HomeMy WebLinkAboutBuilding Permit Application 11/0912015 MON 10:41 FAX 00011005
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED i
Date:���° Permit Number:
RECEIVE NOV 09"2015
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax:(772)462-1578 Commercial Residential x
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
Address: 5155 N HWY All A, Unit C-113, Ft Pierce,FL 34949
Legal Description: OCEAN HARBOUR CONDOMINIUM C-UNIT 113 AND UNDIV SHARE IN COMMONELEMENTS(OR 3797-16)
Property Tax ID#: 1411-707-0002-000-9 Lot No.
Site Pian Name: Block No.
Project Name: Thompson
Setbacks Front Back: Right Side: Left Side:
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Additionalwork tote nPrrormecl un ert is permit—check all=appy:
HVAC Gas Tank F]Gas Piping I I Shutters Q Windows/Doors
11 Electric F-1 Plumbing Sprinklers OGenerator F�Roof
Total Sq. Ft of Construction: Scl.Ft.of First Floor:
Cost of Construction:$ 3900.00 Utilities: Sewer L�� ]Septic Building Height:
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Name Elizabeth H-S Thompson Name: Robert Brown
Address:91 Sandburg DR Company: Smith Services
City: Sacramento State:ca Address: 1306 29th Street
Zip Code: 95819-1849 Fax: City: Vero Beach State:FL
Phone No. Zip Code: 32960 Fax: 772-299-4994
E-Mail: Phone No. 772-770-3300
Fill in fee simple Title Holder on next page{if different E-Mail: Frances_Brown@smithservices.org
from the Owner listed above) State or County License: CAC181678 5J]r,
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
11/04/2015 MON 10:42 FAX 20132/005
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DESIGNER/ENGINEER: X Not Applicable MORTGAGE COMPANY: X Nat Applicable
Marne: 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 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 tf1p first inspectio If you intend to obtain financing, c suit with lenderor attorney before
cam in wok or r c din our Notice of Commence n .
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_Signature of Owner/Lessee/Agent Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLQMPA
COUNTYOF_ COUNTY OF -40-\Avg Sova
The for ging instrument was acknowledged before me The forgoing inst ument was acknowledged before me
this day of X11 .bea 20 L�by this W day of N)Ve.V.\W .20�by
(Name of person acknowledging) (Name of person cknowledging)
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(Signa e o Notary Publi State of Florida) (Signature of toy Public-Stak of Florida)
Personally Known ✓OR Produced Identification Personally Known L�' �OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No.`�-F OB JOYCEMfCHA omms ion No.1iVe?..(y
MYCOMMISSION# F0006 , JOYCEMICHAU
*e EXPIRES-A rill 2018 e: ..- MY COMMISSION#FF
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Revised 07./15/2414 %tRf,, Bonded ThruNotaryPublic Un tuners
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COM P LETE
INITIALS