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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: PermitNumber:
RECEI 0 JUL 0 8 2015
SCANNED
Building Permit Application BY
Planning and Development Services St. Lucie County
Building and Code Regulation Division
230D Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential
I PERMIT APPLICATION FOR: Other III
I PROPOSED IMPROVEMENT LOCATION: I III
Address: 4200 N HIGHWAY AIA, FORT PIERCE, FL 34949
Legal Description: c9e-- e-oqeV c:942_ 6--fc/7-7W
PropertyTaxID#: L.1No.
Site Plan Name: Block No.
-Project Name: OCEAN HARBOR CONDO SOUTH BLDG
Setbacks Front Back: _ Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
CONCRETE RESTORATION AS PER ENGINEERING SPECS. ESTIMATED QUANTIES ARE LISTED IN ENGINEERING SPECS.
MICHAEL A LUE FLA PE#47520 AND SPECIAL INSPECTOR #1061 HAS BEEN RETAINED BY THE CONDO ASSOCIATION AS
EVIDENCED BY THE ATTACHED ST LUCIE COUNTY APPLICATION FOR PRIVATE PROVIDER FOR INSPECTIONS. REPAIRS
WILL BE MADE ATION THE FOLLOWING UNITS: WS 309,1116 AND 1216. REPAIRS ARE TO LIMITED COMMON ELEMENTS
AND ARE1.81�'RESPONSIBILITY OF THE CONDO ASSOCIATION
I
CONSTRUCTION INFORMATION:-
HVAC LJ Gas Tank
Electric E] Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 30,000-00
Piping UShut-ters OWinclows/Doors;
nklers 1:1 Generator F]Roof
S Ft of First Floor:
Utilities'll Sewer OSeptic Building Height:
OWNER/LESSEE:
CONTRACTOR:
NameOCEAN HARBOR CONDO ASSN, SOUTH BLDG
Name: ROBERT F STARK
Address:4200 N HIGHWAY AlA
Company: STRUCTURE -CON LLC
City: FORT PIERCE State:FL
Zip Code: 34949 Fax:
Phone No. 772-569-9853
Address: 18343 NW 286TH ST
City: OKEECHOBEE State: FL
Zip Code: 34972 Fax.
Phone No. 772-215-8631
E-Mail:
Fill In fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail: STRUCTURCON@AOL.COM
State or County License: CGC 061033
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
X1
SUPPLEMENTAL CONSTRILI.ICTION LIEN LAW INFORMATION:
DESIGN ER/ENGINEER: Not Applicable
Name: ML ENGINEERING INC
MORTGAGE COMPANY: Not Applicable
Name:
Address: 2030 377H AVE
Address:
City: VERO BEACH State: FL
Zip: 32960 Phone: 772-569-4041 —
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 ermit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or ang 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 orney before
commencing work or reebrdina vour Notice of Commencement.
— Signature
STATE OF FLORIDA7T STATE OF FLORID
COUNTY OF COUNTY OF %ka�;4-
The f ing instrumVpt)Nas acknowledgel before me
I
this 271 y of �J U,1 k%—by
Gexe
(Name of person acknowledging)
(� ')_� (blx�
(Slgnatur�otary Public- State of Florida I
Personally Known �/ OR Produced Identification
-Type of Identification Pro cpd
JULIE A BARRETT
Commission No.1 z"� 4 Z-1 P w PnMMISLI550IFF132752
EXPIRES September 28, 2018
Revised
The f ing instrume t wa acknowledged before me
this 73day oi 20 /-5 by
ROBERTSTARK
(Name of person acknowledging)
(Signature of Notary Publi& State of Florida
Personally Known L— �®R Produced Identification
Type of Identification Produced
Commission No. PN'
AVAI (le
46ERA Lmm
MY COMMISSION# FF 0145M
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