HomeMy WebLinkAboutBuilding Permit Application ALLAPPLICABLEINFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED ` (
Date: ^ LP Permit Number: `111 ��
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
PROPOSED IMPROVEMENT LOCATION:
Address: 9960 SOUTH OCEAN DRIVE UNIT 302
Legal Description: SEC 02/TOWN/37S/RANGE 41 E
Property Tax ID#: 4502-702-0007-000-7 Lot No.
Site Plan Name: THE MIRAMAR II Block No.
Project Name: JOHN FELICI RESIDENCE
Setbacks Front Back: Right Side: Left Side:
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DETAILED DESCRIPTION OF WORK: `I`f
M/B: Change tub to shower, new fixtures & shower valve, G/B: New fixtures & shower valve. BAR:
New Fixtures same location, KITCHEN: New Iceline location, new fixtures
CONSTRUCTION INFORMATION: I I`
Additional work to be performed under t ispermit—check all appy:
HVAC _Gas Tank ❑Gas Piping _Shutters a Windows/Doors
Electric ❑✓ Plumbing Sprinklers 1:1 Generator E[] Roof
Total Sq. Ft of Construction: S2100.00 . Ft.of First Floor:
Cost of-Construction:$ Utilities: _Sewer E]Septic 'li' Building Height:
OWNER/LESSEE: CONTRACTOR' ° .
Name John Felici Name: Robert Ludlum
Address:9960 South Ocean Drive#302 Company: Aqua Dimensions Plumbing Services, Inc.
City: Jensen Beach State:Fl Address: 1651 SW Mace&o Blvd
Zip Code: 34957 Fax: City: Port St. Lucie' I State:FI
Phone No.401-524-5875 Zip Code: 34984 I Fax: 772-343-7418
E-Mail: Phone No. 772-344-8433 �.
Fill in fee simple Title Holder on next page(if different E-Mail: adps@aquadimensions.com
from the Owner listed above) State or County License: CF
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION;
DESIGNER/ENGINEER: X Not Applicable MORTGAGE COMPANY: x Not Applicable
Name: Name:
Address: Address:
City: State: City: I State:
Zip: Phone: Zip: Phone: !I
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FEE SIMPLE TITLE HOLDER: X Not Applicable BONDING COMPANY: X Not Applicable
Name: Name:
Address: Address: I
City: City: I
Zip: Phone: Zip: Phone: I
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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 t first inspection. If you intend to obtain financing, co ult with der oir an attorney before
coma} cin work or recordingour Notice of Commenceme- .
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_Si of Owner/Lessee/Agent SignaWlfe of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF St.Lucie COUNTY OF St.Lucie
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this W;day of MO-Ac-h 20 Eby this 'st day of March 20 1(o by
Robert Ludlum Robert Ludlum
(Name of person acknowledging) (Name of person acknowledging)
hUYN Ct 72b U%r C I'k-A
(Signature of Notary -Stat&f Florida) (Signature of Notary Pu I c tat o lorida)
Personally Known x OR Produced Identification Personally Known x OR!Produced Identification
Type of Identification Produced Type of IdentificationProduced
Commission No. EE85429 .Seal Commission No. EE854297 (Seal)
Oo' RHOKMA L,AFFERTY �II
.!�e 54297 :�IlY A[ ,,1 p R T Gy�j
Revised 07/15/201 � 0~ ` EXPIRES January 08,2017 3 = MY COMMISSION#EES54297
1407)398.0153 FloridallotaryService.com y9� Qy: EXPIRES January 08,2017
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INITIALS
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