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ALL APPLICABLE FO UST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: ��l Permit Number:
- ;
RECEI'
r APR 18 IBIS
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: Electrical
Address: 8800 S OCEAN DR#804,JENSEN BEACH;FL 34957
Legal Description: ISLAND DUNES OCEANSIDE CONDOMINIUM II UNIT 804(OR 38542946)
Property Tax 11D#:. 3535-603-0068-000-7 Lot No.
Site Plan Name: Block No.
Project Name: ._
Setbacks Front Back Right Side: Left.Side:
DIM P S' 0R
Ferndv� c�s,tea or>�z��err�L;gAi"w lag �a�7� SDA r�sr2�
�xi yrs
z /-7a,D z &est 1,,v lrT x i es i--,i In— .8..?/1
Aaaitional work toffGoa
rme un er t is perm c ec a appy:OHVAC s Tank E]Gas Piping _Shutters Q Windows/Doors
Zflectric ❑Plumbing [ISprinklers 1:1Generator Roof
Total Sq, Ft of Construction: I C-�o S Ft.of First Floor:,
Cost.of Construction:$ � Utilities:0Sewer ElSeptic Building Height:
Q ER/L SAS E; so _
Name ROBYN BATSON Name: OhAJ ✓fit 1
Address:3 PALMETTO DR Company: �D S?�}� S uerlll 6 i� S
City: STUART State`,F� Add r s 10:3 0 } 1111-49642 ee
Zip Code: .349.96 Fax: City �P& STi-Ue r- . State... -
Phone.No.954553-1778 Zip Coder Fax:
E-Mail:ROBYN.BATSON@GMAIL.COM Phone No.212 VD a3(A'7
Fill.in fee simple Title Holder on next page(if different E-Mail:
from the Owner liste4 above) State or County License:T�- 13 o b" O-&-)k'
if value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
S"�l ' ALE NTA �ON� UCT10 i.15 LA 1N C3'+ AT( • N:
DESIGNER/ENGINEER: x Not Applicable MORTGAGE COMPANY: x Not Applicable
Name: Name:
Address: Address:
City: Stater 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 Countymakes 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,l 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,consult with lender or an attorney before
comjnenr,1ng work or recordirAg vour Notice of Comm enceme t.
s
_Sign wner/Lessee/Agent Si ature of factor/License Holder
STATE OF FLORIDA TATE OF FLQRIDA, CI
COUNTY OF S'E'� � COUNTY OIC LCC
The forgoing instrument was acknowledged before me The forgoing instr ment was acknowledged before me
this; day of 20 LLby this day of (i 20 f1d by
2 0�4SAJ dni Jl�ho M a2'1nCzK_-
(Name of person acknowledging) (Name of person acknowledging)
J
(Signature of Notary Public-State of Flori a ( I ature of otary Pu lic-State of Florida)'
Personally Known OR Produced Identification Personally Known Puce sMEraiTi�
Type of Identification F ro¢ Type of identification Pr _ r 3tare� on a
VP :off -.. LISA A GA7VIN—
=_:` P0. • COMMISS' n*FF 931316
�� My C SIGN#FF091385 Commission No. l"i'�3 P;` M -Ip
Commission No. Q�� • ��� ��,, Y Co(1�$�pirea Jul 11.2017.
!FOFFo�.' EXPIRES February 10,2018 """ 8o f N1&yAnrL
(407)'3'9'8'-Q153
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS