HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED qq
Date: G(al ` `� Permit Number:
JUN 1D�S
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
PERMIT APPLICATION FOR: Shutter
PROPOSED IMPROVEMENT LOCATION:
Address: 10600 S Ocean Dr#301,Jensen Beach, FL 34957
Legal Description: Oceana South Condominium II Unit 301 and Undiv share in common elements
Property Tax ID#: 4511-517-0028-000-0 Lot No.
Site Plan Name: Block No.
Project Name: William O'Connor
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
CONSTRUCTION INFORMATION:
Additional work to be ertormed under t ispermit—check all appy:
HVAC Gas Tank ❑Gas Piping Shutters Q Windows/Doors
Electric 0 Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: S . Ft. of First Floor:
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Cost of Construction:$ a, �° ( Utilities. _Sewer E]Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name William O'Connor Name: Edward J Heritage
Address,:1.0600 S Ocean Dr#301 Company:,Folding Shutter Corporation
City: Jensen:Beach State:FL Address:-:7089 HemstreetPlace
Zip Cod`e:'34957' `fax` City;.West Palrri Beach:-` State:FL
Phone No:.(7,72).3.36-2035 Fax: (561)640-8204
E-Mail: Phone No. (561)683-4811
Fill in fee simple Title Holder on next page(if different E-Mail: info@foldingshutters.com
from the Owner listed above) State or County License: SCC131151041
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
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, consult with lender or an attorney before
commencing work or recording our Notice of Commencement.
2 t s
"Signature of Ow r /Agent `Signature of Con or se Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF Palm Beach COUNTY OF PalmBeach
The for oing instrurent was acknowledged before me The forgoing instrument was acknowledged before me
this IJ day of J✓N 2— 20/�by this L"7 day of 20 by
Edward J.Herit4 Edward J.Heritage
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary Public-State of Florida) (Signature of Notary Public-State of Florida)
Personally Known X OR Produced Identification Personally Known X OR Produced Identification
Type of Identification Produced n Type of Identification Produced
Commission No. �� )SU�� C (Seal) Commission No. (Seal)
PAMELA A.EVANS PAMELA A.EVANS
OZ
NOTARY PUBLIC NOTARY PUBLIC
STATE OF FLORIDA% wCeIrP,
STATE OF FLORIDA
Revised 07/15/2014 Comm#FF150967 Comm#FF150967
9� 1 018 Expires 10/11/2018
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
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