HomeMy WebLinkAboutBUILDING PERMIT APPLICATION`-70
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All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 113b1 \g SCANNED Permit Number: V\a1-d61 a
BY
- - � M St. Lucie County RECEIV€.
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT TYPE: ( �, o
is v�
Building Permit Application JUL 3 0 "m
ST. Lucie
Commercial ..D 3 /c) Residential
Address: 9490 S Ocean Dr #114 Jensen Beach, FL 34957
Property Tax ID #: 3535-701-0006-000-6 Lot No.
Site Plan Name: Block No.
Project Name: Julio Rodriguez
Additional work to be performed under this permit —check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters
_ Electric _ Plumbing _ Sprinklers _ Generator
Total Sq. Ft of Construction:
Cost of Construction: $ 37 7D
Sq. Ft. of First Floor:
—Windows/Doors
Roof Pitch
Utilities: _Sewer _Septic Building Height:
�O�NI tEI.3/ E 55 EEC " ' fir r yy
._..Cc _... ».
kCOIVTRACI OR
Name Julio & Annabelle Rodriguez
Name: Edward J. Heritage
Address: 949Q S Ocean Dr #114
Company: Folding Shutter Corporation
City: Jensen Beach State: _
Zip Code: 34957 Fax: NIA
Phone No.
Address:1862 Dr Martin Luther King Jr Blvd
City: West Palm Beach State: FL
Zip Code: 33404 Fax: 561-640-8204
Phone No 561-683-4811
E-Mail: 863-228-0687
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail info@foldingshutters.com
State or County License SCC131151041
u value or construction is ocouu or more, a RECORDED Notice of Commencement is required.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
070 j a0PTO 13
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number: t 0-7—b 1a
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982 C D>,47�
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
as iuirefi»
IMPROVEMENT
Address: 9490 S Ocean Dr #114 Jensen Beach, FL 34957
Property Tax ID #: 3535-701-0006-000-6 Lot No.
Site Plan Name:
Project Name: Julio Rodriguez
DETAILED DESCRIPTION OF WORK:
CL6 /11--) i
CONSTRUCTION INFORMATION:
Block No.
Additional work to be performed under this permit— check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters -Windows/Doors
_ Electric _ Plumbing _ Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $ 3774)
_ Generator _ Roof Pitch
Sq. Ft. of First Floor:
Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Julio & Annabelle Rodriguez
Name: Edward J. Heritage
Address: 9490 S Ocean Dr #114
Company: Folding Shutter Corporation
City: Jensen Beach State: _
Zip Code: 34957 Fax: N/A
Phone No.
Address:1862 Dr Martin Luther King Jr Blvd
City: West Palm Beach State: FL
Zip Code: 33404 Fax: 561-640-8204
Phone No 561-683-4811
E-Mail: 863-228-0687
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail info@foldingshutters.com
State or County License SCC131151041
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
0
SUPPLEMENTALCONSTRUCTION'LIEN LAW INFORMATION:
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
BONDING COMPANY: _Not Applicable
Name:
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 Counter 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 JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND `TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR'NOTI.CE OF%COMMENCEMENT."
5ignatUre'ofOwner/- r`WsrP em-fdir Owner
LSignaftu a of:Contractc ngII6 ""y
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF Palm Beach
COUNTY OF Palm Beach
The forgoing instrument was acknowledged before me
this 1dayof 20/f by
The forgoing hnstr�jqientwas acknowledged before me
this�dayof ,202§by
Edward J. Heritage
Edward J. Heritage
Name of person making statement.
Name of person making statement.
Personally Known xx OR Produced Identification
Personally Known xx OR Produced Identification
Type of Identification
Type of Identification
Produc
Produced
Signature of otary Public -Sty' '' 4cidaJb " ""' "" "
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: -sr��Qmmission N GG 032
Commission No. V 2 ?' °"Alm e
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