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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICAB INFO UST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: L SCANNED Permit Number: Planning and Development Services I zS?nS_� BY St. Lucie County Building Permit Application RE aQ6-�_ Building and Code Regulation Division MAY 2 ? 2015 1300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential ibrks PERMIT APPLICATION FOR:fe� PROPOSED Address: 10000 S Ocean Blvd , Jensen Beach, Florida Legal Description Property Tax ID #: Site Plan Name: _ Project Name: _ Setbacks Front_ DETAILED DES Back: Right Side: Left Side: ON OF WORK: Lot No. Block No. Balcony Deck repairs for units 301, 302, 303, 304, 305, 306, 307, 308, 309, 310, 311, 401, 402, 403, 404, 405, 405, 406, 407, 408, 409, 410 and 411 CONSTRUCTION INFORMATION: itiona wor to a erorme under tispermit—checka appy: 11HW E] Gas Tank Gas Piping _Shutters Q Windows/Doors 11 Electric 0 Plumbing[]Sprinklers( Sprinklers 0 Generator Roof Total Sq. Ft of Construction: !C�CJ 0 Cost of Construction: $ % ., p_�© Sq. Ft. of First Floor: _ Utilities: 11 Sewer Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name Miramar I Condominium Association Name: Elie Jouni Address: 10000 S Ocean Dr Company: Blue Coast Construction City: Jensen Beach o _ State: FL Zip Code: I i Fax: Phone No. 2 �Z� -- 3 O Address: 2587 SE Monroe St City: Stuart State: FL Zip Code: 33458 Fax: 772-287-5348 Phone No. 561-632-3529 E-Mail: Fill in fee simple Title Holder on next page (if different from the Owner listed above) E-Mail: bluecoastc@gmail.com State or County License: If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: _ Not Applicable Name: Florida Consulting Engineers MORTGAGE COMPANY: Not Applicable Name: Address: 134 NW 16th Street, Suite 1 Address: City: Boca Raton State: —EL Zip: 33432 Phone: 561-353-1152 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 commencine work or recordine vour Notice of Commencement. s _ Signature of Own5DA sse A Signature of Co actor/Lies STATE OF FLO STATE OF LOR COUNTY OF COUNTY OF The forgoing instrument was acknowledged fore me The forgoing instrument was acknowledged Wore me this .0day of 20 by thisc�dda�y of 20 JL_ by (Name of person ackno4Wledging ) (Name of person acknowledging J State of Florida ) Personally Known OR Produced Identification Type of Identification Produced �ao�toyau� • Commission No. (Seal) T of Notary Public- Stbte of Florida I Personally Known OR Produced Identification Type of Identification Produced No. (Seal) i 6nomPaPU09 ussyAie1ra}1eu0'1eNg6nOMPaPUo9 ••":':8'••, p uoisslM03 f 66ZCCl i1 p ualsslww00 ace �. Revised 07/15/2014 BIOZ OZ "a0 saudx3'wwo0 AW • : I BIOZ'OZ aa0 sandx3 wwo0 AW ,.•,�„ ,o alelS' ollgnd AMOK °%i:a•� W. ePPoli to MIS - a!Ignd 61eloN %' �o REVIEWS FRONT COUNTER y4Ntl9NItlN REVIEW V41S R ISOR REVIEW PLANS REVIEW VEGETATION REVIEW S L REVIEW MA G OVE REVIEW DATE COMPLETE Z / INITIALS