HomeMy WebLinkAboutBuilding Permit Application 9680625
ALL APPLICABL INFO lylILIST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
I� a
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
PERMIT APPLICATION FOR: Window/door
PRfJPOSED IMFROVEMEN7 LQCATION %5
b.,. - - .-. . .. �,�. : .
Address: 9950 S Ocean Dr. 705 Jensen Beach, FL 34957
Legal Description: MIRAMAR ROYALE UNIT 705 (OR 696-719)
Property Tax ID#: 4502-703-0031-000-7 Lot No.
Site Plan Name: Block No.
Project Name: Grande,#9680625
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION EOF WgRK
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Replacing 5 doors and 2 windows size for size miftWepwaL
CQ;NSTRUC ION IN MATION
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Additionalwork to be nertormed under tispermit—check all appy:
HVAC Gas Tank Gas Piping Shutters Q Windows/Doors
11 Electric Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: SFt. of First Floor:
Cost of Construction:$ 28,730.00 Utilities:In Sewer 0 Septic Building Height:
OWIERfLESSEE `k CONTRACQR sx =,
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Name Charles Grande Name: EdwaW-GW1ePt
Address:9950 S Ocean Dr. 705 Company: The Home Depot—At Home Services
City: Jensen Beach State:FL Address: 674 S Military Trail
Zip Code: 34957 Fax: City: Deerfield Beach State:FL
Phone No.(772)229-9878 Zip Code: 33442 Fax:
E-Mail: Phone No. (954)379- 1500
Fill in fee simple Title Holder on next page(if different E-Mail:
from the Owner listed above) State or County License: CGC1507093
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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SUPPLEiVIENTAL CONSTRUCTIQN LIEN LAW [NFORIVIATIQN51
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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 thepermit 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.
Signature of Own r/Agent/Lessee Signatur of Contractor/License Holder
STATE OF FLORIDA r f„ STATE OF FLORID
COUNTY OF COUNTY OF
The forgoing instrument was ackn wledged before The fgrgoing instrument wad acknowledged before me
9.
me this-I1day of J 20 16 by this I 1 day of ®?Cp.M.h P.0 .20 16 by
Boysie Ramdial 1 Boysie Ramdial
(Name o pe son ackno led ing) (Name of per n acknowI d 'ng)
(Signature of Notary Public-State of Florida) (Signature of Notary Public-State of Florida)
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. T�F-cl 7013 t/41crIPC
Amber FlCommission Nof"l04 W (Seal)
NOTARY PU�Bc t A� Flanker
mOTARYPUBLIG
Revised 07/15/2014
Comrt#FF970934 CIUA STATE OF FLORIDA
Expires?/11/2020 s, a FF970934
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