HomeMy WebLinkAboutBuilding Permit Application 01/04/2016 MON 15: 47 FAX 0002/004
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1/04/16 Permit Number:
RECEI�a'rD JAP! 0 5 2016
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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 V dG
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Address: 10044 S OCEAN DRIVE UNIT 303
Legal Description: SEA WINDS CONDOMINIUM APT 303(OR 3285-1713)
Property Tax ID#: 4502-804-0019-000-7 Lot No.
Site Plan Name: Block No.
Project Name: BIMLER
Setbacks Front Back: Right Side: Left Side:
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itiona wor to e e Orme un ert ispermit—c ec a appy:
HVAC �Gas Tank ❑Gas Piping Shutters ❑Windows/Doors
❑Electric ❑ Plumbing ❑Sprinklers ❑Generator ❑ Roof
Total Sq. Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ 4210.00 Utilities: Sewer[]Septic Building Height:
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Name JOHN BIMLER Name: ROBERT BROWN
Address:10044 S Ocean Dr Apt 303 Company: SMITH SERVICES
City: Jensen Bch State:FL Address: 1306 29TH STREET
Zip Code: 34957 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: CAC1816178
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If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
01/04/2016 MON 15: 48 FAX 0003/004
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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 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 you intend to obtain financing,con It with lender or an attorney before
comm�nc' work or recor n our Notice of Commenceme
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_Signature of Owner/Lessee/Agent Signature of Contractor/Lice bider
STATE OF FLORIDA t. r STATE OFFO
COUNTY OF COUNTY
The forgoing inst-r—u�me`nt was acknowledged before me The forgoing instr ent was acknowledged before me
this day of �chv u�t lM 20\ by this a day of 20 lSby
(Name of person acknowledging) / (Name of person acknowledging)
J J
(SignaAre o otary Public- tate of Florida) (Signa re X Notary Public- to of�Florida)/
Personally Known OR Produced Identification Personally Known \_`__0R Produced Identification
Type of Identification Produced of Identification Produced
� r�$'•. JOYCE MICHAUD 'y
'�4 MY COMMISSION#FF 0 M004�0 ' JOYCE ION#MICHF D
Commission No. *; al �o fission No. =*: ea{�YCO�gMISSION�FFoe3o
:A EXPIRES:April 25,20 8 'a- EXPIRES:Apdf25 2018
p Bonded 7hru Notary Public Unde dlers .... Bonded Thtu Notary public Undenvr'
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS