HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number 5 L 6415
- RECE1'.'7-0 NOV 041015
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fart Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial x Residential
PERMIT APPLICATION FOR: Shutter
PROPOSED IMPROVEMENT LOCATION:
Address: 9650 S OCEAN DR#306,Jensen Beach,FL..34957
Legal Description: THE PRINCESS OF HUTCHINSON ISLAND UNIT 306 (OR 3377-159;3689-1774)
Property Tax ID#: 4502-610-0026-000-4 Lot No.
Site Plan Name: Block No.
Project Name: 1 accordion shutter
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORD: —
1 accordion shutter at the balcony area
CONSTRUCTION INFORMATION:
Additional work to be
EI0e orme user tf-i'is perms c ec a appy:
HVAC Gas Tank ❑Gas Piping _Shutters F Windows/Doors
Electric Plumbing 05prinklersGenerator L—:.I Roof
Total see,. Ft of Construction: Sc:. Ft.of First I locr:
Cost of Construction:$ 6,700.00 _ Utilities: Sewer Septic Building Height: 180 feet
OWNER/LESSEE: CONTRACTOR:
fame Betsy J Flinn J0 Nonc, zenni$fi Name: Edwing O.Sosa
Address:9650 S OCEAN DR 306 Company: Edwing's Unlimited Shutter Services,LLC.
City: Jensen Beach State:FL Address: 460 NW Concourse Place#16
Zip Code: 34957 Fax: __ City: Port St. Lucie State:FL.
Phone No.(631)258-8186 –I Zip Code: 34988 ^ Fax: (772)905-9431
E-Mail: 1 ny) �� 1, 0-o - m'() Phone No. 1772)370-0766
Fill in fee simple Title bolder on next page(if different ; E-Mail: ed@edsunlimitedservices,com
from¢he Owner tilted above) i State or County License: 28457
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:.
DESIGNER/ENGINEER: x Not Applicable MORTGAGE COMPANY:- x Not Applicable
Name: Name: .
Address: Address:
City: State: City: State:
Zip: Phone: _ Zip:_ Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable BONDING COMPANY: x 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 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
commencing work or recording your Notice of Commencement.
I E�W) Ila, ;0�A s
_Sig ature of Owner/1_19V-see/Agent Signature 61
Contractor/License Holder
STATE OF V3 STATE OF FLO A
COUNTY O I eIIL COUNTY OF `T-QJ tM Coal �
The forgoing instrument was acknowledged before me The forgoi�ig instrument was acknowledged before me
this�day of � 20 6—b} thls'aQ day of.. [)L"CC- 20 f' �by
-S� ` lm)a )Q=4 ,�' i=ce t t�i a R
(Name of person acknowledging) (Name of perso cknowledging)
{Signature of Notary Public-State of:Fl:o a) Al_w �/d rl� (Signatu a of NotAry Public-State of )
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Produced Type of Identification Produced
'••, 'KATHY M.BRANHA
Commission No. 01WU a 5 (Seal) Commission No. :'�' r."mmission#(01R86 988
Danielle C Anderson Expires December 16,2017
State of NewLrh
14' �•�V
No91AN6325159
Revised 07/15/2014 .PUBLQualified in Suffolk County
yCommission F.xptres SnV20
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE I
INITIALS