HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE
iINFO
(MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: `'q� V I' �/) Permit Number:
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Building Permit Applic io'l�p 2
Planning and Development Services SF tti,) OJ9
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Building and Code Regulation Division c; p
2300 Virginia Avenue, Fort Pierce FL 34982 <v e IO �c�,�
Phone: (772)462-1553 Fax: (772)462-1578 Commercial x Residential r
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PERMIT TYPEDoor replacment
..,PROP'OSED IMPROVEMENT LOCATION
Address: 3000 N Highway AIA N Hutchsion Island 17134949
Property Tax ID#: 1425-701-0220-000-8 Lot No.
Site Plan Name: Block No.
Project Name: The Atrium on the Ocean II
.DETALLED D;ESCRIP-TION;OF WORK
Replacing two single bathroom doors, 1 double trash room door, 1 double service entrance door all in common space
CONS,TRUCTION.I.NFORIVIATION: . =
Additional work to be performed under this permit–check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters _Windows/Doors
_Electric —Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction:$ 9,086.81 Utilities: _Sewer _Septic Building Height:
°OWNER/LESSEE . CONTRACTOR:
NameThe Atrium on the Ocean II codo assoc. Name:Gerald Hiebert
Address:3000 N Highway Al A Company:CDA Solutions Inc DBA Commercial door and access
City: N Hutchsion Island State:_ Address:7622 Emerald drive
Zip Code: 34949 Fax: City: West Melbourne State:FI
Phone No. Zip Code: 32904 Fax: 321-674-9143
E-Mail: Phone N0321-951-9533
Fill in fee simple Title Holder on next page(if different E-Mail Dispatch.cda@gmail.com
from the Owner listed above) State or County LicenseCBC1254828
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
If value of HVAC is$7,500 or more,a RECORDED Notice of Commencement is required.
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SUPP��11�1/�N�'AL CQNSTRUCTION LiEN LAW INFORMATION
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: Not Applicable
Name: Name:
Address: Address:
City: Stater City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: _Not Applicable
Name: Name: 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 s
TWICE FOR IMPROYEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." a
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ature of Owner) ee/Contractor as Agent for Owner Signature of Contractor/License Holder
S _TATE OF FLORID STATE OF FLORIDA
COUNTY OF. •C UG COUNTY OFeIV0�,Y �I
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The for ing instrk.ment was acknowledged before me The for in instrum t was ackno ledged before me
this day ofi W�_U St' ,20� by this 7 day of C S 201, y
5D.Mrs R os kers S • PI-e'r&
Name of person making statement. Name of person making statement. H
Personally Known OR Produced Identification y a ' a
Personal) Known OR Produced Identification � ro �'i '
Type of IdentificaIt!'� Type of identiflcat! n J
Produce L JJr 1 V ios 1 e Produced v= a
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(Sigkatuo of o Public-State of Flori ; c•r'•••.,
tory Public-State of Florida) ;���•' o,
C� �(( :��>R �u"•. NAN Y ERRERA '>° �•
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Commission No CC V� �T� ', '• Notary Pub ic� ftF��t[Q_ D2022
Commiss on
9'Foc n My Comm. pires Feb 25
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED �.
DATE
COMPLETED
ev.2/7/19