HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: �O� \:dtSCANNED Permit Number:
_ BY
Lucie County — RECEIVED
-- Building Permit Applic tionin
Planning and Development Services
Building and Code Regulation Division STD Lucie County, Pyrmittft
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial_ Residential x rmitting
PERMIT TYPE: Windows and Doors and interior remodeling -Ccr`da
PROPOSED IMPROVEMENT LOCATION:
Address: 10600 S Ocean Dr Unit 101,Jensen Beach,FL,34957
Property Tax ID #: Lot No.
Site Plan Name: Block No.
Project Name: Interior Remodeling
DETAILED DESCRIPTION OF WORK:
�ylsrrr.c, SI;.a: Yh Dmor�s/ 71eip errstr� 1%(ecf�rchi
bGtY.L1 (Q^���`.J, (LICYI�H i 6APA 001AS
CONSTRUCTION INFORMATION`.
Additional work to be performed under this permit —check all that apply:
Mechanical GaasTank _Gas Piping _Shutters VWindows/Doors
✓Electric ✓Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: 1, too Sq. Ft. of First Floor:
Cost of Construction: $ ci , S 06. Utilities: _ Sewer Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name AA �i /7.r'q: /f.( b(�l
Name JorgeiWrell•% ,•.,-. .• : •_
Address: a• b to 451 0 b 10 d fL
Company: J & V residentiai'Services I.NC
City: 5 H I m 13 2 n c State:
Zip Code':'_Z'�jj $'S Max"-
Phone No. S U r— i 2- Z- "7t Z I
Address: 71 Abaco dr
City: Palm Springs State: FL
Zip Code: 33461 Fax:
Phone No 561-601-1614
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail Nresidentialservices@yahoo.com
State or County License CGC1520618
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.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION;
DESIGNER/ENGINEER: _ Not Applicable
Name:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLEHOLDER: _ Not Applicable
Name'
BONDING COMPANY: _Not Applicable
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 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 COMMENCEFrOMBIENCEMENT."
MUST BE RECORDED AND
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU BIIT,F�YD TTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR N OF C
Signature of Owner/ Lessee/Contractor as gent for Owner
Signature of tractor 'cense Holder
STATE OF FLORIDA D� 6
STATE OF FLORID ,j,��PP
COUNTY OF 1 `q C�
COUNTY OF M r�
The for oing instrum t w acknowledged before me
s
The fo ing instru nt as acknowledged before me
t
this day of C 20L by
this day of 261 9 by
4ar"6 Llf, / 0 6 f
J0n4It Dior- lI
Name of per on making statement.
Name of persoiY making statement.
Personally Known R Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of Identification
Produced L DL
'--.�-
Produced
(Signature ofNota d td.mk6loma
(Signature of c
� hl1 &iL tiiiiloiidd)
+� Ex Carires 0' s:-n , , 33
'! Expires 0+", 0%1"?<
y - a• My Commission GG 193593
o�
Commission No. °"` 1�Seal
$ o` Expires 03/30/202
Commission No Seal
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.2/7/19