HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE C
Date:
0
Planning and DeveiopmentServices
Building and Code Regulation Divis.h
2300-Virginia Avenue,:Fort Pierce Ft
Phohe:'(7-72) 462-1553 Fax: (77
ED'FOR APPLICATION.TO BEACCEPTED L
' Permit Number: 02-
I
ilding Permit APplicati'on SCANNED
BY
St. Lucie County
Commercial Residential
PERMIT APPLICATION FOR, jTo Select -from dropbox, click arrow atthe:end'of line
5055 North Al A, Fort
Legal Description: 'ttryn Mawr
towership 34 range,40 all MPO
Property Tax 1D #:
Site Plan Name: .
Project Name: Bryn'MawrCor
Setbacks Front
D,ETAI
Concrete restoration
HVAC L_ Gals Tank
Electric I— 'm6ing
Total Sq. Ft of{onstruc
CostofConstruction: $
34949
550ft on sections14 and 15
in declaration of condominium or447-840
Lot No.
Block No.
Right Side: Left Side: -
11 1pz,2CqcJ,36LIJ410&'9;70y s63 Foy
Piping
=rs Lj Generator
S Ft: of First Floor: _
Utilities: Sewer DSeptic
11 Windows/Doors
ElRoof
Building. Height:
OWNER/LESSEE:.
CONTRACTOR:.
Name arynMawr Ocean Towers Condominium Association Inc.
Address• 5055 North AlA
Name: Patricia Salazar
Company Concrete Resmr ition Services by Daniell* B Assocla_tes, Inc.
Address: 270BN.:Australian Ave., Ste9
City; Fort Pierce ; State:Fl_
Zip Code: 34949 I'Fax:772-569-4360
Phone No.772-569-9853I
City: West Palm Beach State- Fl.
Zip Code;.33411 Fax:561-833-3573
Phone No. '561-835=4788
E-Mail:juiiet@etllottmerril,Lcom
Fill in fee simple -Title Hold�er'on next;page (if different
from the owner listed above)
r,
E-Mall: irifo@concreterepatr ng.net
State or County License: 'CGC1518181
If value of construction is $7500.or more, a RECORDED Notice of Commencement is required.
fit
SUPPLEMENTAL CO,NSTRUCTII IEN LAV11 INFORMATION:
-, _ ,
DESIGNER/ENGINEER:.
Name: 1k En8ineenn9lnc.
Address:263037mavenw
City: Veto Bend . . °
Zip:32BBa Phone:
I_I. Not Applicable,
I
'MORTGAGE COMPANY: _ Not Applicable
Name,..
9
li
Address:
Ili State: fl,
1r72569.1257
City: State: _
Zip: ,Phone:
FEE SIMPLETiTLEHOLDER:
Name:
Address:
city:__ J
Zip:: Phone:.(
t
I{i NotCApp'licable
d
BONDING=MPANY: _Not Applicable
Name:
I _'
Address;_
1'
..
city: _
li
Zip: _ Phone:
....... ......... ...
III
I
I certify that no'work
commenced pride to the issuance.of a permit:
In consideration of'the grantingloI requested'permit,.I do hereby agree that i will, In respects,, perform the_work
in accordance with the approved pians,,the Florida Building Codes andSt. Lucie County Amendments.
The followingbuilding permits plcations are exempt from undergoing a full concurrency Iroom additions,
accessorystructures;,swimmin � pools, fences, walls, signs; screen rooms and accessory uses to another non-residential use
WARNING TO OWNER: Yciu nfailure to Records -Notice of.Commencement may result in your, paying, twice for
improvementsto your property. A Notice of Commencement must be recorded and posted on the.jobsite
before thei first inspections If,.you intend to obtain financing, consult with lender or an attorney before
STATEQF.FLORIRA �i, 11fl 1
COUNTY'bF a Y�dt
The forgping Instil.finent.was,q'ckLiowledged,before me
Type
2018
Revised 07/:15/2014
STATE OF`-FLO ID ��_
COUNTY OF FLU l _L��c
The forginstru ent was ack-ngwledged'before me
this day of �i v 12110 1, 5,by
�IItC� f> kz 7, ((-`
Iommission:No,
:"ffate of -Florida y.
:0R:Producecl'ldentificati on
EXPIRES: No4embar 5, 2018
Bonded That Notary Publs Nndemr'Aers
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