HomeMy WebLinkAboutBuilding Permit Application N�L&201&017 turit
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: ��_ Permit Number:��� l J ill
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R1 117J1, t[ED,
Building Permit Application JUL 13 HHG
Planning and Development Services
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Building and Code Regulation Division �
Si. Lucie County, Fl.,
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial x Residential
PERMIT APPLICATION FOR: Shutter
PROPOSED IMPROVEMENT LOCATION:
Address: 10600 S Ocean Drive#701,Jensen Beach FL 34997
Legal Description. Oceana South Condominium II Unit701 And Undiv Share In Common Elements(Or,634-2268)
Property Tax ID#: 4511 517 0068 000 2 Lot No.
Site Plan Name: Block No.
Project Name: Sullivan
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
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CONSTRUCTION INFORMATION:
Additional work to be nertormed under this permit-check all appy:
HVAC Gas Tank ❑Gas Piping Shutters ❑Windows/Doors
11 Electric ❑ Plumbing []Sprinklers Generator Roof
Total Sq. Ft of Construction: S Ft.of First Floor:,
Cost of Construction:$ t'� , '-7'7(� Utilities. Sewer OSeptic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name William&June Sullivan Name: Edward J. Heritage
Address:?T.Richmond;Hill,Roa,d,._ Company: Folding Shutter Corp oration
City: Norwalk-jr'_!; '' State:CT Address+?089 Hemstreet;Place
Zip Code 06854- . ,' , _, ' ,Fax: City:'West'Palm Beach''_-r State:FL
203 8,58 236.1:;_3 j' 33413'` " 561 640 8204
Phone No: Zip Code:;, Fax:
E-Mail: Phone No. 56'1'683 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: 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
�Signatu`re of Owner/-L gent - Signature of,Contract r---,,';I
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF Palm Beach COUNTY OF Palm Beach
The for oing instrument was acknowledged�efore me The forgoing instrument was acknowledged before me
this a day of ^r 20 1 by thiso`Zgday of J 20 f by
Edward J.Herita4- 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 r� Type of Identification Produced
Commission No. (Seal) Commission No. FF!S O':�&7 Ia��
SANS
PAMELA A.EVANS PAMELAA.2&�� s NOTARY PUBLIC
Y PUBLIC
STATE OF FLORIDA
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Revised 07/15/2014 Comm#FF150967 ''s
Comm#FF150967
•s� 9�0 018 NCE 1 Expires 10/11/2018
Pynimm 10/11/2
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
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