HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: -U
O
i ° _ ,Building Permit Application
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:
PROPOS.Eb' tIVIPROVEMf!NT. CATfON
br 11
Address: 10152 S Ocean Dr., Jensen Beach Florida 34957
Property Tax ID #: 45 4'SO= :.203 &66 :OCo tot No.
Site Plan Name: Atlantis Condominium Big B Block No.
Project Name: Atlantis B Catwalk repairs
777
DEl'AILEDuDESCRIPTI0 'OF WORK:'
Remove and replace delaminated concrete and stucco for Atlantis b.Condominlum catwalks
New'Electrical Meter NIA Second Electrical MeterNiA
CONSTRUCTION INF,ORIVIATIO;N
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: $ �D.. 2 . Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE
,CONTRACTOR
NameAtlantis B Condominium Association, Inc
Name; Elie Jouni
Address:10152 S Ocean drive
Company:Blue Coast construction
City; Jensen beach State:
Address:2587 SE Monroe St
Zip Code: 34957'- fax:
City: Stuart t :.. State: FL
Phone No.
Zip Code: 34997 Fax:
E-Mail:
Phone No ' 561-632-3529
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 CG61520062
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.
NA3VAQ.,.
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DESIGNER/ENGINEER:
Not Applicable
MORTGAGE COMPANY: x Not Applicable
N a me • Mathers Engineering Corporation
Name
Address:2431 Se Dixie Hwy
Address:
City: Start
State: FL
City: State:
Zip:34996 Phone772.267-0525
Zip: Phone:
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.
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 Vour Notice of Commencement.
Signature of Ow ontractor as Agent for Owner
Signature o ctor/L'
o der
STATE OF FLORIDA ��
STATE OF FLORIDA
COUNTY OF�y�s,,r .�
COUNTY OF-�,
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Sworn to (or affirmed) and subscribed before me of
Sworn to (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
Physical Presence or
Online Notarization
this /Vday of 'NUJ, . 2020 by
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this _L:j— day of 202J by
Name of person making 4atement.
Name of person ma i g statement.
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Personally Known
OR Produced Identification
Type of Identification
Type of Identification
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Produced
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