HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 8/4/2020
Permit Number: 1
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p Building Permit Application a
Depa��nent
Planning and Development Services perms `u je CoUntY
Building and Code Regulation Division Commercial XX Residential St'
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: Concrete Sidewalk Replacement
PROPOSED IMPROVEMENT LOCATION:
Address: 7420 S Ocean Dr Jensen Beach FL 34957 (Sand Dollar Villas Condominium)
Property Tax ID #: (common areas -condo association) �j� j as — 0 OL(— OZO"2�JI49 Lot No.
Site Plan Name:
Project Name:
DETAILED DESCRIPTION OF WORK:
Remove and replace indicated existing concrete sidewalks as per plan
4" thick 3000psi with fiber mesh
New Electrical Meter Second Electrical Meter.
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit— check all that apply:
Block No.
_Mechanical _ Gas Tank —Gas Piping _ Shutters _ Windows/Doors _ Pond
_ Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction: 3660 sq ft Sq. Ft. of First Floor:
Cost of Construction: $ 39,500
Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name SAND DOLLAR VILLAS CONDOMINIUM
Name: Jose Vides
Address: 7420 S Ocean Dr
Company: JosB Concrete Perfection
City: Jensen Beach State: _
Address: 383 SW North Shore Blvd
Zip Code: 34957 Fax: N/A
City: Port St Lucie State: FL
Phone No. 7722406170
Zip Code: 34986 Fax: N/A
E-Mail: josbconcreteperfection@hotmail.com
Phone No 772 812 5066
Fill in fee simple Title Holder on next page (if different
E-Mail josbconcreteperfection@hotmail.com
from the Owner listed above)
State or County License 25230
If value of construction is 2500 or more, a RECORDED Notice of Commencement is required.
If value of HAVC 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 TITLEHOLDER: _ 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 paying twice for
improvements to your property. A Notice of Commencement must be recorded in the public records of St.
Lucie County and posted on the jobsite before the first inspection. If you intend to obtain financing, consult
with lender or awattornev before commencine work or record ina,vour Notice of Commencement.
Signature of Owner/ L ss ntracto Agent for Owner
Signature of Co for nse Holder
STATE OF FLORIDA
STATE OF FL ID
COUNTY OF 5% L ck ct,
COUNTY OF
Sworn (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
Sworn (or affirmed) and subscribed before me of
sical Presence or Online Notarization
this day of J u 1•41 2020 by
this Z day of ? c (, . 2020 by
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Name of person making statement.
Name of person making statement.
Personally Known OR Produced Identification
Personally Known OR Produced Identification 4""
Type of Identification
Type of Identification
Produced V.A . L. \c .o
Produced a2 L,sc -1
(Signature f o
CINDY LALCHERMES
(Signature of Notary ublic- State of Florida )
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COmm15510 p��G` Notary Public State of Florida
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Commissi n;������ Pu'•.. CINDY LALCHERMES (
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y ionai No[ary Assr.
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Commission GG 356317
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