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HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 8/30/2016 Permit Number: Building Permit Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 X Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential PERMIT APPLICATION FOR: Mechanical PROPOSED IMPROVEMENT LOCATION: Address: 10725 S. Ocean Dr. #431 Legal Description: Parcel ID # 4511-502-0109-000-6 Property Tax ID #: Site Plan Name: Project Name: Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK: 11, Ke -F0C I1kt CONSTRUCTION INFORMATION: Additionalwor to e e orme un erthis permit--cl ❑HVAC Gas Tank []Gas Piping Electric Plumbing Sprinklers Total Sq. Ft of Construction: Cost of Construction: $ 3500.00 Lot No. Block No. 11 Shutters ❑ Windows/Doors © Generator ® Roof Roof pitch S Ft. of First Floor: _ utilities: Sewer D Septic OWNER/LESSEE: Name John Ryan Address: 10725 S. Ocean Dr. #431 City: Jensen Beach State: A Zip Code: 34957 Fax: Phone No. 413-626-8923 E -Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) Building Height: CONTRACTOR: Name: Vance R Corbin Company: Dodd Enterprises Inc Address: 1296 SE Industrial Blvd City. Port St Lucie State: FI Zip Coder 34952 Fax: 335-3310 Phone No. 398-2344 F:_m,il. doddenterprises@dodd.com State or County License: CMC1249958 if value of construction is $2500 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: Name: _ Address: City: Zip: Phone: FEE SIMPLE TITLE HOLDER: Name: Address: City: Zip: Phone: X Not ApplicableI MORTGAGE COMPANY: X Not Applicable Name: State: x Not Applicable Address: City: State: Zip: Phone: BONDING COMPANY Name: Address: city. Zip: Phone: certify that no work or installation has commenced prior to the issuance of a permit. X 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 applicable Association rylrddfcovenants that restrictions coprohibit such structure. Please consult wthouHome Owners andreview your deed or any whih maYaPPlY 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, wails, 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 your Notice of Commencement. Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder STATE OF FLORIDA COUNTY OF The forgoing instru en wasEknowledg d efore me this `)3 day of � 20 by (Name of person acknowledging) (Signat�ifg of- Nartov,^blic- State of Florida) Personally Knower OR Produced Identification Typel.of ldp.rtrncai or, Produced C�rrlrrlission No, (Seal) ��'��4pN #FFOOtBGB EXPIRES December 12. 2017 398.0153 FRONT ZONING COUNTER REVIEW DATE COMPLETE III IIEiL7 STATE OF FLORIDA COUNTY OF The forgoing instru ent waspcknowledg efore me or , this day of - t<n 20 by L", ;) (Name of person acknowledging) (Signature of Notary .Public- State of Florida j Personally Known Y OR Produced Identifi ation_ Type of Identification Produced Commission No. SUPERVISORt'11 ' REVIEW REVIEW My COMMISSION #FF061808 -� v%_namhcg 12, 201'7 (Seal) - SEA TURTLE I MANGROVE REVIEW REVIEW REVIEW