HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: - to 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: Electrical
unaer tnis permit – cnecK an
F]Gas Piping
tnat apply:
Shutters
❑ Windows/Doors
} \ iNO
o
_
a r s
Address: 10600 S OCEAN DR # 203
Legal Description: OCEANA SOUTH CONDO
Property Tax ID #: 4511-517-0020-000-4
Site Plan Name: GIGLIO, VINCENT
Project Name: GIGLIO, VINCENT
Setbacks Front Back:
DISCONNECT BOX CHANGE OUT
Right Side: Left Side:
Lot No.
Block No.
aaitionai worK to De DerTormea
❑✓— HVAC 1:1_ Gas Tank
unaer tnis permit – cnecK an
F]Gas Piping
tnat apply:
Shutters
❑ Windows/Doors
_
11 Electric F-1PlumbingSprinklers
E Generator
F]Roof
Total Sq. Ft of Construction: _
Cost of Construction: $ 150.00
Name GIGLIO, VINCENT
Address: 10600 S OCEAN DR # 203
S Ft. of First Floor: _
Utilities: Sewer Septic
City: JENSEN BEACH State: FL
Zip Code: 34957 Fax:
Phone No. 954-597-8323
E -Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Name: TODD BOYD
Building Height:
Company: EAST COAST MECHANICAL
Address: 1500 N HIGH RIDGE RD
City: BOYNTON BEACH State: FL
Zip Code: 33426 Fax: (561) 493-2701
Phone No. (561) 586-3739 EXT 2020
E -Mail: PERMITS@ECMSERVICE.COM
State or County License: EC0001843
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
DESIGNER/ENGINEER: _ Not Applica
Name: _
Address:
City:
Zip:
Phone:
FEE SIMPLE TITLE HOLDER:
Name:
Address:
Citv:
Zip: Phone: _
State
Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY: Not Applicable
Name: _
Address:
City:_
Zip: _
I certify that no work or installation has commenced prior to the issuance of a permit.
Phone:
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 theflirst inspection. If you intend to obtain financing, consult with lender or an attorney before
vo
commenci a work or recording ur Notice of Commencement. /
IL �W Z l i�lL
ure f Owner/ ent/ Lessee
STATE OF FLORID/�.
COUNTY OF iiQLl �1 6C.V1
1222
Sigpatur of Contractor/License H
STATE OF FLORIDA
COUNTY OF PALM BEACH
Theorgoing instru ent was acknowledged before me The forgoing instru ent was acknowledged before me
this l day of �{�l 20 'UPUy this �Q( day of 20 y
GiILUAN CHUCK TODD BOYD
(Name of person a wled ;gTA OF FLORIDA (Name of person acknowledging) %� K
Comm# FF972357 NOTARY (PUBLIC
@xpir� 4n�0� ryBY�AT�EyO�F�FyL�OjR�IDA
4010f) Canm# FF97235
(Sign ure of Notary Public- State of Florida) (Signa ure of Notary Public- StateE>sireS 4/7/2020
Personally Known tl/ OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. (Seal)
Revised 07/15/2014
Commission No.
(Sea 1)
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