HomeMy WebLinkAboutBuilidng Permit ApplicationPERMIT APPLICATION FOR: Concrete
PROPOSED IM PROVEM ENT LOCATION :
CONTRACTOR:OWNER/LESSEE:
Address: 2708 N. Australian Ave, Suite 9
E-Mail: info@ConcreteRepairing.net
State: FL
Company:Daniello & Associates
State or County License: CGC*td z.( 2-lg
Fhone No 561-835-4788
zip 6669. 33407
City:
Name: Patricia Salazar
West Palm Beach
ps;. 561-833-3573
E-Mail:
Fill in fee simple Title Holder on next page ( if different
fronn the 0wner listed above!
zip 6e6s. 34957
City:
Na
phone ys.772-229-9690
9650 S. Ocean Drive
The Princess Condo
Jensen Beach FL
p61a.772-229-7799
State:
AI.T APPLICABLE IfilFO MUST BE COMP].ETED FOR APPLICATIOI{ TO BE ACCEPTED
p61s. 06/28116 Permit Nurnber:
-
Building Permit Application
Plonning ond Development Services
Building ond Code Regulotion Division
2300 Virginio Avenue, Fort Pierce FL 34982
Pl-,one: 1772't 462'7513 tax. (772\ 462 7573
Address:9650 S. Ocean Drive; Jensen Beach, FL 34957 - Unit # 703
Legal Description The Princess Of Hutchinson lsland
Property Tax tD g. 4502-610-0000-0006 Lot No._
Block No.Site Plan Name:
Project Name The Princess Condo
Setbacks Front- Back:
-
Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Concrete Repairs
wo
Gas Tank
Plumbing
Piping Shutters
Generator
Windows/Doors
RooftrSprinklersE
Total Sq. Ft of Construction Ft.
Cost of Construction: S Utilities Building Height:
lf valule of construction is $2500 or rnore, a RECORDED Notice of Cornmnencennent is required.
faxr-arai^l DaaiJnn+i^lvv!l[riii-[\-tut ttgJtv!!tctql
-
Eruo.
Ir,"o,,"
$978,905
MORTGAGE COMPANY:
-
Not APPlicable
City
Zip:
-
Address:
Name
1235 S.E. lndian St. Suite 103
FI,State:Stuart
772-220460134997Pho
Name LLCCSM -
Address
City
Zip:
BONDING COMPANY:
-Not
APPlicable
Address
Phone:
City:
Zip:
Address:
-
Citr _
_ Not ApplicableFEE SIMPLE TITLE HOLDER:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work
I certify that no work or installation has commenced prior to the issuance of a permit'
and installation as indicated.
twice for
public records of St.
in financing, consult
ment.
st. Lucie csuntv makes norepresfffiTffi;,J[*i,:fl3l"'li,1fiB?',.ji]',l,ui]1i#:[Ti'"T!3,f.",lilLiB:1",{,:"?Eiii'li3iB?l"i[if"t'J#'"
which conflicts with anv a
structure. ptease consutt,Iliii"ff.l; iiilffi;ili#;{ ffiililii;li ilA ienGii yourteid-fix anfieitiictiois which mav applv.
ln consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
in iicorOance with the ipprovEd plans, th'e ftoridi Building Codes and St. Lucie County Amendments.
The following building permit applications are exempt from undergoing a full concurrency review: room additions,
accessory str-uctures, swirnming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
(Signature of Notary Public- State of Florida)
as
/;' phys
STATE OF FLORI
ical Presence or
-
Online Notarization
\,e\/\F
commission *o.lE q
RTP It++ \
Signature of Contractor - or -0wner
COUNTY OF
@
Sworn to{or affirmed) and subicribed before me of
this8ltayor il,.(Ail <-\,t . zo2zbv
Name of person making statement.
/
Personally Known -j- OR Produced ldentification
Type of ldentification Produced-
VEGETAT]ON
REVIEW
SEA TURTLE
REVIEW
SUPERVISOR
REVIEW
PLANS
REVlEW
REVIEWS FRONT
COUNTER
ZONING
REVIEW
RECEIVED
COMPLETED
SU PPLEMENTAL CONSTRUCTION LI EN LAW INFORMATION:
State:
ffir
-NotAPPlicable
WARNING TO OWNER: Yourfailure
your
on
L RITACOLI.'JO
''i.'. uv couursstoN # HH m87t6
,*i EXPIRES: June 13, 2025
.'i gottffi n u Not y Public Undaruitem
MANGROVE
REVIEW