HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: '1' i 3 • 1 g' Permit Number: '1 S/614' O 3
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COUNTY '
F l 0 A 1 D A
Building Permit Application APR i 8?0
Planning and Development Services Perm1ttin 1®
Building and Code Regulation Division L 9 pa
st, Lie
pa,
Virginia Avenue,Fort Pierce FL 34982 da Cop7elt
Phone: (772)462-1553 Fax: (772)462-1578 Commercial X Residential
PERMIT APPLICATION FOR: Demolition
PROPOSED IMPROVEMENT LOCATION:
Address: 10152 S Ocean Drive,Jensen Beach Florida
Legal Description: Atlantis B Condominium Bldg B
Property Tax ID#: 4502-803-0000-000-0 Lot No.
Site Plan Name: Atlantis B Block No.
Project Name: Atlantis B Concrete Restoration
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Demo -
CONSTRUCTION INFORMATION:
Additional work to be erformed under this permit—check all apply:
HVAC Gas Tank fGas Piping Shutters Q Windows/Doors
ElElectric ❑ Plumbing Sprinklers I Generator El Roof Roof pitch
Total Sq. Ft of Construction: S . Ft.of First Floor:
4-)CD of Construction: $ 000` Utilities: Sewer ElSeptic Building Height:
OWNER/LESSEE: CONTRACTOR:
NameAtlantis B Condominium Association Name: Elie Jouni
Address:10152 S Ocean Drive Company: Blue Coast Construction
City: Jensen Beach State:FL Address: 2587 SE Monroe St
Zip Code: 34957 Fax: City: Stuart State:FL
Phone No.412-478-1107 Zip Code: 34997 Fax: 772-287-5348
E-Mail: Phone No. 561-632-3529
Fill in fee simple Title Holder on next page(if different E-Mail: elie@bluecci.com
from the Owner listed above) State or County License: CGC1520062
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name:Atlantis B Condominium Association Name:Elie Jouni
Address:10152 S Ocean Drive,Jensen Beach Florida Address: 10152 S Ocean Drive
City: Jensen Beach State: City: Stuart State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: _Not Applicable
Name: Name:
Address:2587 SE Monroe St Address:
City: City:
Zip: Phone: Zip: Phone:
OWNER/CONTRACTOR AFFIDVIT:Application is hereby made to obtain a permit to do the work and installation as indicated.
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 your Notice of Commencement.
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Signature of Owner/ -- -e/Cont . or as Agent for Owner Signature of : tracto ':T' se Holder
STATE440—
OF FLOR STATE OF FLORID
COUNTY OF ,S4• (-_AL_Lzt COUNTY OF 511—CAA-GLIk
The forgoing instrument was acknowledged before me The forgoing instrument wa�s acknowledged before me
this 15 day of i\ ,20 lS- by this I3 day of '`\ ,20 \/S, by
q.'4,42__ 6Cv`ces . ...v.; €„{It_ 6C-Cor SCS' 3b'�,..-, •
Name of person making statement Name of person making statement
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Type of Identification
Produced L—I Produced .FLA(D
) a I . 1 Cl
Si: at)re of Notary Public-Sta a of Florida) (Signature of Notary Public-State o Florida
�� i, LASr,AHNA utihrt.
Commission No.,A=� LAS r,P(Seal4GRAM Commission o.�,�''' '' Ad5PF
aPav °e% o C-State of Florida 'o�" ,�; NOhfy U iIC-Sta ,Drid1
iori�,f�: Notary ,:b1i +_ __M, Comm.L>.pires Dec 20,2G1a 8'
_ y ,=(rlY �Ires Dec 20,2016 #._
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REVIEWS "`•FRONr � t ZONING SUPERVISOR PLANS VEGETATJON=_-SEA-TURTLE M7\NGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17