HomeMy WebLinkAboutBUILDING PERMIT APPLICATION�11'APPUCABLEINFO MUSTBEOOMPLL. FORAPRkA110NTOBEAcm7rED
Date: Aa-1 15 Permit Number: ba 3-O S t
L REEEV7DH27295 SCANNED
BY
Building Permit Application St. LucieCounn
Planning and Development Services
Building and Cbde FLgulaticn Division
2300 Virginia Avenue, Fort Fierce R-34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Cbmmercial xx Fbsidential
PERA ITAPPLICATION FOR To Select from dropbox, click arrow at the end of line
PF t M PMVEM BVT L".00 MN:
Address: 200 N. EL MAR DRIVE JENSEN BEACH, FL 34957
Legal Description: BEACH CLUB COLONY CONDOMINIUM
PropertyTaxlD#: 4511-512-0000-0003 PROJECT
Ste Ran Name:
Project Name: BUILDING A
Setbacks Front Back: Flight Sde: _
REPLACE 2 EXISTING DOORS - EXTIOR
OONSr, , JCTION I-NFOFN1ATION:
LJ HVAC I l Gas Tank
0 Bectric 0 Plumbing
Total 3f. R of Construction:
Cost of Construction: $ 1500.00
Left Sde:
Rping L = Scatters
nklers ❑ Generator
R. of First Floor:_
Utilities: _S:wer El rptic
Lot No.
Block No.
aWindows/ Doors
0 Roof
Building Height:
OWNB:V Lam`
Q NTRACTOR -
Name BEACH CLUB COLONY CONDOMINIUM
Name: GREG MORABITO
Address: 200 N EL MAR DRIVE
Company: GM CONSTRUCTION
Cty: JENSEN BEACH gate:FL
ZpOode: 34957 Fax:
Phone No.
Address: 313 N. ALBANY AVE
aty: STUART Sate: FL
Zip Code: 34994 Fax:
Phone No. 7 7 2 - 7 8 1 - 8 5 0 0
E-Mail:
RI in fee simple Title Holder on next page ( if different
fromtheONner listed above)
E-Mail:
3ateorCounty License: CGCO4973 IR9111Z
If value of construction is $2500 or more, a Hff:UFU® Notice of mmencement is required.
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LAW INFOROAMM
Ut:NUNL f t:NUNttC-t
_Not Appl1cab] e
MORTGAGECDMPANY: _Not Applicable
Name:
Name:
Address:
Address:
My:
Rate:
Oty: Rate:
Zlp: Phone:
Zip: Phone:
FEES M PLETTLE HOLDER
_Not Applicable
BONDING OOMPANY: _Not Applicable
Name:
Name:
Address:
Address:
Oty:
CRY:
Zip: Phone:
Zp: Phone:
I certify that no work or installation has commenced prior tothe issuance of apermit.
U. Lucie mount makes no representation that is Wanting apermit will authorizethe permit holder to build the sub'ect sih�lp[ure
which isin con ict with any applicable Home ONrsAssociation rules, bylawsor an�Covenantsthat may restrict ar ro i it such
structure. Rease consult with your Home Owners Association and review your deed for any restrictionswhich may Wply.
In consideration of the granting of thisrequested permit, I do hereby agree that I will, in all respects, perform the work
in accordance with the approved plans, the Rorida6ui[ding Codes and a. Lude County Amendments.
The following building permit applications are exempt from undergoing afull concurrency review: room additions,
accessory structures, swimming pools, fences, walls, signs, screen roomsand accessory uses to another non-residential use
WAFNINGTOOWNB:t Your failureto Record a Noticeof Cbmmencement may result in your payingtwicefor
improvementsto your property. A Noticeof Commencement must be recorded and posted on thejobsite
before thefirst jr spection. If you intend to obtain financing, consult with lender or an attorney before
_Sgnature of Owner/ Lessee/Agent
STATE OF FLORI DA STATE OF FLOW DA
ODUNTYOF t'Ucp&, 11 OOUNTYOFLY1c�.1(�
The fgg{{��Ing instrument w�s acknowledged before me
this d-ldayof - /� , 20 )5-by
(Name o son acknowledging )
On )j A, d , lr�!) cu-/-:>
gnature of Notary Public- State of Rorida)
The forgoing instrument was acknowledged before me
this2a dayof (�\A-CC.VI 20 (` by
C -i- � mo(CJ0 -"j
(Name of per4on acknowledging)
1-)A Lft a _ Q a-�
of Notary Public -
Personally Known KORProduced Identification Personally Knownk—L— OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No.T�11-A (Seal) mmission No. Z21I'i7 (S)al)
roM DANAA. EVANS
y� i •1 MY COMMISSION #FF122147 ,RII
j 1 t
Revised 07/15/2014EXPIRES1'F MYCOMMiSSION#FF722147
'�oJune 12, 201 EXPIRES June 12. 2018
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