HomeMy WebLinkAboutBuilding Permit ApplicationPERMIT APPLICATION FOR: Concrete
PROPOSED IMPROVEMENT LOCATION:
owNER/LESSEE;CONTRACTOR:
Fill in fee slmple Tide Holder on next page { lf dlfferent
from tlrc Owner listed abovel
zip
Phone No
City:Jenssn Beacfi
The Prineess Condo
9650 S. Ocean Drive
g66s' 34957
no nn 772-229-9690
p6y.772-22*7799
State,FL
Cityr Wesl Palm BEach State: FL
phone No. 561€35-4788
Name:Paticia Salazar
Company:Daniello & Associates
Address:2708 N. Australian Ave, Suito I
zip 6s6g. 33407
E-Mail:info@ConcreteRepairing. net
State or County License:CGC*tgz.{ ztf,
psx; 561{3$3573
AI.[ APPTICABLE INFO MUST BE COMPT"ETED FOR APPUCATION TO BE ACCEPTED
p31g; 06/28i16_Permit Number:
ffi
Building Permit Application
Planning ond Development Services
Building ond Code Regulotion Division
23OOVirginia Avenue, Fort Pierce FL i49A
^L,.--._. rrral ,aa 4er1 ?^,. l11a\ Fa-.41dr'rrvirE. ll t 111tj4'LJ)J . cA. \r r a) qwa' LJ, o famaarai+l DariJa*iirlvv!irrllLa wiqr atl;Jr\lielltigl
Address:S50 S. Ocean Drive; Jenssn Beach, FL 34957' Unit # 703
tegal Description:The Princess Of Hutchinson lsland
Property Tax lD #:4502-610,,0000{006 Lot No._
Block tlo.Site Plan Name:
Project Name:The Princess Condo
Setbacks Front- Back
-
Right Side: Left Side:
Concrete Repairs
HVAC Grs Tank Piping Shutters
Generator
Windows/Doors
RosfEtecrric flrr-t,n,Sprinklers
Total Sq. Ft of Construction:
-
Cost of Construction: S $978,905 Euilding Height:
lf valuc of construction is or more, , RECORDED Notice of Comnrencement as required.
- check al!f
So. Ft.
Utillties:I
of
Sewer
MORTGAGE COMPANY: _ Not Applicable
Name:
City: State:
Phone:zip
Address:
DESIGNER/ENGINEER:
-
Not Applicable
AddreSS: 1235 S.E. lndian St. Suite 103
Phone 772-2204601
Name:CSM - Engineering. LLC
zip : 34997
City State: Fl.: Stuart
_Not Applicable
Phone:
City:
zip:
Address
BONDING COMPANY:
Name
FEE SIMPLE TITLE HOTDER:
Name:
_ Not Applicable
dress
Phone
Ad
City
Zip:
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 Countv makes no representation that is granting a permit will authorize the permit holder to build.the subjqql structure
which conflicts with anv applicable Homeowners Association rules, bylaws or and coyenants that may restrict or prohlblt sucn
iirutiure. pliase consult with your Homeowners Association and ievlew your deed for any restrictions which may apply.
ln 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, slgns, screen rooms and accessory uses to another non-residential use
I}vu
RIIACOLI,|JO
MY COMMlssloN # llH 098710
EXPIRES: Junc 13' 2025
as applicable
Sworn te{or affirmed) and subscribed before me of
this 8ltay of i[,( A \il. <-\4, zo4bv
commission No. { {H CF }t ( 1
J^
FloridNotary
(9
1{Wysical Presence or
-
Online Notarization
Signature Contractor - or - Owner Bu
Type of
COUNTY OF
STATE OF
Name of person making statement.
/
Personally Known v OR Produced ldentification
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
REVIEWS FRONT
COUNTER
DATE
RECEIVED
DATE
COMPLETED
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
WARNING TO OWNER: Your failure to Record a Notice of Commencement may result ln paying
be recorded in the
twice for
to must records of St.
and rf intend consult