HomeMy WebLinkAboutBuilding Permit Application '
ALL APPLICAB E INFO M ST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
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Date: /�- ! O Permit Number: 1 D �-I '
COUNTY' . ' kb
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Building Permit Application PR$?1O7a
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Planning and Development Services uilding and Code Regulation Division St Lai..?e County ent r
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial x Residential
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT LOCATION ..:. . . e . _.
Address: 10310 S Ocean Drive Jensen Beach Florida 34957
Legal Description: OCEANRISE CONDOMINIUM
Property Tax ID#: 4511-515-0000-000-0 Lot No.
Site Plan Name: Oceanrise Block No.
Project Name: Ocearise concrete restoration I
Setbacks Front Back: Right Side: Left Side:
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DETAILED DESCRIPTION OF WORK
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4 19 Ct NSTRUCTION INFORMATION
Additional work to be ertormed under this permit—check all apply:
•
HVAC Gas Tank Gas Piping _Shutters Windows/Doors
❑ � ❑ p g ❑
0 Electric 0Plumbing Sprinklers El Generator l Roof Roof pitch
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Total Sq. Ft of Construction: S . Ft.of First Floor:
Cost of Construction:$ /9®62 Utilities:I'Sewer ElSeptic Building Height:
'OWNER/LESSEE:' —CONTRACTOR':'
Name Oceanrise Condominium Association Name: Elie Jouni
Address:10310 S Oean 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. 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: eiie@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.
i
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION
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: I
Address: 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.
Signat - of Own,pi'-•see/Contractor as Agent for Owner Sig - •re of Co 'or/License Holder
ATE II 1O' D i . OF FLORIDA
• 'TY OF o \-'. -. LA-4.c CAA_ COUNTY OF Cc....,---1,_1-
The for oing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this j5day of ,20 it by this ("3
,day of 1A_- ,20 f Sl by
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Name of pers n making statement Name of person making statement
Personally Known OR Produced Identification Personally Known OR Produced Identification_ 1
Type of IdentificationType of Identification_,
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Produced tAb Produced 10
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dPVI"`da ignature of Noty biic;,State of F� a) rl (Signaf Notary Public State f Florida)
% ``'& Notary u0u� 0 2018 ' ._ ,1 _•
.; Dec 2 �_ _.
\ ; Comm.Ft'01 1' \\\111,1,,,
�1 NI/ (Seat) FF 177249 Commission No.�- aYr, LASHAHP-`$!.': ' ;
Commission No. <,= ( Lia K°= AM
;�. Commis iou* Assn. No;I, �� '',
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A "Q1', B00dQdt rou i'•t1°° .-^°I� ° » My Comm.Er, i;estDec 20I 2018
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETNT-1t,,ik1 .,=j5nded 0 'T-LE°na;II _ ;cq• •VE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW 'E E'
DATE
RECEIVED
DATE
COMPLETED i
Rev.8/2/17