HomeMy WebLinkAboutBUILDING PERMIT APPLICATION All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 08/1 0/2021 Permit Number:
2,:, L L�.U �t
V 1; L C" Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial X Residential
2300 Virginia Avenue, Fort Pierce FL 34992
Phone: (772)462-1553 Fax: (772)462-1578
PERMIT APPLICATION FOR: SPA RENOVATION ONLY
PROPOSED IMPROVEMENT LOCATION:
Address: 100 Ocean Bay Drive, Jensen Beach, FL 34957
Property Tax ID#: 3522-608-0000-000-8 Lot No.
Site Plan Name: Ocean Bay Villas, a Condominium Sec 22 Town 36S Ranc c, 4 Nock .
Project Name: Ocean Bay Villas Condominium Spa
DETAILED DESCRIPTION OF WORK:
Install QuartzScapes Finish 3/8"-1 /2" thick
Bring all Main Drain Covers to Code
New Electrical Meter N/A Second Electrical Meter N/A (Affidavit required)
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: Sq. Ft. of First Floor:
Cost 46C&R5tRKkWX $ 4, 500. 00 Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Ocean Bay Villas Condominium Name: Dustin Hardy
Address:1111 SE Federal Hwy.Ste100 Company: Aquatic Surfaces Of Treasure Coast
City: Stuart State: FL Address: 635 NW Buck Hendry Way
Zip Code: 34994 Fax: City: Stuart State: FL
Phone No. 772-229-1 907 Zip Code: 34994 Fax:772-334-7243
E-Mail: tammys@advpropmgt.com Phone No 772-225-4389
Fill in fee simple Title Holder on next page ( if different E-Mail dh.aquatic@gmail.com
from the Owner listed above) State or County License CPC 1 4591 1 0
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: x Not Applicable MORTGAGE COMPANY: X Not Applicable
Name: Name:
Address: Address:
City: State: City: _State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: X Not Applicable BONDING COMPANY: X 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.
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
withiender gr an attorney before commencing work or recording our Notice of Commencement.
- 'L 11 U
Signature of Owner/Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF Martin
Sworn (or affirmed) and subscribed before me of Physical Presence or Online Notarization
this day of August 20_2j by
Sa n(� I_� a-c ) L
Name of person making
statement.
Personally Known '✓ OR Produced Identification
Type of I entification Produced
(�Qwv
(Signature of Notary Public-
c--State of Florida )
Commission No. G J I 8 I (Seal) �a*�w� Notary Public state of Florida
Alexandra Kusen
My Commission GG 238381
At
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
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DATE
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