HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 8/3!2016
Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34981
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#1009, Jensen Beach 34957
Legal Description: Oceana South Condominium II unit 1009 and undiv share in common elements (OR 3589-331)
Property Tax ID #: 4511-517-0106-000-1
Site Plan Name: Strohm
Project Name: Flynn's AC
Setbacks Front Back: Right Side: Left Side:
Lot No.
Block No.
Replace a 2T with a 5KW htr, AC system without duct replacement in a residential building
i L4 S sir
Additional worK to De Derrormea uncierth is permit—check a Vi apply-
HVAC Gas Tank E]Gas Piping II—_II Shutters ❑ Windows/Doors
11 Electric Plumbing Sprinklers Generator 1:1 Roof
Total Sq. Ft of Construction:
Cost of Construction: $ 4620
Name Brian Strohm
Address: 10600 S Ocean Dr #1009
City: Jensen Beach
Zip Code: 34957 Fax:
Phone No. 603-293-7095
E -Mail:
SFt. of First Floor:
Utilities: Sewer []Septic
State: FI
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Building Height:
Name: Joe Flynn
Company: Flynn's AC Services
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:
nnUK I UAUL COMPANY:
Name:
Address:
City:
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
_ Not Applicable BONDING COMPANY:
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
Not Applicable
State:
_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, 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 finarcing, consult with lender or an attorney before
,pommencing work or recording your Notice of Comme lcement.
_
Sigature f.Q ew/ Lessee/Agent
STATE OF FLORIDA f
COUNTY OF MA74'tf)
The for oing instru ent was acknowledged before me
this dayof:,} 20by
�?1� �luh to
(Name of person ac now edging) `
(Signature Of Notary Pub k2oflorida )
Personally Known X OR Prod uc% fttJcF RrQy1"_
Type of Identification Produc OfAR'Oa �r
OF ORIDA
Commission No. ST�aE219395
Expires 101112018
Revised 07/15/2014
REVIEWS FRONT
COUNTER
DATE
COMPLETE
INITIALS
S ueA�ntractor/UcenseHolder
STATE OF FLORIDA
COUNTY OF M(U , I n
The forgoing instrument was ackn9wledged before me
this _3_ day of _IQ a I h S T� 20 j_�p by
SP P k
I .1 A
(Name ofl3er�so�n acckhowlle�dging ►
l
/) ��
(Signature of Notary Public- State
of Florida )
>C
Personally Known OR Produced Identification
Type of Identification Produced
MICHELE J. BROWN
PUBLIC
Commission No.
WEn'tiFFLORIDA
E219335
ZONING SUPERVISOR PLANS VEGETATION I SEATURTLE MANGROVE
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