HomeMy WebLinkAboutBuilding Permit AppA'I APPTICABTE INFO
Date:
MUST BE COMPTETED FOR APPLICATION TO BE ACCIPTED
Permit Number:
Building Permit Application
Plonning ond Development Selices
Building ond Code Regulotian Divisian
2300 Virginio Avenue, Fort Pierce FL 34982
Phone: (772) 462-7553 Fax: (772| 452-7578
Commercial Residential
Propefi Tax lD #:
Site Plan Name:
Lot No.
Block No.
Project Name: Bryn Mawr Condominium-Building A
DETAILED DESCRIPTION OF WORK:
Common Areas Concrete Restoration
New Electrical Meter Second Electrical Meter
CONSTRUCTION
Additional work to be performed under this permit - check all that apply:
_Mechanical _ Gas Tank _ Gas Piping
_ Sprinklers
_ Shutters WindowslDoors _ Pond
_ Roof
--
Pitch_ Electric _ Plumbing Generator
of First Floor:Total Sq. Ft of Construction:Sq. Ft.
ut:lities:cost of constructron: g 3e ,747 Sewer Septic Building Height:
lf value of construction ls 25OO or more, a RECORDED Notice of Commencement is required.
lf value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
PERM IT APPLICATION FOR:
Address: 5061 North A'! A Fcrt Pierce, Ficiida 34949
PROPOSED I M PROVEM ENT LOCATION :
OWNER/LESSEE:CONTRACTOR:
ru";1"Bryn Ma*, T*"rs Condt
966ps55. 506'1 North AIA
City:Fort Pierce State:
Zip code: 34949 p3x.772-569*4300
phone No.772-569-9853
f -Uait, juliet@elliottmerrill.com
fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Name: Patricia Salazar
Company:Daniello, Salazar & Sons, lnc.
466,-"15.27O8 N. Australian Ave. Ste 9
City:West Palm Beach State: Fl'
Zip Code: 3307 63x. 561-833-3573
phone No 561-835-4788
6-1y";1 info@concrererepairing.net
State or CountY Us3n5s CGC 1425218
@ Balconies and Walkways ,see Engineer specs.
- for the whole building
DESIGNERIENGINEER: _ Not Applicable
Na m e' ML Engin@ring lnc.
AddfeSS: 2o3o 3zrh Avenue
CitY: v.ro 4..d,State:Fl.
ZiP: gze6o p[ 969 zze-sos-r 257 Fax 772-s6uo41
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City:State;
Zip: _Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
N
Address:,City:_
Zip: _Phone:
BONDING COMPANY: _Not Applicable
Name:
Address:
City:
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 Countv makes no reDresentation that is Brantins a oermit will authorize the oermit holder to build the subiect structu.e
which is in conflict with anv a'pplicable Home Owiers As(ociation rules. bvlaws or and covenants that mav restrict or prohibit such
structure. Please consult with your Home Owners Association and review'your deed for any restrictions Which may apply.
ln consideration of the granting of this requested perrnit, 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 trom undergoing a full concurrency review: room additions,
accessory structuret swimming pools, fences, walls, signs, screen .ooms 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. lf you intend to obtain financing, consult
with lender or an attornev before commencins work or recording vour Notice of Commencement.
Lessee/Contractor as Agent for Owner
STATE OF FLORIDA-.I-" ll r,-rCoUNTyoF _Izhfrirrsr K\U{f
person making statement.',/
Personally Known { OR Produced ldentification
Swo;;n to (or affirmed) and subscribed before me ofv' Phvsical Presence or Online Notarization
tni-IJ---aayotl , -== .zozolby
STATE OF FLORIDAT i icoUNwOF I ili {'tt''-i-ii
Swo_rn to (or affirmed) and subscribed before me ofiz' Phvsical Presencp or Online Notarizatio
Name of person making statement.
-r1 Notar) PuDrc st3te c, croric,
i:"',liBfl fl I'i ij,:,'ff ii,i',l,
D0,1CeC thrOUgh \attorar Ns14n, 4551 MYCOMMISSICN # G6 I
DATE
COMPLETED
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
Zip: _
-. ./
Personally Known u' OR Produced ldentification
Type of ldentification