HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABL INFO MUST BE OMPLETED-FOR APPLICATION TO:BE ACCEPTED
d , Permit Number.: r 0.�
Date:
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BWilding 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 X Residential
PERM:ITAPPLICATION. FOR: .:
PROPOSED:IMPROVEMENT:LOCATION:
Address:
10680 S Ocean Dr.
Legal Description:
Island Crest Condominium
Property Tax ID:#: 4511-51.6=0000-5 Lot No.4
Site.Plan Name:;Island Crest Condominium Block No::
Project Name:
Setbacks: ;Front Back: Right_Side: Left,Side:
DETAILED DESCRIPTION OF WORK:
Replace Corroded Recess Light Cans,,Fixture:and MC:Conduit with new. �
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CONSTRUCTION INFORMATION:
Additional wor to be Dertormed uncler this permit—check a appy:
�HVAC Gas Tank F3,
Gas Piping :. Shutters .. Windows/Doors
� ..
Electric 0 Plumbing :Sprinklers Generator Roof
.Total Sq. Ft'of.Construction: S :_Ft.of First Floor:
1,900.00 UtilitiesSe
tic Building Height:of Construction: Sewer
OWNER/LESSEE: CONTRACTOR:.
Name Island Crest Condominium Assoc Inc Name: Mike Pettengili
:Address:10680 S Ocean Dr Company: Electrical Connections.
City: Jensen_Beach State:F� Address: SE Dixie Hwy
Zip.Code: 34957 Fax: City: Stuart State:FIL
Phone.IVo.772=229-1897: Zip Code; 34994. Fax: 772=283-5890:
E-Mail..iscrest@601.com Phone No. 772-283-5792 .
Fill.in fee simple Title Holder on next page(if different E-Mail: mike@eleconne(itions.com
from the Owner listed:above) $tate or County License:
If value of construction 6$2500 ormore,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
.DESIGNER/ENGINEER: _Not Applicablel iMORTGAGE COMPANY: X Not Applicable
Name: :Name:
Address: Address:
City:: State: City:. State:
Zip:. Phone: Zip:, Phone:
FEE SIMPLE TITLE.HOLDER: _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.
Inconsideration of the:granting of:this requested permit, [,do hereby:agree that:l: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 our Notice of Commencement.
S.
_Signature of Owner/Less % gent Signature of C t ense Holder
STATE OF FLORID STATE OF FLO
COUNTY OF:Manan COUNTY OF W
the forgoing instru t was cknow[edged b' re me. The forgoing:instrument was acknowledged before me
this day of O 20J�by this 10 day of "ovembe� 120 by
1 Michael Pettengill
(Name of person acknowledging:) (Name of person acknowledging)
11
(Signature of N ary Public-State of Florida) (Signature.of Notary Publt -State of Florio)' SAI BE l4
•` ` ''ssloNN� iy
Personally OR Pro uced tification. Personally Known OR:Produc Ido
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Type of I lt* n 'L Type of Identification Produced = .a • r"•
INGEL
Notary pudgc7F411UFSeal) Commission No. �SeAFF809 OriCommis a .• ISionFlorl '',,iFi°a� My Coram 73pd�
rough National Nota�Zn9
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW. REVIEW REVIEW
DATE
COMPLETE
INITIALS