HomeMy WebLinkAboutBuilding Permit Application W"I"?
ALL',AMP,UCABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED ` h
Dat ''. �1 , Perm it N u m ber:
+ _ RECU. 70 JUN 2 2016
Building Permit Application 1=`
Plan#-"and Development Services !
Bullojl—,and Code Regulation Division
234"nia Avenue,Fort Pierce FL 34982
Phane':(772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMfTAPPLICATION FOR: p
To Select from dro box, click arrow at the end of line
I MINIMUM !
Address: 10851 S Ocean Drive Lot 40
Legal Description: Windmill Village by the sea condominium No. 1 unit 40 and pro rata share in common
elei6ts ( or 2197-1852)
PropertiyTax ID#: 4511-810-0047-000-9 Lot No. 40
Site Plan'iVame: Block No.
Proje ']Wl'
Setladis.'` Front Back: Right Side: Left Side:
am
Replacing rusted out RV pededstal / Like for like
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Additional*work to Tel orme under tis permit–c ec a apply:
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1VAC Gas Tank –]Gas Piping Shutters a Windows/Doors
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Electric Plumbing ❑Sprinklers Generator a Roof !=
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Total Sq. Ft of Construction: Sq. Ft.of First Floor:
Cost of.Construction:$ 300.00 Utilities:Ll Sewer Septic Building Height:
Name Sandra Shoemaker Name: Kenneth Geremia Jr.
Address:: 8015 Edgemere Lane Company: 'GERELCO Electrical
Beach Gardens State: FL Address: 560 NW Enterprise Drive I'
Zip Code: 33410 Fax: City: Port St Lucie State: FI.
Phone No. 772 -229-1145 Zip Code: 34986 Fax: 772-340-7475
E-Mail: Phone No. 772-340-7474 '
Fill iriifee simple Title Holder on next page{if different E-Mail: bwillard@gerelco.com
fromth'e Owner listed above) State or County License: EC 13003415
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required. atl\a
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ff M- EWI : IN no., ---- ---
DESIGNER/ENGINEER: x 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: X Not Applicable
Name: Name:
Address: Address:
City: City: _
Zip: Phone: Zip: Phone:
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 thepermit 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 j
before the first inspection, If you intend to obtain financing, consult with lender or an attorney before
commencing work or recqrding your Notice of Commencement.
x: '//7
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_Sign: ure of wn r/Lessee%Agent Signatur of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF St. Lucie COUNTY OF St. Lucie
is
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 29thday of June 20 16 by this 29th day of. June 120 16 by
i
(Name of persona nowledging) (Name of person now edging)
( ature of Notary Publi State of Florida} ature of Notary Pub' State of Florida)
Personally Known a Ider t•LorydAgNEPer onally Known c Idef&F 11
Type of Identificati Prod •�° 8A9� of ldentlfic ion Prod c$ _ .
g �, 1=50939 i
XP October 11,2 1Co mission No. '' dca :;` S October 11,2019
Commission No. ( eal
90-0?53 Io IdallotaryService.com t4O?)398-0.53 FlorldallotaryService.com
Revised 07/15/2014
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