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Home My WebLink AboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED �� Date: - Permit Number: (� �` 0 61 wECEWED -- _--- � -- - 17 Building Permit Application JUN 3 0 20 Planning and Development Services SCANNED Building and Code Regulation Division BY 2300 Virginia Avenue, Fort Pierce FL 34982 St. Lucie County Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line Ili PROPOSED IMPROVEMENT LOCATION: III Address: 9800 S Ocean Drive, Jensen Beach, FI 34957 Legal Description: Hutchinson Island Beach Club, AKA The Island Beach Club Condominium Property Tax ID #: 4502-504-0001-000-0 Site Plan Name: Project Name: Setbacks Front Back: DETAILED DESCRIPTION OF WORK: Right Side: Left Side: Lot No. Block No. Concrete Restoration - Units -108, SW ENTRY, Units 409-IT5, 209-216, 309-316, 400415, 4th Floor Electrical Room, South Elevation, North Elevation and the West Elevation 09-113 CONSTRUCTION INFORMATION: �tt1iona workto Me orme under tispermit—checka appil HVAC LJ Gas Tank ❑Gas Piping _ Shutters ❑Windows/Doors ❑ ❑ Electric ❑ Plumbing ❑Sprinklers ❑ Generator ❑ Roof ❑ Roof pitch Total Sq. Ft of Construction: / S Ft. of First Floor: Cost of Construction: $ 3 %9, .2% J pf5 Utilities: Sewer ❑Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name Hutchinson Island Beach Club Name: Michael Roberts Address:9800 S. Ocean Drive City: Jensen Beach State:FI Zip Code: 34957 Fax: Phone No.772-229-9317 Company: Special Forces Restoration and Construction Address: 1235 NE Dixie Highway City: Jensen Beach State:FI Zip Code: 34957 Fax: Phone No. 772-763-9006 E-Mail: Fill in fee simple Title Holder on next page (if different from the Owner listed above) E-Mail: fgspencer69@bellsouth.net State or County License: CGC 059083. If value of construction Is $2500 or more, a RECORDED Notice of Commencement is required. ALIPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: _ Not Applicable Name: n6Z&OZI ' MORTGAGE COMPANY: _ Not Applicable Name: Address: 2 0 '&( 60 Address: City: State: fL Zip: 3�1/ '� Phone: ?-;;1A • IV, a o — Gg/ City: State: Zip: Phone: FEE SIMPLE TITLE HOLDER: _ Not Applicable Name: BONDING COMPANY: _Not Applicable Name: Address: Address: City: City: Zip: Phone: Zip: Phone: 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 jobsite before the first inspection. If you intend to obtain financing, consult with lender or an attorney before commencing work or recording your Notice of Commencement. STATE OF FLORIDA / STATE OF FLO COUNTY OF � ! .Iwo I '` COUNTY OF S�Kh;q The forgoing instrument was acknowledged before me The r oing inst nt was acknowledged before me this 30 day of T rl e , 20 12by thi � day of �J 20 /—Z by P004f,�R7- 6-7,49EL MiN-YUe( 9,ohbC4-7s (Name of person acknowledging) (Name of person acknowledging ) (Signatur/of Vfary Pubt c State of Florida) (Signature of Notary Public -State of Florida ) Personally Known ""' ProduNAgy4entifeliLiNn Personall €� yff0 hRntific ion Type of Identificat tl, °d Notar Public - State of Florida Type of I a' My Comm. ExpUes Jan20, 2019 v? My Comm. Expires Jul 22, 2017 Commission No. Qomisgyg�)FF 163621 Commissi ri:, o= commission # FF 03(4 Nl) Bonded Through National Notary Assn. Revised 07/15/2014 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REV W REVIEW REVIEW REVIEW DATE +� COMPLETE INITIALS -y ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED t Date: 6-12'*918__ / • )'9.1 y$6• /l Permit Number: I2 - 6) Le leA • OC B& rngPermit ApplicationLIFECEIVED Planning and Development Services Building and Code Regulation Division 7qI5*mW__ UN 18 2018 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 'Fax: (772) 462-1578 Commercial x PERMIT APPLICATION FOR: Other L St. Lucie County, FL I III Address: 9800 S OCEAN DRIVE JENSEN BEACH, FL 34957 Legal Description: HUTCHINSON ISLAND BEACH RESORT BY St. Lucie County Property Tax ID #: 45025040000000 Lot No. Site Plan Name: Project Name: Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK: Block No. THIS PERMIT APP IS SUBMITTED FOR THE PURPOSE OF CHANGE OF CONTRACTOR. ORIGINAL PERMIT IS 1706-0661. COPY OF ORIGINAL PERMIT ATTACHED. CONSTRUCTION INFORMATION: III DHVAC D Gas Tank 11 Electric 0 Plumbing Total Sq. Ft of Construction: Cost of Construction: $ 259,000.00 Piping I-i Shutters 0 Windows/Doors nklers 0 Generator Roof 0 Roof pitch _ - S'c Ft. of First Floor: Utilities* SewerOSeptic Building Height: OWNER/LESSEE: CONTRACTOR: Name HUTCHINSON ISLAND BEACH RESORT Name: LUIS F LIBREROS Address: 9800 S OCEAN DRIVE Company: RESTORATION BY GOLDEN CONSTRUCTION Address: 5877 LAS COLINAS CIRCLE City: JENSEN BEACH State: FL Zip Code: 34957 Fax: Phone No.772-349-2136 City: LAKE WORTH State: FL Zip Code: 33463 Fax: Phone No. 561-827-7148 E-Mail: Fill in fee simple Title Holder an next page (if different from the Owner listed above) E-Mail: GUIULIANO.GOLDENCONST@GMAIL.COM State or County License: CGC 1610734 If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: III DESIGNER/ENGINEER: X Not Applicable MORTGAGE COMPANY: x Not Applicable Name: CSMENGINEERING Name: Address: 208 SW OCEAN eLVD Address: City: START State: FL City: State: Zip: 34994 Phone: 772-220-4601 Zip: Phone: FEE SIMPLE TITLE HOLDER: Name: Address: City: Zip: Phone: _ X Not Applicable BONDING COMPANY: X Not Applicable Name' _ Address: Zip: Phone: 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 jobsite before the first inspection. If you intend to obtain financing, consult with lender or an attorney before commencine work or recordine vour Notice of Commencement. Signature of Owner/Less a/Contractor as Agent for Owner — STATE OF FLORIDA / STATE OF FL COUNTY OF ST �f�� COUNTY OF. The forgoing instrument was acknowledged before me this 1A day of 20 L'?-by (Name of person acknowledging) 17i e The forgoing instrument was acknowledged before me this //_uZday of // 20 J?' by (Name of p rson acknowledging) i (Signatu of Vary Public- S to of Florida ) Personally Known ✓ OR Produced Identification Personally Known OR Produced Identification Type of Identification Produced Type of Identification Produced Commission No. t °�e•o, (SE94RY E RICHETELU ommission No. - Notary Public - State o1 Florida°Jas MAAY E RICHETELLI Cpmmisslon N FF 163621 My Comm. Exp1fe5 Jan:2Q, 2019 Revised 07/15/2014 ( ';;Y, "R?' Cgmmissiaii'6 FF 163621 i REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS