HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
COUNTY
U M I U -`
Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue. rr Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential
PERMIT APPLICATION FOR: Other II
PROPOSED IMPROVEMENT LOCATION:
Address: 4160 N Highway A1A, Fort Pierce, FL 34949
Legal Description: OCEANIOUE OCEANFRONT. A CONDOMINIUM COMPRISING A PART OF SECTION 23 TOWNSHIP 34 RANGE 40
ALL MPD AND SHOWN IN DECLARATION OF CONDOMINIUM OR 2752-1842
Property Tax ID tt: 1423-506.0000-000-0
Site Plan Name:
Project Name:
Setbacks Front Back: Right Side: Left Side:
CONCRETE RESTORATION BLDG A
iainonal worK to oe
❑HVAC
errormea unaer
Gas Tank
tnis
permit — cneCK au apply:
Gas Piping In Shutters
_
Electric
Plumbing
Sprinklers Generator
Total Sq. Ft of Construction: _
Cost of Construction: 5 146,170K
S Ft. of First Floor: _
Utilities:] Sewer 11 Septic
Lot No.
Block No.
Windows/Doors
Roof = Roof pitch
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name OCEANIOUE OCEANFRONT CONDO ASSOCIATION. INC
Name: PATRICIA SALAZAR
Address:4160 N HIGHWAY A1A
Company: DANIELLO, SALAZAR & SONS, INC.
City: FORT PIERCE State: FL
Zip Code: 34949 Fax:
Phone No.404-310-5536
Address: 2708 N AUSTRALIAN AVE, STE 9
City: WEST PALM BEACH State: FL
Zip Code: 33407 Fax:
Phone No. 561-722-2258
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail: info@concreterepairing.net
State or County License: CGC 1524218
If value of construction Is $2500 or more, a RECORDED Notice of Commencement Is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: x Not Applicable
MORTGAGE COMPANY: x Not Applicable
Name: CHARLES DARDEN PFX76910
Name:
Address: 208 SW OCEAN BLVD
Address:
City: STUART State: FL
City: State:
Zip: 34994 Phone: 772-2204WI
Zip: Phone:
FEE SIMPLE TITLE HOLDER: X Not Applicable
BONDING COMPANY: it Not Applicable
Name:
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
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 your paying twice for
improvements to your property. A Notice of Commencement must be recorded 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.
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WL.GC�b�w ESL s
Signature of Owner/Lessee/Cafntractof as Agent for Owner Signature ofContractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF Sr. "c.rE COUNTY OF—:E�I LM
The forgoing instrument was acknowledged before me The for�ing instrument was acknowledged before me
this day of T+hww,�., 20 Z�by this 1l day of NSA V, c� t . 20 2 by
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WSL L'LkM 1�E�612 PRK SG H- PRT K,C, A C_—t)`PZ t'
(Name f person acknowledging I (Name of person acknowledging I
(Signature of Notaryublic- State of Florida I (Signature of Notary Public- State &41orida I
/
Personally Known OR Produced Identification ✓ Personally Known �� OR Produced Identification
'FL
Type of Identification Produced Dal v.e.s Q.c.....,-. Type of identificatiioon Produced
'
Commission No. 6G Z$ g29 1 mints on NO WatI»y 13 (Seal)
BELINDAR.
Notary Public - Stale of Florm
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' My Comm. Expires Dct 2 ,
Revised 07/ f S/2O I4 Bdnded through National Notary Assn,
g. ^ i
m My COMMISSION k GG 11/413
ds EXPIRES: June 13, 2021
•r ••nP'•Banded Ttn Notal Pull UNC"411197i
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