%LESSEE r ` >ILI,-.i.,..CONTRACGOR
Namel-illian E Holbrook
Name: Edwing Sosa
Address:9900 S Ocean Dr. # 404
Company: Edwing's Unlimited Shutter Services, LLC.
City: Jensen Beach State:FL.
Zip Code: 34957 Fax:
Phone No.508-238-6219
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.
'SUPPLEMINTAL CONSTRUCTION LIfN LAW INFORMATION
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=a .'
DESIGNER/ENGINEER: _ X
Name: P.0 IjQ c. I.G
Not Applicable
MORTGAGE COMPANY:
Name:
x Not Applicable
Address: 161 SVd Bill'w,ole S1 III
Address:
City: P•r L.
Zip: '3 9 Phone
State: I1,.
1- cl m
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER: x
Name:
Not Applicable
BONDING COMPANY:
Name:
x 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 first inspection. If you intend to obtain financing, consult with lender or an attorney before
:Ommen Cing worK or recoraing your Notice OT LOmmencement
1Q l /TU SIC tit OVIL k-JL#fin 5o3
Signature of Owner/ Lessee/Contractor as Agent for Owner Signature o Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF 5 T. L u cat COUNTY OF
The forgoing instrument was acknowledged before me
this 3 day of MG O1 1! 2011 by
Li )liq to b [40 �roov
Name of person making statement
Personally Known OR Produced Identification
Type of Identification
Produced 1). L-
The forgoing instrument was acknowledged before me
this '3 day of 20 \g by
Soso
Name of pe n making statement
Personally Known OR Produced Identification
Type of Identification
(Signature of Nota U0'e Of FIO®�°" J°'"
ryPuEI o •Stets of FlorIAa.
Commission No. Com ♦fF Y629$2
Comm. EtpinsMn29,202i1
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9ondsofArat9lt NallORM Way Assn,
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PLANS
VEGETATION
SEA TURTLE
MANGROVE
REVIEWS FRONT ZONING SUPERVISOR
COUNTER REVIEW REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
COMPLETED
Rev. 8/2/17