HomeMy WebLinkAboutocean resorts permitALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: y f % / �7� Permit Number:
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 Residential
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT LOCATION:
Address: (�) 41!z wo,;11 A, 1k. ho-L:4 ,n ion, 12 ttf_�t
J I
Legal Description:
Property Tax ID #: I f4 1 n - 4-c) % - ooa) - Q po -- z Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks 'Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
QeM0vC_ 4- 00-Ptql pco e peg
CONSTRUCTION INFORMATION:
Additional work to be oerfoFffiea under this perms check a apply:
0HVAC Gas Tank [:]Gas Piping _ Shutters Windows/Doors
0 Electric 0 Plumbing ElSprinkiers E] Generator Roof Roof pitch
Total Sq. Ft of Construction:
Cost of Construction: $ a l OA0 f 00
S . Ft. of Firsts Floor:
Utilities:Sewer E]Septic Building Height:
OWNER/LESSEE:
4
CONTRACTOR;.,
Name0'6e_tko �_fjb(*J C0__ tic.,
Name:
Company: W`: Vie; l\ v+r I n c' ,
Address: t7 V 14
r
City:I State
fiui-l- 1-11,,<,�C� �1 IS (G'��
Address b 011+tl.tle_CIOL kVe
Zip Code: 9q LIq 61 Fax %7G E-E> 0-qo
City: !F_a r State: R,
Phone No. % ' q6q u
Zip Code: Sgg4l Fax: 7%� q6(T QS%D
9
E-Mail:
Phone No. 772-'f 8OS00
E-Mail: Vq , Ce aQ+Z. i A I9 k 01 . (,ONI
Fill in fee simple Title Holder on next page ( if different
State or County License: L: 1300,5517
from the Owner listed above)
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER:
Not A I' }�
Name: --- pp +ca le
Address.
City. State:
Zip: Phone
FEE SIMPLE TITLE HOLDER:
Name: __ _Not Applicable
Address:
city:
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT• A
MORTGAGE COMPANY:
Name: _._ Not Applicable
Address:
City. Zip:State:
------_.__._.. Phone:
BONDING COMPANY:
Name: __._Not Applicable
Address:
City:
Zip: Phone:
• pp11cation 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 sub'
which is in conflict with any applicable Home Owners Association rules, bylaws or and covenants th
structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
at may restrict or proh►►bit such
In consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the
in accordance with the a y pp y'
approved plans, the Florida Building Codes and St. Lucie County Amendments. work
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
WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in ourpaying'
improvements to your property. A Notice of Commencementidential use
before the first inspection. If you intend to obtain financing, consult with lender or an Posted
hejo twice for
must be recorded and ppsted on the jobsite
commencn work or recording our Notice of Commencement
J attorney before
Signature of Owner/ L see/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTYOF
The for oing instrument was acknowledged before me
thisdayof 20 Z b
meName of ont
Personally Known' OR Produced identification Type of Identification
Produced
{Signature of Nat ry Public- Statanf ��.,..�, r
Commission No.jOv
40 S ry Public State of
`'Hns L Woolley
My Commission GG I
os a Expires 02/2&2022
Signature of Contractor/License
STATE OF FLORIDA j
COUNTY OF-
The forgoing instrument was acknowledged before me
this L�day of rr v .� 202Z by
Name of person makin tatement
Personally Known --� _ OR Produced identification
Type of Identification -------
Produced
.(Signature of No aPub�ffc-State of Florida j
REVIEWS FRONT ZONING ! '
COUNTER REVIEW SUPERVISOR PLANS
ATE REVIEW REVIEW
DATE
I Rev. 8/2/17
No. 5 66 S I) Notary Public state
e Chns L Woolley
d1 My Commission GG
"a�p Expires 02/Z6J2022
VEGETATION SEA TURTLE MANGROVE
REVIEW REVIEWI. REVIEW