HomeMy WebLinkAboutBuilding Permit Applicationr ^�
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED 4x'-r :..
Date: RECE[YED Permit Number: _�����
MAR';91020
COUNTYFiP,erinittln9 Depa
rtMA
a'Osuntq
uLiiding" 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 X
PERMITTYPE: Concrete Restoration
PROPOSED mtliIOVEIVIENT-LO,CATIO,N
Address: 10310 S Ocean Dr Jensen Beach FI 34957
Property Tax ID #: Lot No.
Site Plan Name: Oceandse Condominium Block No.
Project Name: COnerete restoration
-- -- - - - --- - - -
DETAILED-DESCRlPtiTION OF;W.O
Exterior Balcony Repair Stack 3, U, '"-3,303,403,503,603 & 703
GC;3
-C TRUCaT10VocN`1NFO�RtVIAT10N
Additional work to be performed under this permit— check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters
_ Electric _ Plumbing _ Sprinklers _ Generator
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ ro 2. i 3 ro "" Utilities: —Sewer _Septic
_ Windows/Doors
Roof Pitch
Building Height:
0;1NNER/1_ESSEE - � ;,
rCONTR,4CTOR -<,
Name Oceandse Condominium Association Inc
Name: Luis Torres - Chavez
Address:10310 S Oceaa Dr
Company: DMF Construction Inc
City: Jensen Beach State: _
Address: 601 Heritage Dr
Zip Code: 34957 Fax:
City: Jupiter State: FL
Phone No.
Zip Code: 33458 Fax: 561-9354271
E-Mail:
Phone No 561-768-8988
Fill in fee simple Title Holder on next page ( if different
E-Mail info@dmf-construction.com
from the Owner listed above)
State or County License CGC-1524718
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
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+ PPLMNTALC•}NSTFtU( en) lC*?N l.I�V I=AUV INFORMATION:
t
;
DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY:
_ Not Applicable
Name: Mathers Engineering Corporation
Name:
Address: 2431 SE Dixie Hwy
Address:
City: Stuart State: FL
City:
State:
Zip: 34996 Phone 772-287-0525
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 YOUR PAYING
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH Ynil1R ILIFINInFff OR AN ATTORNEY BEFORE RECORDING YOUd1NOTICE OF COMMENCEMENT."
✓ 111
Signature of Owner/ Lessee/Contractor aswent ent for Owner
Signature o Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF F IJ.Lt1 eU e42,
COUNTY OF T�ty�► 1 �'_
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this day of M AR_e� 20ZD by
this -t , , day of 20ZO by
Name of person making statement.
Name of person making statement.
Personally Known FOR Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
JOCELYN MERCEDES SOSA
�rf" Stoto of Florida - Notary Public
Commlooion 9 GG 192217
—�J'Q
My Comm. Expires 03.05.2022 S
�iation
(Signature of Notary P blic- State of Florida)
or Notaries
(Sig=RNotarlyM101ttaterwfiE��
Commission No.GiG- �5 ZS���'�'YA��*(��� �i ION#GGp�s52
ComNo. (Seal)
EXPIRES: May 23, 2021
ry
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