HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:% Permit Number:
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 X
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
Address: 10600 S Ocean Dr #1202, Jensen Beach 34957
Legal Description: Oceana South Condominium II unit 1202 and Undiv share in common elements (or 1212-
r VVVInL uc lwi a icu U suer 11 rl] per in lL —CneCK all apply:
❑✓_ HVAC _ Gas Tank ❑Gas Piping Shutters []Windows/Doors
Electric 0 Plumbing ❑Sprinklers E-1 Generator Roof
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction: $ 4620 Utilities:DSewer 17]Septic Building Height:_
Name Jane Hynes
Address: 747 Mirador Rd
City: Vestal State: NY
Zip Code: 13850 Fax:
Phone No. 607-725-2557
E -Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Name: Joseph Flynn
Company: Flynn's AC Service
Address: 1323 SW Thelma St
City: palm City State: FL
Zip Code: 34990 Fax: 772-781-1307
Phone No. 772-283-4114
E -Mail: mjb@flynnac.comcastbiz.net
State or County License: CAC055482
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
Name: - -
Address:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY: Not Applicable `
Name:
Address:
City: State:
Zip: Phone:
Not Applicable I BONDING COMPANY:
Name: _
Address:
City:_
Zip:
I certify thatno work or installation hascommenced prior to the issuance of a permit.
Phone:
_Not Applicable
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, 1 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 recordiniz vour Notice of Commencement
_ Suture of Oprner/ Lessee/Agent
STATE OF FLORIDA STATE OF FLORID
COUNTY OF_iMt�L� `tom COUNTY OF V a
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this `L day of20 ((aby this -:,7L day ofi.='( i/ 20 _JL?by
�__SCi S,e _U k f l4 vl r\
(Name of person cknowledging
i�
�t.
(Signature of Notary Public- St6te of Florida )
Personally Known OR Produced
Type of Identificatio Produced __
(Name of person acknowledging
(Signature of Notary Public- State of Florida I
Personally Known OR Produced Identification
Type of Identification Produced
Commission No. 0Wt OF FLORIDA I Commission No.
Cornmll EE219=
Revised 07/15/2014
Y PUBLIC
OF FLORIDA
10/1/2016
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