HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: PermitNumber:
Piz- RECEIV70 JUL 0 8 ZN
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SCANNED
Building Permit Application BY
Planning and Development Services St. Lucie County
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce Fl. 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential
I PERMIT APPLICATION FOR: Other III
PROPOSED IMPROVEMENT LOCATION:
Address: 4250 N HIGHWAY AlA, FORT PIERCE, I'L 34949
Legal Description: OCEAN HARBOR NORTH BLDG
Property Tax ID #: 1423-501 -0000-000-0
Site Plan Name:
Project Name: OCEAN HARBOR CONDO NORTH BLDG
Setbacks Front Back: _ Right Side: Left Side:
Lot No.
Block No.
I DETAILED DESCRIPTION01' WORK: - I I III
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: 108, 208,308,801 AND 901. REPAIRS ARE TO LIMITED COMMON ELEMENT,4
AND ARE THE RESPONSIBILITY OF THE CONDO ASSOCIATION
CONSTRUCTION INFORMATION:
E1HVAC LJGasTank
11 Electric 1:1 Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ $50,000.00
Piping
Sprinklers 11 Generator
S Ft of First Floor:
Utifities'll Sewer [:]Se—ptic
[]Windows/Doors
11 Roof
Building Height:
OWNER/LESSEE:
Name OCEAN HARBOR CONDO ASSN, NORTH BLDG
Name: ROBERT F STARK
Address:.4250 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.
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SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION-
DESIGNER/ENGINEER: Not Applicable
Name: ML ENGINEERING INC
MORTGAGE COMPANY: Not Applicable
Name:
AddreSS:203037THAVE
Address:
City: VERO BEACH State: FIL
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.LucieCoun makes no representation that is granting a permit will authorize the ermit holder to build the subject structure
which is in coriWict with any applicable Home Owners Association rules, bylaws or an9covenants 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 recordinevour Notice of Commeneprnprit- �
— Signature
STATE OF ORIDA -
Fl. _T�Y41
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"I STATE OF FLORIDA,.;�..
COUNTYOF COUNTY OF
The f9r ing Instru ent was acknowledged
this 9 ZVI Vore me
_Lg! —day of _', �U� _� 20 411by
C:�L� e- Ro_"-s
(Na f knowledging)
IT N,4—
(Sign e of Notary Public -State of Florida
Personally Know
Type of Identifica
Commission No. .'.i
Revised 07/15/2014
OR Produced Identification
The forgoing instrument was cknowledged b fore me
this '7 4 day of �Tby
___F7 __ '
me 66O'Be"_1 -Sr
person acknowledging)
jk�l ���
(S-ignature of Notary Pubfic- State of Florida
Personally Known Produced Identification
Type of Identification Produced
hff COMMIS[S4Nlj#FF132752 Commission No.
EXPIRES September 28,2018
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