HomeMy WebLinkAboutFoundation Only Permit 10.7All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 10/07/21 Permit Number:
�J a
G-L ° Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Commercial yes Residential
CBDG Funding
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION:
Address: 7700 S. Ocean Dr., St. Lucie County
Property Tax ID #: 3522-342-0002-000/7 Lot No.
Site Plan Name: Ouanalao Resort Foundation Only Block No.
Project Name: Seaside Resort
Foundation and slab only for Clubhouse
New Electrical Meter Second Electrical
Additional work to be performed under this permit — check all that apply:
(Affidavit required)
_Mechanical _ Gas Tank _ Gas Piping _ Shutters —Windows/Doors _ Pond
_ Electric
_ Plumbing
_ Sprinklers
_Generator _Roof Pitch
Total Sq. Ft of Construction: 19,847 Sq. Ft. of First Floor: 8,966
Cost of Construction: $ 157,000 Utilities: —Sewer _Septic Building Height: 42' 8"
OWNER/LESSEE:
CONTRACTOR:
Name Seaside 20 LLC
Name: Don Perry
Address: 277 Royal Poinciana Way Suite 156
Company: Jacob Industries LLC
City: Palm Beach State: FL
Zip Code: 33480 Fax:
Phone No.-(561) 833-5500 E-
Address: 1720 E Tiffany Dr Suite 200
City: West Palm Beach State: FL
Zip Code: 33407 Fax:
Phone No (561) 741-1818
Mail: lee@heatoncompanies.com
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail lacobadminfliZ'acobcompanies com
State or County License 26940 - County License
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.
Name:
Address:
City: State:
Zip: Phone
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone:
X Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name: IT-G Capital Group
Address: 1.1 Pin Old I ivin9cton Rd
City: Naples State: EL_
Zip: 34109 Phone: (239) 514-4484
BONDING COMPANY: X 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 recording our Notice of Commencement.
Ki.w�et-Ly AUz
Signature of Owner/ Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF
Sworn to (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
this L_ day of (i(if�C , 20LL by
Name of person making statement.
oO
"��,r\�-
Personally Known OR Produced Identification
Typeofldentification-oduced�^1
oi�i,
(Signature o�fNotary Public- State of Florida)
41yb �4�
Commission No. (Seal)
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
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REVIEW
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DATE
RECEIVED
DATE
COMPLETED