HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: SCANNED Permit Number: ���c� ' 04-7
_ BY
St. Lucie County
Building Permit Application RECEIVED
Planning and Development Services
Building and Code Regulation Division JAN 2 6 2016
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
PROPOSED IMPROVEMENT LOCATION:
Address: 5059 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 ID #: Lot No.
Site Plan Name: Block No.
Project Name: Bryn Mawr Condominium
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:.
Co�Icf��to restoration; tZ , L
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CONSTRUCTION INFORMATION:
rtlona wor to e erformed un ert isperml checkall
Mappy:
I_1HW Gas Tank [:]Gas Piping _ Shutters ❑ Windows/Doors
11 Electric 0 Plumbing []Sprinklers Generator Roof
Total Sq. Ft of Construction: Sct. of First Floor:
Cost of Construction: $ 9,014 Utilities- OSeptic Building Height:
OWN ER/LESSEE:
CONTRACTOR:
Name Bryn Mawr Ocean Towers Condominium Association Inc.
Name: Patricia Salazar
Company: concrete Restoration Services by Daniello 8 Associates, Inc.
Address: 2708 N. Australian Ave., Ste9
Address: 5059 North Al
City: Fort Pierce State: Fl_
City: West Palm Beach State. FI_
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@ellioftmerrill.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 $2500 or more; a RECORDED Notice of Commencement Is required.
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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: ��1 �1 1 \ PermitNumber: N 51ar 0N91
RECE)!'7D DEC 112015 SCHNNtt
Building Permit Application St Lucie rmint
Planning and Development Services
Building and Code Regulation Division J
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line R oJai-• a
PROPOSED IMPROVEMENT LOCATION:
Address: 5059 North A1A, Fort Pierce, Florida 34949
Legal Description: Bryn Mawr Ocean Towers- A Condominium comprising a part of N 550ft on sections 14 and 15
towership 34 range 40 all MPD and shows in declaration of condominium or 447-840
Property Tax lD #: I y II 9—Go % , 60 c— qg 0, - 9 Lot No.
Site Plan Name: Block No.
Project Name: Bryn Mawr Condominium
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Concrete restoration U `%ij cor) / p I l; ng I (sec cow t:n9 i w I a
Ccrlur.n re/or-lr 1401 POJI '5 "
C \ SO$- d'1ClG
CONSTRUCTION INFORMATION:
itiona wor to e errormea un ert ispermit-check a appy:
13HVAC Gas Tank ❑Gas Piping Shutters ❑ Windows/Doors
_
EElectric 0 Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction: $ 9,014 UtilitiesSewer 0Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Bryn Mawr Ocean Towers Condominium Association Inc.
Name: Patricia Salazar
Company' Concrete Restoration Services by Daniello 8 Associates, Inc.
Address: 2708 N. Australian Ave., Ste9
Address:5059 North A1A
City: Fort Pierce State: FI_
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@elliottmerrill.com
Fill in fee simple Title Holder on next page (if different
E-Mail: info@concreterepaidng.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.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
Name: MLEngineeringim
Address: zoo 37fh Avenue
City:yemBeach State: n.
Zip: 32960 Phone: riassg-+zsi
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY:
Name:
Address:
Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
_Not Applicable
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 the fir 'nspe0ig.�If you intend to obtain financing, consult with lender Oran attorney before
of
STATE OF FLO�R,�J�A STATE OF FLORIDA.
COUNTY OF I taL t t� �� `� COUNTY OF ' t'a Lv t. --
The foe * instrument was acknowledged before me
this f L tlay of�>y_c s-w 'S,L, . 20 l stry
Revised 07/15/2014
The for g instrument was acknowledged before me
this: i y of �f- W �&jZ 20 ( by
(Name ciperson acknowledging)
J n� K�'
(Signature ofiNotary Public- State of Florida
1
Personally Known ..�;�."eiaQR P",,.'�fi�IS'IC�q#HNfpjpn
Type of Identificati e . Ut�d MY CO , � I
YP EY.RI°GG' November 5 Z�
'�•:�csziaa
tl
1�o'l'� Banded Thou NofaN PuN�Ueelwnxro�
Commission No. StT5 "
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