HomeMy WebLinkAboutPermit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Z0 Permit Number:
•
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2900 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential
PERMITTYPE: Building
PROPOSED IMPROVEMENT LOCATION:
Address: 8118 S. Ocean Dr.
Property Tax ID #:
3527-501-0001-000-2
Site Plan Name: Diamond Sands Major Adjustment to Master Plan (Sheet 3 of 5)
Project Name:
Diamond Sands
Lot No.
I DETAILED DESCRIPTION OF WORK: I
To install barrier arm gates and concrete pads (for barrier arm gate system)
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit —check all that apply:
_Mechanical
Electric
Gas Tank
_ Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 37,295.00
Gas Piping
Sprinklers
_ Shutters
Generator
Sq. Ft. of First Floor: _
Utilities: _Sewer _Septic
Windows/Doors
Roof Pitch
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Diamond Sands HOA Inc
Name: Mitchell Bell
Address: 1915 NW 19th St, Ste 200
Company: Royce Integrated Solutions
City: Boca Raton State: _
Zip Code: 33431 Fax:
Phone No. Ck1 9(n/ Z�70`l HT
Address: 1900 NW 32nd St.
City: Pompano Beach State: FL
Zip Code: 33064 Fax:
Phone No (954) 966-3903
E-Mail: WQ,/' �GQ i11 66M QTCS.
Fill in fee simple Title Holder on next page (if differ
from the Owner listed above)
E-Mail mbell@royceintegrated.com
State or County License 0601512662
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:
Name: —
City: State:
Zip: Phone
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY:
Address:
Zip:
_Not Applicable
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, 1 do hereby agree that 1 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 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."
Signature of Contractor/License Holder
Signature of Owner/ L ee/Contractor as Agent for Owner
STATE OF FLOJtIDA
STATE OF FLORIDA
COUNTY OF Viii l
COUNTY OFjQ1lPlil A
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this li day of M1//'' 20 Lo by
this � day of APQ.IL_ 2l by
tl'l lM 6 �rlH An A W Ar 'PI.
1-4 I-I'C!#F1 L P4:11LL
Name of pers n making statement.
Name of person making statement.
✓
Personally Known OR Produced Identification
Personally Known OR Produced Identification
Type of Identification
Produced Q L — L11.6�1)' Sol65--}L
Type of Identification
Produced
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REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. Z///19