HomeMy WebLinkAboutSignedPermitApplicationAII APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:Permit Number:
Building Permit Application
Planning and Development Services
Building ond Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-L553 Fax: (772) 462-1578
Commercial x Residential
CBDG Funding
PERMIT APPLICATION FOR:
PROPOSED IM PROVEM ENT LOCATION :
Address: 8750 S. Ocean Dr. Jensen Beach, Florida 34957
Property Tax lD #:
Site Plan Name:
Lot No
Block No.
Project Name:The Admiral Condominium Associatlon
DETAILED DESCRIPTION OF WORK:
Concrete Beams Roof Repair
New Electrical Meter Second Electrical Meter (Affidavit required)
CONSTRUCTION I N FORMATION :
Additional work to be performed under this permit - check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters _ Windows/Doors _ Pond
_ Generator _ Roof _ Pitch_ Electric _ Plumbing _ Sprinklers
Total Sq. Ft of Construction:Sq. Ft. of First Floor:
Cost of Construction: S $ 23,000 Utilities; Sewer
-
Septic Building Height:
lf value of construction is 2500 or more, a RECORDED Notice of Commencement is required.
lf value of HAVG is $7,500 or more, a RECORDED Notice of Commencement is required.
OWNER/LESSEE:CONTRACTOR:
Name The Admiral Condominium Association
Address: 8750 S. Ocean Dr.
City: Jensen Beach State: Fl.
Zip Code: 34957 Fax:
Phone No. 772-229-3010
Mail: lisak@advpropmgt.com
Fill in fee simple Title Holder on next page (if different
from the Owner llsted above)
E-
Name: Pafricia Salazar
company: DANIELLO, SALMAR & SONS' INC
AddfeSS: 2708 N. Australlan Ave
City:West Palm Beach State:FI,
Zip Code: 33407 Fax:
Phone No 561-835-4788
E-Mail info@concretereparing.net
State or County License cGC1524218
'1 lt I lr !'LL!;LL!
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Namg: StructuralEngineeringProfessional
AddfgSS: 751 Northlake Blvd
City; North Parm Beach State: _!_ZiP: ssaoa Phone 561-844-4060
MORTGAGE COMPANY
Name:
Address:
City:State:
Zip:_ Phone
_ Not Applicable
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
City:
Zip:Phone:
BONDING COMPANY: _Not Applicable
Name:
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 erantins a oermit will authorize the oermit holder to build the subiect structure
which conflicts'with any applicable HomeownerslssociJtioh rules, bvlaws or and covenants that mav restrict or orbhibit suchstructure. Please consult with your Homeowners Association and ieview your deed for any restrictioris 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 building permit applications are exempt from undergoing a full concurrency review: room additions,
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory usesto another non-residential use
Signature of Owner/
iHl'-'?i'"-''^ Sl-. 1 ru-e
Sworn to (or affi
thisl/fday ot
and subscribed before me of y' errysicat Presence or Online Notarization:il['r zotaby
Name of person making statement.
I
Personally Known r' OR Produced ldentification
Type of ldentifir9tion P.roduced
(Signature of Public- State of Florida)
", Notarv Puulic' State of Florida
ij Commislon '
HH 00297e
"'dj r,rt i.*r''iiorres Aug l1' 2024
SonUej ti,rougt'' National Notary Assn'
Address:
City:
Zip: _ Phone:
(SignaLure of Notarl' Public)
(Print. Iype, or Stamp Conrmissioncd \anle of \otar1 Pub1lc)
Rev.10-15-12
fl.