HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONe�
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION T6 BE ACCEPTED -6 q6I
Date: SCANNIED Permit Number:
BY
St. Lucie County
Building Permit Application
Planning and Development Services opt,
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
I PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line III
Address: 584ff-ocean Palms Drive (AlA N. Hutchinson island) tfeU L� (f) O&W-A.) /-�4/1/ 6 4)4�
Legal Description: F-P 8q'7L1'7
Property Tax ID M-1414-231l'-�- 004-8,1414-310-0001-0003
Site Plan Name: Ocean Palms Condominiums
Prniprt Nnmp- Ocean Palms Condominiums
Setbacks Front Back: Right Side: Left Side:
Lot No.
Block No.
On Site - Tied Down - Sales Trailer for Project 12x52 with parking and access HC ramp & steps.
Site Drawing Attached:
L.1 Gas Tank L_JGas Piping
1:1 Plumbing OSprinklers
Total Sq. Ft of Construction: 624
Cost of Construction:$ 1935
11 1
Shutters []Windows/Doors
Generator 11 Roof
S Ft of First Floor: 624
Utilities'12 SewerE]Septic Building Height: 10,
XOU �RA
Name ODI, LLC
Name: Todd M Smith
Address: 6105 Transit Ave
Company: Todd M. Smith, Inc.
City: East Amherst State: NY
Zip Code: 14051 Fax: 716-639-0398
Phone No. 716-639-0396
Address: 4710 Lark Ridge PL
City: Sarasota State: FL
Zip Code: 34233 Fax: NIA
Phone No. 941-376-7600
E-Mail: rcrdi98@aol.com
Fill in fee simple'ritle Holderon next page (if different
from the Owner listed above)
E-Mail: tmsmithgc@verizon.net
State or County License: CGGG61134 & SLC 23749
1 1
If value of construction Is $2500 or more, a RECORDED Notice of Commencement is required.
001(0,70
Name: xreqmm-G�e&�
AddreSS:MR.yZIP.1m�*iUl
City. VemDea� State: FL
zip: moo Phone: rm5emsos
FEE SIMPLE TITLE HOLDER:
Name:
Address:
CltV:
Zip: Phone:
x NotApplicable
MORTGAGE COMPANY: X NotApplicable
Name:
Address:
City: State:
Zip: _ Phone:
BONDING COMPANY: x NotApplicable
Name:
Address:
city.-
Zip:_Phonez
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 co ilict 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 agre� 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, consuit with lender or an attorney before
:ih
Signature of owne-rrtmee/Agent
STATE OF FLOVDA - _Rx�
COUNTY OF ' 4 Ir
The f ing instru t acknowledged before me
this0day of 20 L�Cby
'D oi'�N Lc\, -� ri I_aki-
(Name of person acknowledging
[Signaitur6 of NOIRff ublic- State of Florida I
PersonallyKnown X OR Produced Identification
Type of Identification Produced
KELLY S. GUO
15� r
Commission No. IN ilkall W COMUSSION # FF
Revised 07/15/2014
STATE OF FLORTaAZLA
COUNTY OF '_
Thef rgoingin t was a kn owledged b fore me
i
this 33 Jday of 2C 7by
-�)Oddm' wu-tA-
(Name of person acknowledging I
PecsoRaIlrKnoww— OR Produced Ide 'tifi tion V.1�
"Identification Produced FL-bMa
Commissiom; EE 170893
REVIEWS
FRONT
I
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS
4� , k ! 0
DESIGNER/ENGINEER: x NotApplicable
Name: mghtm�&�w
Address:a0R0y.1P.h—NQ1
city: V.. B�.w State: R
zip: MRSO Phone: m-5-6sm
FEE SIMPLE TITLE HOLDER: x NotApplicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY:
Name:
X Not Applicable
Address:
City:
Zip: _ Phone:
-State:
BONDING COMPANY:
Name:
x NotApplicable
Address:
City:
Zip: _ Phone:
I certify that no work or Installation has commenced priorto 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 conWict with any applicable Home Owners Association rules, bylaws or anscovenants that may restrict or prohibit such
structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
Inconsideration of the granting of this requested permit, I do hereby agre� 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 usesto 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
- Signature of Owner/ Lessee/Agent
STATE OF FLORIDA
COUNTYOF
The forgoing instrument was acknowledged before me
this _ day of 20 _-Jiy
(Name of person acknowledging)
STATE OF FLORIK,
COUNTYOF _/l_6Le:J
The forpoinginst t was a Im owleclg
d b fore me
Zy
this J_� day of IT,
20
-I'- , .41 '/ ia r '_ -
(Signature of Notary Public- State of Florida I n - 'e ol N8tarV l5ublic�siaigo�Ftorlda
Personally Known OR Produced Identification PersGAaRrXTrc;wn— OR Produced Identification vl_�
Type of Identification Produced Type of Identification Produced FL-p 15J
Commission No. (Sea[) I Commission
170893
Revised 07/15/2014
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS