HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1 t LD Lp Permit Number: -
Y. � � - - �
Building Permit Application SEP 16 2016
Planning and Development Services PERM177ING
Building and Code Regulation Division St. Lucie County, FL
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial X Residential
PERMIT APPLICATION FOR: Plumbing
F.RQP-QSEDJMP-RQVEME!UT L-QOA
Address: 9500 S. Ocean Dr.,Jensen Beach, FL 34957
Legal Description: Islandia I Condominium Comprising A Part of section 02 township 37s Range 41 E MPD and shown in
declaration of condominium or 391-662(0.43 AC)
Property Tax ID#: t - QO Lot No.
Site Plan Name: Islandia East Block No.
Project Name: Islandia East
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Installing 3 new PH-090-3-TT-RV Geothermal Pool Heaters.
CONSTRUCTION INFORMATION-
Additional work toe e orme under this permit—c ec a appy:
HVAC Ei Gas Tank Gas Piping _Shutters Windows/Doors
Electric ❑✓ Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction:$ 35,640.00 Utilities:Sewer Septic Building Height:
OWNER/LESSEE: CONTRACTOR. -
Name Islandia East Association Name: John R.Bowen
Address:1820 NE Jensen Beach Blvd#557 Company: Symbiont Service Corp.
City: Jensen Beach State:FL Address: 4372 N.Access Rd
Zip Code: 34957 Fax: City: Englewood State:FL
Phone No. Zip Code: 34224 Fax: 941-473-9306
E-Mail: Phone No. 941-474-9306
Fill in fee simple Title Holder on next page(if different E-Mail: Permit@symbiontservice.com
from the Owner listed above) State or County License: CPC1456477
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL:CdN$TRUCTION LIEN LAW iNFOMA' Itl:
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 a51ain financing; consult with lender or an attorney before
commencing work or recording your Notice of Commencement.
/'1 •��t/' -� s
_Signature of Owne /Le see/AgentigZEOF
of Contractor/License Holder
STATE OF FLORIDA�+�, ST FLORIDA
V1C�I u�l�WJ l,lJ�
COUNTY OF 101. uytt . COUNTY OF
The forgoing instr ment was acknowledged before me The forgoing instrument was acknowledged before me
this I day of 20 Uby this —1 day of 20 U_by
.log. un -ohp . 'bu J� l
Name of person acknowledgin (Name of person acknowledging)
A i1na-0 Al
(Sig a ure of Notary�Publi�c-State of r 10 a) (Si ature of Notary Public-State of Flor' )
Per o Ily Known V OR Produced Identification Pe onally Known V OR Produced Identification
Typ f Identification Produced Type of Identification Produced
C JULIE MC NIGAL
Commission No. jr�0_1D�y8a omrulsslo No.
o�Pe..."°. JULIE MCG NIGAL MY COMMISSI #FF070M
`� •= 10 #FF070648 '''- 'P� er 14,2017
",! aFoP.r EXPIRES November 14,2017 (407)398-0153 FloridallotaryS rvice.com
Revised 07/15/2014 (407)398.0153 Florldallotary5ervice.com
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS 7