HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
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Date: 7/20/18 Permit Number: .�
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Building Permit Application JUL 2 0 2018
Planning and Development Services
Building and Code Regulation Division Permitting Department
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial X Wlli®ICOunt L
PERMIT APPLICATION FOR: Demolition
PROPOSED I M PROVEM ENT,LOCATION: ,
Address: 9401 S. Ocean Drive, Jensen Beach, FL 34957
Legal Description:
Property Tax ID#: – <`/ — l.J 0— Lot No.
Site Plan Name: Ocean Towers Utilities Corporation, Inc. Water Plant Block No.
Project Name: Water Plant
Setbacks .Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Dismantle Water Plant
CONSTRUCTION INFORMATION:
Additional work toe e orme under t –checkispermit a appy:
HVAC 11 Gas Tank ❑Gas Piping _Shutters a Windows/Doors
Electric ElPlumbing Sprinklers 11 Generator Roof Roof pitch
Total Sq.Ft of Construction: Sq• Ft•of First Floor:
Cost of Construction:$ 50,000.00 Utilities: Ln�Sewer E]Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Ocean Towers Utilities Corporation, Inc. Name: Thomas J. Flynn
Address:9401 S.Ocean Drive Company: The W Group, Inc.
City: Jensen Beach State:FL Address: 1409 SW Albatross Way
Zip Code: 34957 Fax: City: Palm City State:FL
Phone No. Zip Code: 34990 Fax:
E-Mail: Phone No. (772)220-1930
Fill in fee simple Title Holder on next page(if different E-Mail: Tomflynn@twgcontractors.com
from the Owner listed above) State or County License: CGC 1505177
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: _,X Not Applicable
Name:NIA Name:N/A
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: Not Applicable
Name:NSA Name:N/A
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 our Notice of Commencement.
Signature of Own essee/ ont actor as Agent for Owner Sign atur ontractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF fl'1COUNTYOF
The forgoing instrument , as acknowledged before me The f__or��,,gg.ng instrument was acknowledged before me
this day of 20JB by thisZ"`day of(_7UQ4 201S by
C Lo E Yi C-C I -ffio-�T
Name of pers9riynaking statement Namof maki g stat ment
Personally Known OR Produced Identification Personally Known OR Produced Identification _
Type of Identification Type of Identificat'on
Produced Produced lU S
(Signature of Notary Public-State of Florida) (Signature of otary I( ' f,, of RIMMO MULLINGS-SQUIRE
/� ,t "NyP�s Lt)IZRAINE30RTIN Notary Public State of Florida
Commission No. of g65q'7 a°'••� "�'21)p�ypp���gtpN#FF mmission No. - « r Comn�Seiab)#FF 210166
N -V FAPIRES:August24, 0 o,�fF °�.�;= My Comm.Expires Mar 15,2019
4�OF F'°�\o BMW TTw N°ffi! �''��F"'� Bonded through National Notary Assn.
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17