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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: lot il' \5 Permit Number: �Sm-o19G
RECEI'."70 DEC 112M
Building Permit Application 6GANNED
Planning and Development Services BY
Building and Code Regulation Division �t LUCI@ (',OUilt y
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line Cat+. auhcia
PROPOSED IMPROVEMENT LOCATION:
Address: 5055 North A1A, Fort Pierce, Florida 34949
Legal Description: Bryn Mawr Ocean Towers- A Condominium comprising a part of N 550ft on sections 14 and 15
towership 34 range 40 all MPD and shows in declaration of condominium or 447-840
Property Tax l D #: l y j" t'° O 0 00 d —q q 9' 9 Lot No.
Site Plan Name: Block No.
Project Name: Bryn Mawr Condominium
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Concrete restoration? (61 cei (r^s sus 1 / �s lec�9 +r P �'«��^ r 54rcc���
ft/ '\ �`
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CONSTRUCTION INFORMATION:
A010monalworktobf]rtormed under this permit— check a app y:
IJHVAC Gas Tank ❑Gas Piping
_Shutters Windows/Doors
11 Electric 0 Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: S Ft. of First Floor:
Ft
Cost of Construction: $ 6,347 Utilities* OSeptic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Bryn Mawr Ocean Towers Condominium Association Inc.
Name: Patricia Salazar
Address' 5055 North A1A
Company: Conaete Restoration Services by Daniello & Associates, Inc.
Address: 2708 N. Australian Ave., Ste9
City: Fort Pierce State: Fl•
City: West Palm Beach State: Fl_
Zip Code: 34949 Fax: 772-569-4300
Phone No. 772569-9853
Zip Code: 33411 Fax. 561-833-3573
Phone No. 561-835-4788
E-Mail:juliet@elliottmenill.com
Fill in fee simple Title Holder on next page (if different
E-Mail: info@concreterepairing.net
State or County License: CGC1518181
from the Owner listed above)
If value of construction is $2500 or more, a RECORDED Notice of commencement is required.
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WOPLEMENTALCONSTIRLICTION.LIEN LAW INFORMATION:•
DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: _ Not Applicable
Name: ML Engineering Inc. Name:
Address: 2030 37Ih Avenue Address:
City: Vero aeach State: Fl- City: State:
Zip: 32960 Phone: 772s09-1257 Zip: Phone:
FEE SIMPLE TITLEHOLDER: _ Not Applicable I BONDING COMPANY: _Not Applicable
Name:
Address:
City:
Zip: Phone:
Name: _
Address:
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 permit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or and 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 a fiyst�ins . If you intend to obtain financing, consult with lender or an attorney before
com enci o orsec rdin¢ your Notice of Commencement.
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STATE OF FLORI DA V `` . IW
STATE OF FLOA
COUNTY Or—r �p L LL_ � F-t� '/` COUNTY OF- :(A I t ( I �Ia ,n , U -
The for instrument was a knowledged before me
this E day of iP 20 Lby'
Personally
Type of Idt
Commission
Revised 07/15/2014
Theforlping instrument was acknowledged before me
this ,Z dayofnpAcrrr&eJL .20 /Sby
(Name
to of Florida I (Signature o Notary Public- Sta(e�of Florida I
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Commission No. ?a: ° Bontl ThulotaryP J
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