HomeMy WebLinkAboutBuilding Permit Application ALL APP CABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
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Building Permit Applicati®n SEP 2 7 '2016
Planning and Development Services PEP"dIITTI'NG
Building and Code Regulation Division St. Lucie County. s=:_
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax:(772)462-1578 Commercial X Residential
PERMIT APPLICATION FOR: Shatter
PROPOSED IMPROVEMENT LOCATION:
Address: 7400 S OCEAN DR#304E
Legal Description: SAND DOLLAR VILLAS CONDOMINIUM E- UNIT 304
UND PRO-RATA SHAREIN COMMON ELEMENTS
Property Tax ID#: 3522-606-0011-000-2 Lot No.
Site Plan Name: Block No.
Project Name: Hurricane shutters (accordion type)
Setbacks Front Back: X Right Side: Left Side:
DETAILED DESCRIPTION OF WORK: .'
1 accordion shutter at the balcony area
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit—check a appy:
HVAC Gas Tank Gas Piping L'6 Shutters ❑Windows/Doors
11 Electric Plumbing Sprinklers 1:1 Generator ❑ Roof
Total Sq. Ft of Construction: SFt. of First Floor:
Cost of Construction:$ J�.3 Dd Utilities. Sewer Septic Building Height:
81 ft.
OWNER/LESSEE` CONTRACTOR:
Name NOT-Y' y sor-Ki Name: Edwing 0. Sosa
Address:7400 t OCEAN DR#E-304 Company: Edwing's Unlimited Shutter Services, L.L.C.
City: Jensen Beach State:FL• Address: 460 NW Concourse Place#16
Zip Code: 34957 Fax: City: Port St. Lucie State:FL.
Phone No.(862)228-0529 Zip Code: 34986 Fax: (772)905-9431
E-Mail: Phone No. (772) 370-0766
Fill in fee simple Title Holder on next page(if different E-Mail: ed@edsunlimitedservices.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.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION::
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.
s
_Signature 6f Owner/ essee/Agent Signature of ntractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF51 l v,ci COUNTY OF
The forgoing instrument was acknowledged before me The for oing instru, t wa ck owI dged�before me
this d4 day of a f 201�by this day of �j� � 20 �f by
'f�! 4c/t R t vlQ gG�
���r '_ �r SrjG t j
(Name of erson ack owledging) (Name of person acknowledging)
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(Signature of Notary u ligo,P to 0 ori 13 NCA L.SOSA ]Assn.
(Signature of Notary Public-State of Florida)
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.Notary Public-State of FI
Personally Known P ucgblni� tWC*tppgPersonally Known l ro u d ifi do
Type of Identification Type of Identification o ucE
8"9110 Bonded through National Notary �r` Ue`�`s Not r P lic-State of Florida
Commission No. F F Commission Nc D ' ._ ft
C ion#FF 242801
ca N4,�OF F�� My Comm.Expires Sep 25,2019
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Revised 07/15/2014
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