HomeMy WebLinkAboutBuilding Permit Application I �•
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED �(
Date: 4-29-16 Permit Number: 'V'qr /
RECEIVED h
Building Permit Application APR 2 9 2016
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Planning and Development Services �z
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(I72)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR:
To Select from dropbox, click arrow at the end of line .:
SEE
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Address: 10851 Ocean Drive Lot 114 is
Legal Description: Windmill Village By The Sea Condominium#1 Unit 114 and pro-rata share in common
elements ( or 2523-1275: 3848-306)
p rty 4511-810-0121-000-2
Pro a Tax ID#: Lot No.
Site Plan ljiame: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
Remove old corroded RV power pedestal and replace with same
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Additional work toe Derlormed under this perm —cnecK a apply:
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HVAC Gas Tank ❑Gas Piping _Shutters Q Windows/Doors
fix Electric 0 Plumbing []Sprinklers 11 Generator EIRoof
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction:$ 500.00 Utilities: Sewer F—]Septic Building Height:
i urn: ;1 glogImmin
Name Giovanni&Carmela Lasandra Name: Kenneth Geremia Jr.
Address:110410 S Ocean Drive#801 Company: Gerelco Electrical `
City: Jenesen Beach State: FL Address: 560 NW Enterprise Drive I
Zip Code: 34957 Fax: City: Port St Lucie State: FL is
Phone No. 772-219-4474 Zip Code: 34986 Fax: 772-340-7475
E-Mail: Phone No. 772-340-7474
Fill in fee simple Title Holder on next page(if different E-Mail: bwillard@gerelco.com
from the Owner listed above) State or County License: EC-13003415
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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DESIGNER/ENGINEER: X Not Applicable MORTGAGE COMPANY: X Not Applicable
Name: Name:
Address? Address:
City: State: City: State: l'
Zip: I Phone: Zip: Phone: =
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FEE SIMPLE TITLE HOLDER: x Not Applicable BONDING COMPANY: X Not Applicable
Name: Name:
Address' Address:
City: 1 City:
Zip: Phone: Zip: Phone:
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I certify tf�at no work or installation has commenced prior to the issuance of a permit.
St.Lucie Count 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 foliovJing building permit applications are exempt from undergoing a full concurrency review:room additions,
accessory lstructures,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 j
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencin ork or reding your Notice of Commencement.
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/Lessee/Agent of Owner
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Si rSignature of Contractor/License Holder
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STATE OF FLORIDA,-. STATE OF FLORIDA
COUNTY OF f (. uCr COUNTY OF
The for o' g Inst, ment as acknowledged before me I'
The for o ng instru ent was acknowledged before me � g �
this ay of 20 1(p by this day of 20 t(a by
IF
(Name of person ac owledging) (N f person ackno dging)
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ature of Notary Pub, State of Florida) (Si a of Notary PUbI' State of Florida)
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identificati Produced Type of Identificati Produced !.:
;� r°", TOR WARNER Commission No. !
Commission No. i.
Y COMMISSION#FF909394 ;gp�!°'''! TORI L WARNER
EXPIRES =°• •=
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(407)398-0153 FimidallotaryServim.6om =. EXPIRES October 11,2019
Revised 07/15/2
1407)398-0'53 FWdeNotaryServimmom
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE II.
COMPLETE
INITIALS
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