HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1a� 1� �� Permit Number:
RECEIVED
Building Permit Application DEC 112 1A,
Planning and Development Services
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Building and Code Regulation Division } �4t�l'!'s P�hitiittinq
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772.)462-1553 Fax: (772)462-1578 Commercial X Residential
PERMIT TYPE: Q a _ (3--
c
PROPOSED IMPROVEMENT LOCATION: -
Address: 4804 ocean palms, (A1A) ,North Hutchinson island 34949
Property Tax ID#: 1414 - 310 - 0001 - 0003 and 1414 - 230 - 0009 - 0004 Lot No.
Site Plan Name: Cristelle Cay Block No.
Project Name: Cristelle Cay
DETAILED DESCRIPTION OF WORK:
Remove old trailer
FCONSTRUCTION INFORMATION:
Additional work to be performed under this permit-check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters _Windows/Doors
_Electric _Plumbing _Sprinklers _Generator T Roof Pitch
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction:$ No charge, previously paid Utilities: —Sewer Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
NameCardinal ocean development, LLC Name:David Gilman
Address:PO Box 643328 Company:Cardinalsouthem equities
City: Vero Beach Florida State:_ Address:1700 S. Ocean Blvd.
Zip Code: 32964 Fax: City: Lauderdale-by-the-Sea State:Fl
Phone No.954-410-3030 Zip Code: 33062 Fax:
E-Mail:ocean4804@aol.com Phone No954-410-3030
Fill in fee simple Title Holder on next page(if different E-Mail cardinalsouthern.@aol.com
from the Owner listed above) State or County LicenseCGC 1506471
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.
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:
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 MUT BE RECORDED AND
POSTED ON THE JOB SIT EFORE THE FIRST INSPECTION. IF YOU INTEND TO OBT FINANCING, CONSULT
VYITki YOUR LENDER R ATTORNEY BEFORE RECORDING YOUR NOTICE OF CO CEMENT"
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Signature of Ow er/ es s ontractor as Agent for Owner Signature ofQ6ntracto./L► se Holder
STATE OF F ORI _ STATE OF FLORI n
COUNTY OF COUNTY OF
The forgoing instrument was acknowledged before me The f going instrument was acknowledged before me
this cA day of�,C MVW - ,20A5 by this_day of 2r D vhp,r 2019 by
'DAL/X�� 67d X1,10411 f)AV 1ACS 3-7-)- 611 I/q AA�
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 V:--L (7)yAu�Q,1,S 1,1C arv�'e- Produced- F{- VDY(V�1CX"S Lam` -y
(Signature of Notary Pub'c- ate of Florida) ary Public-St e o Florida)
EV
Commission NoF-F C( J�s3 S „111��ICHRISion F 9553
q :* `+B�n- C H R rTIE KLA6E R �.. ,,,�„ ,,5 ( `%�\ - Commi1F1�1�161A�0. •••Y o., ,--- Commissiono EXPIf
My Coon Expires. ='• *= My CommissJan7, 2020 jnuary 7 2020
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev. 277/19