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HomeMy WebLinkAboutBuilding Permit Application F!_L,APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: © :,1 'li,ua�aC aron� 'dS '7N LU I'eN��d Building Permit Application Planning and Development Services 5102 1` 1. Nf)I' Building and Code Regulation Division 2300 Virginia Avenue,Fort Pierce FL 34982 Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residen I � PERMIT APPLICATION FOR: Plumbing PROPOSED IMPROVEMENT LOCATION: Address: 10600 S OCEAN DR 810 Legal Description. OCEANA SOUTH CONDOMINIUM II Property Tax ID#: 4511-517-0087-000-1 Lot No. Site Plan Name: Dennis C Wightman Patricia Wightman Block No. Project Name: Dennis C Wightman Patricia Wightman Setbacks Front Back: Right Side: Left Side: ETA,LED DESCRIPTION OF WORK: 40GAL ELE WATER HEATER CHANGE OUT CONSTRUCTION INFORMATION: Additional work to be ertormed under tispermit—check all appy: HVAC Gas Tank E]Gas Piping _Shutters Q Windows/Doors Electric Plumbing Sprinklers Generator Roof Total Sq. Ft of Construction: S Ft. of First Floor: Cost of Construction:$ 500.00 Utilities:[]Sewer 0 Septic Building Height: `OWN ER/LE$SE-E: CONTRACTOR: Name Dennis C Wightman Patricia Wightman Name: ERIC NERENBERG Address: 10600 S OCEAN DR 810 Company: SERVICE AMERICA City: JENSEN BEACH State:FL Address: 2755 NW 63RD COURT Zip Code: 34957 Fax: City: FORT LAUDERDALE State:FL Phone No.772-940-9143 Zip Code: 33309 Fax: E-Mail: Phone No. 954-979-1100 EXT 5673 Fill in fee simple Title Holder on next page (if different E-Mail: EPERMITSGROUP@SERVICEAMERICA.COM from the Owner listed above) State or County License: CFC056891 If value of construction is$2500 or more,a RECORDED Notice of Commencement is required. St i'PLEMENTAL CONSTRUCTION LIEN LAW INFORMAT•ION.- 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: 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 thepermit 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 y6)d7ntend to obtain financing, consult with lender or an attorney before commencing,work or recordinA your Notice of Commencement. _. c/l/1 ✓ s n ature o ntrac 'V Owne essee/Ag "'-_ g• _ _ STATE O FLORI A STATE OF FLORID CO U NTY O F SAINT LUCIE CO U NTY O F SAINT LU The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this day of 20 _by this 6 day of 6 20 by ERIC NERENBERG t ERIC NERENBERG (Name of person ackno edging) ���• (Name of person acknowl in (Signap of Not �fu IIc�S to of Florida) (Signature,'f"�o ary ub Ic of Florida4)� Personally Know O R�oduced Identification Personall nown OR Produced Identification Typfe of Identif•.,ation Produce I / Type o dentification oduced Commissio o. ommission No. (Seal) ",. JESSICADOTSON MY COMMISSION#FF 072984 v JESSICA DOTSON az ff)NiNiissie?i 0 FF 972 .�_ ^:• bP' Bonded Thm Notary Pubhcundenvrite:s y. ;: EXPIRES:November 25,2017 Revised 07/15/2014 FRFf�. %7, ••.••irfi` Bonded Thru Nota ryPubiicundenxrh s �� ,,• REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS