HomeMy WebLinkAboutBuilding Permit Application (071
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED q
Date: Permit Number: Kvu U ' o r l7
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
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of.line
PROPOSED IMPROVEMENT LOCATION:
Address: 10600 S Ocean Drive#807
i
Legal Description: Oceana South Condominium Unit 807 and un'div share in common elements
Property Tax ID#: 4511-517-0084-000-0 Lot No.
Site Plan Name: Block No.
Project Name: Robert&Debra Van Wagner
Setbacks Front Back: Right Side: Left Side:
i
DETAILED DESCRIPTION OF WORK:
CONSTRUCTION INFORMATION:
Additional work toe e orme under this permit—check a appy:
11HVAC Ei Gas Tank Gas Piping Shutters Windows/Doors
Electric ❑ Plumbing Sprinklers Generator) Roof
Total Sq. Ft of Construction: S Ft.of First Floo :.
Cost of Construction:$ C,7(47 UtilitiesInSewer Septic Building Height:
OWNER/LESSEE: CONTRACTOR,"MW**4'
Name Robert&Debra Van Wagner . Name: Edward J. Heritage
Address:10600 S Ocean Dr A07 Company: Folding Shutter Corporation
City: Jensen Beach; State:FL Address:•7089,Hemsfreet;Place
34957 WestPalm.Beach . i' FL
Zip Code: Fax: City State:
Phone No (678),48-4064 640-8204Zip Code Fax:
E-Mail: Phone No. (561)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: _Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE 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 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
``Signature of Ow Le ent. Signature of Contr or/License older
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF Palm Beach COUNTY OF Palm Beach
The forgoing instrurpent was acknowledgef�before me The forgoing instrument was acknowledged before me
this day of JS T 20? by this /I day of )4U,g Vim— 20 16 by
Edward J.Herit4 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 L'1/011 Produced Identification Personally Known '6'� OR Produced Identification
Type of Identification Produced �f Type of Identification Produced n
Commission No. �/5� ' ` (Seal) Commission No.��1.5�9� I (Seal)
�Ot13�y PAMELA A.EVANSPAMELA A.'NOTARY PUBLIC 1 NOTARY PUBLICANS
o� -'STATE OF FLORIDA o _STATE OF FLORIDA
Revised 07/15/2014 3k2' Comm#FF150967 Comm#FF150967
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
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