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HomeMy WebLinkAboutBUILDING PERMIT APPLICATION`-70 �I 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 " ""' "" " n, tary PUbIi'c - Stale of : -sr��Qmmission N GG 032 Commission No. V 2 ?' °"Alm e '°°; ,00,. amm. Expires Oct 10 Bonded through National Nolar Ig ature of Notary P Ic„ d e I'orl APd D wADLER F orida �,oi�nv ooi�o, 3,0 �? NotaryP�o�bl1if - Stale of Florida Yj - ission No. CON'091 1� a GG 032330 2 4 - ° My Comm. Expires Oct 10, 2020 Assn. 't, o ` , OF GI ee REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev.