HomeMy WebLinkAboutBUILDING PERMIT APPLICATION4BLEi FO MU-BE_COMPLETE I ATlON TO BE ACCEPTED
25 / Permit Number.. W v /
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w� St. Lucie County
Building Permit Applica#ion
2300'ViirgtniaAjv0nW Fort P.ier[e FL 34992
Ph on e':i(77I2)4624553 Fav(772)462-1578 Commercial Residential
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BERM& APPLICATION FOR' To Select from dropbox, click arrow at the end of line
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PROPOSED•UVtP,ROVEIVIENT'LOCATION
Address: 5059 North A1A, Fort Pierce,: Florida 34949 iS
Legal Description BrynMawrOcean Towers -A Condominium comprising a part of N550ft;on sections 14 and 15
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towership'34 range 40 all MPD and shows in declaration of condominium or 447-840
Property Tax IID.#: 1 4 % -4- 0 _ 0 0 D o ' 99•y Lot No.
Site Plan 'Name: i Block No.
Setbacks, F�ojit Back: Right Side:. Left Side:
DETAILfD DESCRIPTION OF WORK,
Concrete restoration J A i � _ �0Z � �c��/, 30y, YOY, 503� G0/, 70Y, k03, 0Ll
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t.tllV3'I,KUI.;f,LIJ,N INrViCIVIHIlUIV
An�onalworiMo!ne errOrmen; unaer Lnis,permit—cneCK all apply: -
HVAC �,Gas.Tank El
Piping _.Shutters ❑-Nliniiows/Doors
Electric ❑ Plumbing ❑Sprinklers ❑Generator Roof
ToidSq. Ft of Construction: Sq: Ft. of First Floor:
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Cost ofEonstructionl $. 9,014 Utilities. Sewer ❑Septic Building Height:
OWNER/LES5Ef_
CONTRACTOR _ ' _
NameB'ryh MawrOce"an Towers Condominlum Association Inc.
Address•5059Nortli,MA
Name: Patdcla SBlaiar
'Company: Concrete RestoratlonserocespyUanielio&'Assoclatesllnc.
Address: 270aN: Australian, Ave., Ste9
City: ;Fort Pierce -''i I State: FL
Zip Code: 34949 I I 'Fax:' 772-569.4500
Phone No. 772 569-9853
West Palm' Beach Fl.
City: State:_
Zip Code: 33411 Fax: 5611=833-3573
Phone No. 561-8354788
E-Mail: Juliet@ellicttmer iq.com
Fill in fee simple Title�Holder,on next page ('if different
from the Owner listed above)
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E-Mail: lnfo@concreterepairing.net
State or County Licenser CGC1518181
If value of construction'is�$2500 or more, a RECORDED Notice of Commencement is required.
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SUPPpLEMENTALCOINSTRUCTION
LIEN.LAW INEORM`ATIN: O
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DESIGNER/ENGINEER :
Name• MLEng1manng Inc.n
Address:203037thAvepuv
City[.yorcReach II i
one:,.,772-5e042s7
_ Not Applicable
MORTGAGE COMPANY: _'Not Applicable
-Name:
I
;Address:
I State: R
City: Stated
Zip: Phone:.
FEE SIMPLE TITLE HOLDER:'
Name: i
Address::
City: . ,
Zip:y:Ph rie:
Not Applicable
BONDING COMPANY: _Not Applicable
Name:
Address:
City:
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Zip: Phone:.
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I certify that no work or �,hs al lati
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In consideration of thegranting of•thls requested permit, I do hereby agree that will, in all respects„perform the work
in: accordance with the appr4o4yed plans, the,Florida Building Codes and St..Lucie.County Amendments..
The following building;pe�W'S applications are exempt from undergoing a full concurrenty review: room addiflons,
accessory structures; swi ming pools; fences, walls; signs, screen rooms -and accessory uses to.another non-residential use
WARNING TO OWN ER:kYour failure"toliRecord,a,Notice of Commencement may fesultIn your paying twice for
improvements to your roperty. A_Notice of Commencement must be recorded and posted on thejobsite
before the first insp on. If. you intend•to obtain financing, consult with lender.or anattorney before
commencing WOfIG r ecordInk you r'Notice of Commencement:
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Signaiure of OvMer/ LelIsee/Ag nt
STATE OF FLORID r�
COUNTY OF
I` r�l a n t C I Ve_r_1/
the'for'Rin,ginstru en[Iwa�;acknowledgedbefateme
thisR"dayof._ 20.. _by
(5 65s
Personally Known OR Produced Identification _
Type of ldentif c4i •P oduced
Commission. No. 7? `�1, JULIE�►RRETT
COMMI SIGN#PF732752
Revised.07115/2014
60
STATE OF FLORIDA
COUNTY OF i Lt e T�
Th'e forgojng Instrummentwas acknoviledged before me
this od5s alyof. N)cam'y`T 20 lShy
Commission No:
MY CO�I�N 9 FF 174373
EXPIR ov Mber 5.2018
Bonded Tam Notary PubmUndena3e's
REVIEWS
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SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
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COUNTER
REVIEW
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REVIEW
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DATE
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INITIALS
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