HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED 1
Date: �'- �� " Permit Number:®" — KMXIVED
�.
91r IL UCE, G JAN 0 5 2010
o . -
P WoWzls pdfmjtbf@ Department
Building- Permit Application t�. W-6� County
Planning and Development Services
Building and Code Regulation Division Commercial X Residential
2300 Virginia Avenue,. Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION:
Address: 3200 North Highway A1A, North Hutchinson Island, FL 34949
Property Tax ID #: 1425-600-0000-000-0
Site Plan Name: Sea Palms
Project Name: Sea Palms Concrete Restoration Project
Lot No.
Block No.
DETAILED DESCRIPTION OF WORK:
Concrete Restoration for Delaninated Concrete and Stucco Y- el —b�1-
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
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: N/A Sq. Ft. of First Floor:
Cost of Construction: $ 309,970.50 Utilities: Sewer _Septic
Building Height:
OWN ER/LESSEE:
CONTRACTOR:
Name Sea Palms Condominium Association, Inc.
Name: Elie Jouni
Address:3200 North Highway A1A
Company: Blue Coast Construction
City: North Hutchinson Island State: _
Address: 2587 SE Monroe St
Zip Code: 34949 Fax:
City: Stuart - State: FL
Phone No.
Zip Code: 34997 Fax:
Phone No 561-632-3529
E-Mail:
Fill in fee simple Title Holder on next page (if different
E-Mail elie@bluecci.com
from the Owner listed above)
State or County License CGC1520062
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
Name:SEP
Address: 751 Northlake Boulvd
City: North Palm Beach
Zip: 33403 Phone5516441001
State: FL
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY: _Not Applicable
Name:_
Address:
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 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 an attornev before commencing work or recording your Notice of Commencement.
Signatur a
/Contractor as Agent for Owner
Signature ont a Holder
STATE �OF FL IDA
Y:w�
STATE OF
COUNTY OF
COUNTY OFORIDA`�w•
Swoyr -to (or affirmed) and
subscribed before me of
Swan to (or affirmed) and subscribed before me of
Physical Pres , ce or Online Notarization
this � day of by
/ P�sical Pre or Online Notarization
this 5 day of ` A_n
A I� J� -
Name of person making statement.
_�� �n'
Name`bf person making statement.
/
Personally Known _ZOR
Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
(Signature of Notary Pu - State of Florida )
(Signature of No
a — _
Commission N
�Pev VU®4'
=_°' p '" =
r 3 J08'17
4�i;QU1l'u'i�S31tsC e r
AUDREYB.HUMPH( 6fal)
Commissio:�No=
tj.. :: _
E t E� "AsTci1 q, ?_!23
zir�ler\mters
'> = MY COMMISSION#i GG 300817
y
u'.S_'r\_.,..fie;
7jlr: •-.:��.;
,ded 1;IIU _,;y s•�.oii�
_
9ondod 7
iru Notary Public undenr:
r-rs
fEP�P
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
NGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 5/6/20