HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED �Q
Date: 11/4/2015 Permit Number:
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
PRC►POSEDIMPROUEMENT LOCATIQN4 r 4
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Address: 7370 SOUTH OCEAN DRIVE#711 JENSEN BEACH
Legal Description: DUNE WALK BY THE OCEAN-SAND DOLLAR NORTH BLDG B UNIT 711
Property Tax ID#: 3522-607-0091-000-9 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILEDxDESCRIPT,aON
REPLACEMENT OF 30 GALLON ELECTRIC HEATER WITH SAME
UC
CONSTRTION�INF:ORIVI�ATIOIV
.5..U. ,tear:
Additionalwork to be performed under t ispermit—cleck all appy:
EIHVAC Gas Tank E:]Gas Piping _Shutters Q Windows/Doors
Electric 0 Plumbing ❑Sprinklers El Generator Roof
Total Sq. Ft of Construction: S . Ft. of First Floor:
Cost of Construction:$ 1,125.00 Utilities.
LESS
Septic Building Height:
0111fN ER/LESSE''E`' '" `$� CO:IVTR
ACTOR
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Name CHRISTIAN ELAM Name: RICHARD BASSOFF
Address:10763 GREY HERON COURT Company: ADMIRAL PLUMBING SERVICES, LLC
City: FORT PIRCE State:FL Address: 2895 JUPITER PARK DRIVE#700
Zip Code: 34986 Fax: City: JUPITER State:FL
Phone No.772 971-3584 Zip Code: 33458 Fax: 561 744-7101
E-Mail: Phone No. 561 746-1180
Fill in fee simple Title Holder on next page(if different E-Mail: CHRISTINE@THEADMIRALPLUMBER.COM
from the Owner listed above) State or County License: CFC 1426115
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SIJ.PFLEMENTALCO.NSTRIJCTION LIEN L�41N INIt,ORMATION; ` £ 11�A1&41&""'
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 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, co t wi lender or an attorney before
commp,rWg work or recorA your Notice mmence nt.
)7 . s
I ture of Owner/Lessee/Ag t Signature Contractor/Li ense Ider
STATE OF FLORIDA STATE OF FLORIDA
r/
COUNTY OF FLORIDA COUNTY OF FLORIDA
The�¢fgpIng instrupen was acknowledged b fore me The fo ng instru nt was acknowledged before me
this day of 9��� '�0�� 20by this �day of �� 20 by
(Name of person acknowledging) (Name of person acknowledging)
106-wv6� A41;�'ej�
(Sig ature of Notary Public- ate of Florida) (Sign ure of Notary Public-State of Florida)
P Y rsonall Known `� OR Produced Identification Pe onally Known 0 Produced Identification
Type of Identification Produced Type of Identification Produce11
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Commission No. 1i )� �'�' S fission No. :+ €S
COMMISSION#EE ��1 �•: MY COMMISSION#Eft i 1142
' EXPIRES November 13,2016 1i r EXPIRES November 13, 1116
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Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS