HomeMy WebLinkAboutBuilding Permit ApplAII APPTICABTE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:Permit Number:
Building Permit Application
Plonning ond Development Services
Building ond Cade Regulotion Division CommefCial
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (777) 462-!553 Fax: (772\ 462-7578
Residential
PERMIT APPLICATION FOR:
PROPOSED I MPROVEM ENT LOCATIO N :
Address: 5055 North 41A Fort Pierce, Florida 34949
Property Tax lD #:
Site Plan Name:
Lot No._
Block No.
Project Name: Bryn Mawr Condominium-Building C
New Electrical Meter Second Electrical Meter
CONSTRUCTION I NFORMATION:
Additional work to be performed under this permit - check all that apply:
Mechanical Gas Tank _ Gas Piping
_ Sprinklers
_ Shutters _ Windows/Doors _ Pond
_ Generator _ Roof _ Pitch_ Electric _ Plumbing
Total Sq. Ft of Construction:Sq. Ft. of First Floor:
Cost of Construction: $ 26,048 Utilities: _ Sewer _ Septic Building Height:
lf value of construction is 25fi) or more, a RECORDED Notice of Commencement is required.
lf value of HAVC is $7,500 or more, a RECORDED Notice of Commencem€nt is required.
DETAILED DESCRIPTION OF WORK:
Common Areas Concrete Resloration
owNER/LESSEE:CONTRACTOR:
NameBryn Mawr Towers Condominium Association lnc.
4661955.5055 North AIA
City: Fort Pierce State; _
ZiP Code: 34949 93x.772-569{300
phone No.772-569-9853
6- 14
"i
I . juliet@el liotimerrill. com
Fil! in fee simple Title Holder on next page ( if different
from the 0wner listed above)
Name: Patricia Salazar
Company . Daniello, Salazar & Sons, lnc.
466pg55.2708 N. Australian Ave. Ste 9
City:West Palm Beach State: Fl'
Zip Code: 33407 p3y. 561-833-3573
phone No 561-835-4788
g-gy1311 info@concrererepairing. net
State or County License-999 lj25!] 9
@ balconies & walkways, see Engineer specs.
- for whole building
DESIGNER/ENGINEER: _ Not Applicable
N a m g. ML Engine.ing loc.
AddfeSS: 2o3o 37th Avenue
City:vmBeach State Ft.
Zip: saeso p[969zz-sos-tas7 Fa 272's6*o41
MORTGACE COMPANY: _ Not Applicable
Name:
Address:
City:State:
Zip: _Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Addre SS:
City:
zip:Phone:
BONDING COMPANY:
Name:
_Not Applicable
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 Countv makes no reoresentation that is erantinB a Dermit will authorize the oermit holder to build the subiect structlrre
which is in conflict with anv a'policable Home Owilers AsSociation rules, bvlaws or and covenants that maY restrict or prohibit such
structure. Please consult w'ith iour Home Owners Association and review'your deed for any restrictions which may apply.
ln 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 bullding 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
imorovements to vour orooertv. A Notice of Commencement must be recorded in the oublic records of St.imprwements to youi [ropertv. A lltotice of iommencement must be iecorded in the-public records of St.
Luiie County and dostetl on theijobsite before the first inspection. lf you intend to obtain financing, consult
with lender or an attonxey before commencing work or recolding yoqr Notice of Commencemellt.
,l>-l=q#sS*
COUNTY OF,
Swgrn to (or affirmed) and subscribed before me of
n' Phvsical Presence or Online Notarization
thi, 2- aay or 5Lr t ,l1- . 2o2o by
Personally Known t/ OR Produced ldentification
Type of ldentificationProduced-
of Florida )
'a/
Name of person making statement.
tractor as Agent for Owner
srATE OF FLORIDA rcouNw or l-.*Ar&,r' Rtvt-/-
Type of ldentification
i:fi,$g'dtrEraJffiili}'.:SP.:. {k, J'JLlt dARRITT
r':'.!' ^.':": Notrry pLbi.r( Stjre cf Flol6d
?:ltttr i; .c($eel)o" F cc 243242F-ry' My Ccmm. Expires Sep ZA, ZOZ:
(Seal) RITAcotLAzo
VEGETATION
REVIEW
SUPERVISOR
REVIEW
of Notary
affirmed) and subscribed before me of
Presence or Online Notarization
or a., *GI . 2o2o by
-