HomeMy WebLinkAboutst. lucie co perm appAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
O� T
U '' ` `` Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 CBDG Funding
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION:
Address: 5051 N HIGHWAY A1A FORT PIERCE FL 34949
Property Tax ID #: 1414-220-0007-000-9 Lot No.
Site Plan Name: Block No.
Project Name: Atlantic View Beach Club
DETAILED DESCRIPTION OF WORK:
Foundation Repairs - Installing piers to support the foundation of the property.
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit — check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters _ Windows/Doors
_ Electric _ Plumbing _ Sprinklers _ Generator Roof
(Affidavit required)
Total Sq. Ft of Construction:
Cost of Construction: $ 46 102.55
Sq. Ft. of First Floor:
Utilities: —Sewer —Septic
Building Height:
Pond
Pitch
OWNER/LESSEE:
CONTRACTOR:
NameAtlantic View Beach Club Community Assn Inc
Name: Matthew Shanley
Address: 835 20th PL
Company: Alpha Foundations
City: Vero Beach State: FL
Zip Code: 32960 Fax:
Phone No. E-
Address: 66 Industrial Park,
City: Monticello State: FL
Zip Code: 32344 Fax:
Phone No 850-877-1313
Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail South permits(a-_)alphafoundations.corn
State or County License CBC1257350
It value of construction is Z500 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: Not Applicable
Name: _
Address:
City: —
Zip:
Phone
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone: _
State
Not Applicable
MORTGAGE COMPANY
Name:
Address:
City:
Zip: Phone:
Not Applicable
State:
BONDING COMPANY: _Not Applicable
Name: _
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 County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which conflicts with any applicable Homeowners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Homeowners 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 recordinF_ vour Notice of Commencement.
Signature f Owner/ Lessee/Contractor as Agent for Owner
STATE OF FLORIDA x-
COUNTY OF wig {
Sworn K(or affirmed) and subscribed before me of Physical Presence or Online Notarization
n
this day of �V a' 4__ , 2021 by
Ii:k(c,YA KMeS
Name of person making statement.
Personally Known V OR Produced Identification
Type FNritification Pr duced
(Signatu of Notary Public- State of Florida)
a� °�B� JULIE BARRETT
Commission No. (Seal) ?�, :�°. Notary Public State of Florida
Iff'a_ Commission k GG 243242
°`
o\� My Comm. Expires Sep 28, 2022
Bonded through National Notary Assn.
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Rev 5/20/11