HomeMy WebLinkAboutAtlantis By The Sea - Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 01282021
Permit Number:
S�'`tl'� CL1`
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential x
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: Reconfiguration of North and SOuth Entrances - creating a turn -around area before entry gates.
PROPOSED IMPROVEMENT LOCATION:
Address: 10152 -10200 S Ocean Dr, Jensen Beach, FL
Property Tax ID #: 4511-518-0000-000-1
Site Plan Name: Atlantis By The Sea
Project Name: Atlantis By The Sea
DETAILED DESCRIPTION OF WORK:
Aspahit and Curbing configuration - North and South Entrances - See Attachments for details
New Electrical Meter Second Electrical Meter.
CONSTRUCTION INFORMATION:
Lot No._
Block No.
Additional work to be performed under this permit —check all that apply:
Mechanical _ Gas Tank _ Gas Piping _ Shutters { Windows/Doors _ Pond
_ Electric _ Plumbing _Sprinklers _ Generator Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 28806.00 Utilities: —Sewer _Septic Building Height:
OWN ER/LESSEE: CONTRACTOR:
Name14IV 1r1fj5 114 15c(l1)dLean_�n_ his` c'- I
Address: 16 .3 6, ,:-) 5 e'-:) C c- q Y1 D r
City �' Y1 se-' 11 e I4 State: F- L
Zip Code:Fax:
Phone No. 9— 3 -1 `�Jr
E-Mail:fel'v-_t_fJJc' 115 4l
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Name: Margaret Fenton
Company- Sunshine Land Design, Inc
ArMnmcc•3291 SE Lionel Terrace
City: Stuart
Zip Code: 34997 Fax:
Phone N0772-283-2648
E-Mail cbush@sunshinelanddesign.com
State or County License CGC1518885
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.
State: FL
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name:
Name:
Address:
Address:
City: State:
City: State:
Zip: Phone
j Zip: Phone:
I
j 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
is in
which 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 an attorney before commencing work or recording our Notice of Commencement.
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of trac or/ icense Holder
STATE OF FLORIDA
STATE OF FLORIDA t
COUNTY OF stOga--n tit
COUNTY OF. _ WMi'1�1
Sworn to (or affirmed) and subscribed before me of
✓Physical Presence Online
SW to (or affirmed) and subscribed before me of
or Notarization
this 4 day of F0594,&" 2021 by
Physical Presence or Online Notarization
this day of 2b 2024 by
Parka. 4- Oa �L l
Name of person making statement.
Name of peid6n making statement.
Personally Known OR Produced Identification
Personally Known 1,,-' OR Produced Identification
Type of Identificationw
Produced
Type of Identification
Produced
(Signature of Notary u l - ate of Florida)
(Signature
Kf Notary Public•EIdM�iY�USH
Commission No. GG (�153 + pro { ea jHEATHER HOFFMlW
�6taryPublic,StateofFlo
mission No.
. Commission # GG 918508
_ ` �?`.= Expi(r$� "ary 1,2024
Co
i Commission# GG 19535
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REVIEWS
FRONT ZONING
PLANS
VEGETATION
SEATURTLE
MANGROVE
SUPERVISOR
COUNTER REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
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RECEIVED _
DATE
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COMPLETED
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