HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPUCATION TO BE ACCEPTED q q
Date: wo Permit Number:REM
�'^D SL? 0 9 ?.016
--- — - Building Permit Applicati®n
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 X Residential
PERMIT APPLICATION FOR: Shutter
.PROPOSED IMPROVEMENT LOCATION:
Address: 9900 S Ocean Dr. #1109, Jensen Beach, FL. 34957
Legal Description: OCEANA OCEANFRONT CONDOMINIUM ll- UNIT 1109
AND UND SHARE IN COMMON ELEMENTS
Property Tax ID#: 4502-503-0913-000-2 Lot No.
Site Plan Name: Block No.
Project Name: Hurricane shutters (accordion type)
Setbacks FrontX Back: X Right Side: Left Side:
DETAILED DESCRIPTION OFWORK: ""
3 accordion shutters
CONSTRUCTION;INFORMATION:
Additional work to b rtormed under this permit—check all tLat appy:
HVAC Gas Tank ❑Gas Piping ✓ Shutters Q Windows/Doors
11 Electric 0 Plumbing Sprinklers F]Generator Roof
Total Sq. Ft of Construction: SFt. of First Floor:
Cost of Construction:$ 2,322.00 UtilitiestSewer OSeptic Building Height: 140 ft.
OWN ER/LESSEE: CONTRACTOR:
Name Michael & Paula L Jenkins Name: Edwing O. Sosa
Address:9900 S Ocean Dr.#1109 Company: Edwing's Unlimited Shutter Services, LLC.
City: Jensen Beach State-FL. Address: 460 NW Concourse Place#16
Zip Code: 34957 Fax: City: Port St. Lucie State:FL.
Phone No.(484)643-2090 Zip Code: 34986 Fax: (772)905-9434
E-Mail:Peejer@comcast.net Phone No. (772) 370-0766
Fill in fee simple Title Holder on next page (if different E-Mail: ed@edsuniimitedservices.com
from the Owner listed above) State or County License: 28457
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SITPPLEMENTAL CONSTRUCTION LIEN LAIN INFORMATION:
u'
DESIGNER/ENGINEER: x Not Applicable MORTGAGE COMPANY: x Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable BONDING COMPANY: x 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.
&A4_e_� IELOVI CS s
_Signature of Owner/Les /Agent Signature of Co ractor/ icense Holder
STATE OF FLORIDA STATE OF FLO A
COUNTY OF V V1 rV, (1 COUNTY OFtu
The f PT
instruJ�j�ent was acknowledge before me The forgoing instru ent was acknowledged before me
th' day of 11►Cc.� , 20 �by this (0 day of r U/M_ ,20 �by
(Nam o person n wledging) (Name of person acknowledging)
(Signature of Notary Public- tate of Plorlda) �( (Signature of Notary Public-State of Florida)
Personally Known OR Pro uced Id tificatio (—` � Personally Known �` OR Pro aced I enti icatiLon
Type of Identification Produced bqA,,. .Fiof� 1� Type of Identification Pr duced LdI/]lag ..Nis i
Commission No. """�.
F,pY PV�, (Seal) LISA E.VASOUEZ Co fission No. �. CAUDULLO
NotaryPublic-State of FI rida
�#o; Notary Public-State of Florida
M Comm.Expires Jan 27 2018 ° ; rommession #-R242881
-
=;',, Ps' Commission#FF 086847 9 oc
'hf OF F�°d ., My Comm.Expires Sep 25,2019
Revised 07/15/2014 Bonded Through National Not Assn.
g ary Bonded through National Notary Assn.
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS