HomeMy WebLinkAboutBuilding Permit Application I
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED //'�� /,,
Date: Permit Number: 0(i' 000(0
•
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
.A,
i
Address: 9950 S Ocean Drive#705,Jensen Beach FL 34957
Legal Description: Miramar Royale Unit 705(Or 696-719)
Property Tax ID#: 4502 703 0031 000 7 Lot No.
Site Plan Name: Block No.
Project Name: Grande
Setbacks Front Back: Right Side: Left Side: _
II t $14
Additional wor to e—ofertormed under this permit–check arapp y:
HVAC Gas Tank ❑Gas Piping _ utters WindowsJDoors
11 Electric 0 Plumbing U Sprinklers E]Generator 0 Roof
Total Sq. Ft of Construction: 5_70, 3 Scl. Ft.of First Floor:
Cost of Construction:$ ra Ot N?.40 Utilities: Sewer Septic Building Height:
MAN"MM 0101
Name Charles&Emily Grande Name: Edward J.Herbg
9950 S Ocean Drive#705 it
Address: Company: Folding 5hr Corporation
City: Jensen Beach State:FL Address: 7089 Hern*eet+Place
Zip Code: 34957 Fax: City: West Palm Beau State:FL
Phone No.772 229 9878 Zip Cade: 33413 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@Folding$hutters.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.
1 11 1
DESIGNER/ENGINEER: _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: 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.
s
_Signature of Owner/Lesse Signature of Contra Ider
STATE OF FLOR A STATE OF FLORP
COUNTY OF 1 a�� A.4— COUNTY OF ^I G 6
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this_2-
!�,day of mac, 20 (6-by this_aL day of cwt` 20 �f,by
Edward J.Heritagi, Edward J.Heritage
(Name of person acknowledging) (Name of person acknowledging)
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ignature of Notary Public-State of Florida) gnature of Notary PUNW7-State of Florida)
Personally Known X rsonally Known x OR Produced Identification
,,,' ADAM D WADLER a of Identification ed.
Type of Identification Pro cett�'� �'••, P
?� o ary Public-State o ori a
•_ m. Expires Oct 10,20 °,P,���„'• D WADLER
Commission No. N «Q; �qaf . mmission No.
o mission#EE 842433 „ s Not u lic-State of Florida
Bonded Through National Notary As n. �; •� MY Comm.Expires Oct 10,2016
OF"F"033601, # rt 42433
"•�����"'� Bonded Through National Notary Assn.
Revised 07/15/2014
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