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HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO y'/MUSTBE COMPLETED FOR APPLICATION TO BE ACCEPTED z Date: ✓a/dr� Permit Number: I g — O J6 Cour TY "o(�, F L O R 1 O A--- pp Building Permit Application pal Planning and Development Services Poeik`t/n •7f1 ® Building and Code Regulation Division '40,„, ep 2300 Virginia Avenue,Fort Pierce FL 34982 < eqt Phone: (772)462-1553 Fax: (772)462-1578 Commercial X Residential PERMIT APPLICATION FOR: Concrete PROPOSED IMPROVEMENT LOCATION: Address: 9 crS CC---,- '- —1 r V- _ - / ' G 'L _j Legal Description: Oceana Rte' ©C - fZj�ycf C, fE f '? Property Tax ID#: 4502-503-0001-000-0 Lot No. Site Plan Name: Oceana North II Block No. Project Name: Oceana North II 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: EIHVAC LiGas Tank Das Piping _Shutters Q Windows/Doors ElElectric 0 Plumbing Sprinklers El Generator III Roof Roof pitch Total Sq. Ft of Construction: S . Ft.of First Floor: Cost of Construction:$ 0061 6, Utilities: Sewer ElSeptic Building Height: OWNER/LESSEE: CONTRACTOR: Name i , _.1 1 Aid ,.....a 41 A r► . S. Name: F-14L� .17:"4-1-7117 Address:9900 S Ocean Drive Company: Blue Coast Construction City: S 17— State:FL Address: , ?— 9E L/` ,U Zip Code: 34957 Fax: City: 5-1-t 1,9- 24 — 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: 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. i SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: . DESIGNER/ENGINEERionals,i��. _Not Applicable MORTGAGE COMPANY: Not Applicable Name: Name: Address:751 Northlake Blvd,Suite 2C Address: City: North Palm Beach State: FL City: State: Zip: 33408 Phone561-844-4060Zip: Phone: FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: *Not Applicable Name: Name: 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. Signature of Owner/Less-- ont,-Fas ,gent for Owner Signature • ontracto - -nse Holder _ STATE OF FLORIDA STAT • - FLORIDA COUNTY OF S'- . UMC. COUNTY OF S+- L4A.C..tle— The forgoing instrum nt was acknowledged before me The forgoing instrum nt was acknowledged before me this [3 day of rx I ,20 k Er by this 3 day of� ,.. I ,20 I' by el ie �cx.s.e.S Jc.v►� . El.e. Ge_b�t:s .--Cu,-Name o person making statement Name of person making statement Personally Known OR Produced Identification Personally Known OR Produced Identification Type of Identification Type of Identification I Produced L-10 Produced 1= Signature of Notary Public- tate of Florida) Q"?Ap.-94\CLV\Y'b nature of Notary Public-State of Florida) Commission No. (Seal)v_, Commission No. ii L-(Seal)IA INGRAM e j , ', LASr ANNA INGRAM p ,<<;_ Notary Public-State of Florida ' ��` , ,rotary Public-State of Florida `•` �° x ,, , *• My Comm.Expires Dec 20,2018 jn s r_°SZ is LA, =M Comm.txt,yes Uuu 20,2018 Cuu,,,,iso„,,r.= .. 1'c::,J •$ c `'� y issior ;°F 9�4 10`` r ugh N^ti �•,i REVIEWS r • y r ZONFI�fG vi. °I•�'. PLANS VEGETAT 1f� ,— i lie h-(MAN Y ' C UKtreft*"''�� *fit ough t atior, A.14,vREVIEW REVIEW REVIEW REVIEW DATE --. RECEIVED DATE COMPLETED Rev.8/2/17