HomeMy WebLinkAboutBuilding Permit Applicationl
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED T T 1
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Date: Permit um err p a
a" 6l))....aaLcfl L2.;�ca��r3y
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° JUN 0 3 20Z0
Building !Permit Ap lication
Planning and Development Services Permitting Department
Building and Code Regulation Division / C'j;, )_U C1 G-' CdUnt�f�� ��-
2300 Virginia Avenue, Fort Pierce Ft 34982 ./
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PERMITTYPE: &V—C,n N A - i
PR0P09ED;IMPR0VEMENT LOCATION
Address: 10044 S. Ocean Dr. Jensen Beach, Florida
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Property Tax ID #t: 4502-804-0000-000-0 - Common Area
Lot No.
Site Plan Name:
Block No.
Project Name: Sea Winds Condominium
DETAILED DESCRIPTION OF WORK
Demo & installation of new aluminlum railings system
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CONSTRUCTI50N INFORMATION:,"
Additional work to be performed under this permit— checlylall
that apply:
_Mechanical _Gas Tank Gas Piping
_Shutters —Windows/Doors
_ Electric _ Plumbing _ Sprinklersi
_ Generator _ Roof Pitch
Total Sq. Ft of Construction:
Sq. Ft. of First Floor:
. Cost of Construction: $ U l �� Utiliti�s:
_Sewer _Septic Building Height:
OWNER/LESSEE
CONTRACTOR '
Name Sea Winds Condominium Association Name: Patricia Salazar '
Address:10044 S. Ocean Dr. j Company:Daniello, Salazar & Sons, Inc.
City: Jensen Beach , Florida State: _ l Address:2708 N. Australian Ave. Ste 9
Zip Code: 34957 Fax: I City: West Palm Beach State:Fl_
Phone No. Zip Code: 33407 Fax: 561-833-3573
E-Mail:tsurenapm@gmail.com Phone No561-835-4788
Fill in fee simple Title Holder on next page ( if different E-Mail info@concreterepairing.net
from the Owner listed above) State or County License CGC 1524218
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 Corn
I
encement Is required.
-SUPPLWENTALCONSTRUCTIONLIENIAWIN
ORMATION
DESIGNER/ENGINEER:
Name: T.e Satin Engl dnd
_ Not Applicable
ORTGAGE COMPANY: _ Not Applicable
'Name:
Add ress:ls55hw�eR erw.w
Address:
City:yemeeetl,
Zip: n Phone
State: n
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
Name:
_ Not Applicable
BONDING COMPANY: Not Applicable
Address:
(Name:
Address:
City:
Zip: Phone:
City:
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 make no representation that is granting a ppermitiwill authorize the permit holder to build the subject structure
which is in conflict with an � applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult w th your Home Owners Association and I'eview 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 under
accessory structures, swimming pools, fences, walls, signs, screen
"WARNING TO OWNER: YOUR FAILURE TO RECORD A NI
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. i
POSTED ON THE JOB SiTE BEFORE THE FIRST INSPI
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECO
a full concurrency review: room additions,
: and accessory uses to another non-residential use
OF COMMENCEMENT MAY RESULT IN YOUR PAYING"
iCE OF COMMENCEMENT MUST BE RECORDED AND
Y. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
:-V W OTICE OF COMMENCEMENT."
Ad
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature ofContractor/License Holder -
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF ,5+. L t VAib
COUNTY OF -n?p 1_WL A -
The f�rgpIng instru ent was acknowledged before me
The forgOd instrument was acknowledged before me
this `_ day of 12020 by
this Z;L day of MA�(� 20Z�Gby
Name of person making statement.
Name of person making statement.
/
P""OR
Personally Known ✓ OR Produced Identification _
Personally Known Produced Identification
Type of Identification
Type of Identification
Produced
Produced
(Signature of Nota
(Signature of Notary Public --State of Florida )
iL0><1GPJOt aawEB b
Commission No, WOW ur�nol((ylpijy P r � �
00,23439,1 e�
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SUPERVISOR.
COUNTER
REVIEW
REVIEW
REVIEW
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REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.