HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLI�JNFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED / n
Date: d/��'J Permit Number: / + L
RECEO E
Building Permit Application AUG 12 1016
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
PERMIT APPLICATION FOR: Window/door
„I?ROPOSED IMPROVEMENT LbcATIOzIU
Address: 9437 S Ocean Dr. 6B Jensen Beach, FL 34957
Legal Description: 35 36 41 BEG AT INT S SEC LI AND WRM LI A1A,TH S 88 DEG 37 MIN 29SEC W ALG S SEC 1-1230.91 FT,TH N 01 DEG 22
MIN 31 SEC W 140.55 FT,TH S 88 DEG 37 MIN 29 SEC W 18 FT,TH N 01 DEG 22 MIN 31 SEC W 80 FT,TH N 46 DEG 22 MIN 31 SEC
Property Tax ID#: 3535-334-0003-220-7 Lot No.
Site Plan Name: Block No.
Project Name: Schweiger,#9441664
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION CiF WORK
Replacing 4 doors and 1 window size for size with impact.
CQNSTRUCTION INFOaRMATION " x
Additionalwork to be nertormed under tispermit—check all appy:
❑HVAC Gas Tank ❑Gas Piping _Shutters Q Windows/Doors
1-1 Electric ❑ Plumbing ❑Sprinklers ❑Generator ❑ Roof
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction:$ B Utilities:0_Sewer El Septic Building Height:
OWNERjLESSaEE ; CONTRACTOR r
.,
Name Schweiger Family trust Name: Boysie Ramdial
Address:9437 S Ocean Dr. 6B Company: The Home Depot At Home Services
City: Jensen Beach State:FL Address: 674 S Military Trail
Zip Code: 34957 Fax: City: Deerfield Beach State:FL
Phone No.(772)285-3911 Zip Code: 33442 Fax:
E-Mail: Phone No. (954)379-1500
Fill in fee simple Title Holder on next page(if different E-Mail:
from the Owner listed above) State or County License: CRC046858
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRtlCT[O:N LIEN'LAW iNFC1RMAT(ON
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DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEESIMPLE TITLE HOLDER: _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 Counter 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
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.
Signature of Owner/Agent/Lessee Signature&Contractor/License Holder
STATE OF FLO Inqa STATE OF FLORIIPA
COUNTY OF��Iti( COUNTY OF�at
The forgoin instrument was acknowledged before The forgoing instrumeot was acknowledged before me
me this azi day of - ,VW 20 16 by this aQ day of �c�,20 16 by
Boysie Ramdial 1 I Boysie Ramdial
(Name o, rsoyan wledging) Arty Flanker (Name of erson kn ledging)
NOTARY PUBLIC Amber Flanker
STATE OF FLORID NOTARY PUBLIC
STATE OF FLORI
ram F970934 FF9M34
(so lgna re of Notary Public-State of ) Expir9s 7/11/202 Ign tura of Notary Public-State of Flo �'
Expires 7/11/20
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. rl-7031 (Seal) Commission No. PF-1703r (Seal)
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS