HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEP1"ru-1
Date: 5/4/21 Permit Number: ��d 5-'d3o
RECEIVED
MAY 11 1011
Building Permit Application
PkirmittIng Departmeht
Planning and Development Services St. Lucie Country
Building and Code Regulation Division Commercial # Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:
Barrier Arms and cameras for Access Control
,_ ..
PROPOSED IIVI�PROVEMENT LOCATION
Address: 10200 South Ocean Drive
Property Tax ID #: 4502-801-0009-000-5 Lot No.
Site Plan Name: Atlantis by the Sea -Gated Entry Block No.
Project Name: Atlantis by the Sea- Gated Entry
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DETAILED D'ES;CRI"PTION OF WORK:
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Adding barrier arm gate operators, call box, and camera systems to both entrances for access cont
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New Electrical Meter Second Electrical Meter
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CONSTRUCTION INFORIUTATIQIV:'"
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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: $ 40,000 Utilities: —Sewer _Septic Building Height:
OWNMAESSEf Y
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CONTRACTOR n f
Name Atlantis by the Sea Condominium Association, Name: Russel Lumsden
Address:10200 South Ocean Drive Company: Remote Access Sales 2
city: Jensen Beach, FI State: _ Address: 446 NW Lake Whitney Place
Zip Code: 34957 Fax: City: Port St Lucie State: FI
Phone No. 815-867-3444 Zip Code: 34986 Fax:
E-Mail: we11srich67(cD_gmai1.com Phone No 561-202-7493
Fill in fee simple Title Holder on next page ( if different E-Mail russel@ras2fl.com
from the Owner listed above) State or County License CO# 29798
If
value of construction is 2500 or more, a RECORDED Notice of Commencement is required.
If
value of HAVC is $7,506 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CO=NSTR4glON L,IElN LAW INFORMATION -!
DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: Not Applicable
Name:
_
Name:
Address:
Address:
City: State:
City: State:
Zip: Phone
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.
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
with lender or an attorney before commencing work or recording our Notice of Commencement.
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORID �pn�
STATE OF FLORIDA �"
COUNTY OF. I I la
COUNTY OF �/AV l0_V+_M
Sworn to (or affirmed) and subscribed before me of
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Sworn to (or affirmed) and subscribed before me of
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Physical Presen a or Online Notarization
this ay of 202f by
Physical Presence or Online Notarization
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this lay of i V�rDL c.� 2020 by
Name of person making statement.
Name of person making statement.
Personally Known OR Produced Identification
Personally Known_ OR Produced Identification
Type of Identification
Type of Identification
Pro d
4/j,
Produced
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(Sign re of Notary Public-ISt e o ,Florida )Cynthia Marie Bean
(Sign ure of Notary Pu lic- Sta a of�, @ Cynthia Marie Bean
NOTARY PUBLIC
o� NOTARY PUBLIC
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Commission No. S+ §TATE OF FLORIDA
Commission No. o S T ATE OF FLORID
Comm# GG195204
=Comm# GG195204
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FA e Expires 4/20/2022
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