HomeMy WebLinkAboutBUILDING PERMIT ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
x.
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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
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PERMIT APPLICATION FOR: Plumbing
El ,
PROPOSEDIMPRQVEIVIENT`LOCATION: :
Address: 8880 S OCEAN DR 1006
Legal Description:
ISLAND DUNES OCEANSIDE CONDO I UNIT 1006 (OR 1229-1859)
Property Tax ID#: 3535-602-0088-000-0 Lot No.
Site Plan Name: HAMMOND, ROBERT&JOSEPHINE Block'No.
Project Name: SERVICE AMERICA
Setbacks Front Back: Right Side: Left Side:j
DETAI'LED.DESCMPTION OF.WORK: 6 x_
WH CHANGE OUT 40 GAL ELEC
CONSTRUCTION�INFORMATION: ,-
Additional worK to be nertormed under this permit—check all appy:
HVAC Gas Tank E]Gas Piping _Shutters I Windows/Doors
Electric 0 Plumbing ❑Sprinklers Generator Roof
Total Sq. Ft of Construction: Sq. Ft. of First Floor-
Cost of Construction: $ 500 Utilities: _Sewer 11 Septic ,;�Building Height:
;OWNER/LESSEE; :CONTRACTOR.,; `I
Name HAMMOND, ROBERT Name: ERIC NERENBERG
Address:8880 S OCEAN DR# 1006 Company: SERVICE AMERICA
City: JENSEN BEACH State:FL Address: 2755 NW�63RD CT
Zip Code: 34957 Fax: City: FT. LAUDERDALE State:FL
Phone No.772-229-6099 Zip Code: 33309 Fax: 954-977-3591
E-Mail: Phone No. 954-979-1100 X15673
Fill in fee simple Title Holder on next page (if different E-Mail: epermitsgroup@se;rjviceamerica.com
from the Owner listed above) State or County LicIense: CFC056891
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If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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SUPPLEMENTAL CONSTRUCTION- LIEN''LAW INFORMATION: ` 1
DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: _ Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: hone: 'I
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FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMP I NY: ; j _Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
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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:froom 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 resultlin 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)py intend to obtain financing, consult with fender or an a rney before
commencing work or record' our Notice of Commencement.
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_Signature f Own„/' �Ssee%Agent`" Signature-of" ontra 711
TenselHolder
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_ - — --,
STATE OF FLORIDA STATE OF FLORID !
COUNTY OF JbJM W Q COUNTY OF
The forgoing instru ent wasacknowledged before me The forgoing instrument was acknowledged before me
this�day of ., 7 NETTLES this day of 20 A(d_by
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MYCOMMISSION*FF95298� SHERIFAWHYfE
f.,
EXPIRES January 21,2020 ERIC NERENBERG +4�'r,Py "? MYCOMMISSIONFF065032
• New.�m - ' ' = EXPIRES: c o er
(Name of person ac raq (Name of person ackn'owle
,._ J ' q.' Bonded Thru Notary Pubtic underNtkers
ageseg
Mos ..`' MYCOMMlSS1OpIVETT'�Es•
3 Ja FFA?
(Signature of N ary Public-State o a . , 0?0 Signatur f Notary PPub ic-State of Florida )
Personally Known OR Produced Identification Personally Known_C�_- OR'Produced Identification
Type of Identification Produced Type of Identification Produced.
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Commission No. (Seal) Commission No. (Seal)
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Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA-TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW „i REVIEW REVIEW
DATE
COMPLETE �
INITIALS ;I
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