HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: SCANNED Permit Number: ] Co Otn - 009 1
BY
;` _� .. -A.,St. Lucie County FISCS10
Building Permit Application MAY,®2, 2016
Planning and Development Services
Building and Code Regulation Division MtT JI4G
2300 Virginia Avenue, Fort Pierce FL 34982 Luc a Coin' Ft.
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residentig-
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line III
I PROPOSED IMPROVEMENT LOCATION: I III
Address: 5059 North Hwy AIA, Ft Pierce, FL 34949
Legal Description: Bryn Mawr Ocean Towers -A condominium comprising a part of North 550ft on sections 14 and ,15
towers -ship 34 range 40 all MPD and shows in declaration of condominium or 447-840
Property Tax ID q: Lot No.
Site Plan Name: Block No.
Project Name: Bryn Mawr Condominium
Setbacks Front Back: Right Side: Left Side: _
DETAILED DESCRIPTION OF WORK: I III
Concrete Restoration S d G so r T Ycr Sp -,!/
�_0 0 I Ce, 1,"X5 5,0, //
CONSTRUCTION INFORMATION:
Adcutional work to be nertormed under ts.permit—check a apply;
EjHVAC Gas Tank Gas Piping _Shutters F-] Windows/Doors
11 Electric Plumbing 05prinklers 11Generator 03 Roof
Total Sq. Ft of Construction: _
Cost of Construction: $ 2,652.00
S Ft. of First Floor:
Uti lities:0 Sewer 1:1 Septic
Building Height:
OWNER/LESSEE:
'CONTRACTOR:
Name Bryn Mawr Ocean Towers Association INC
Name: Patricia. Salazar
Address: 5059 North AlA
Company: CDnaeleRestoration Service byDanielloand Association, INC
Address: 2708 N Australian Avenue
City: Fort Pierce State:FL
Zip Code: 34949 Fax: 772 569 4300
Phone No. 772 569"9853
City: West Palm Beach State: FL
Zip Code: 3?407 Fax: 561 833 3573
Phone No. 561 8354788
E-Mail:juliet@elliotmernll.com
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail: lnfo@concreterepairing.net
State or County License: CGC 1518181
n vague of conbLTULUon 15 P4ouu or more, a. I(MUNUCU imorice or
nencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable
Name: MLEn9inee 9114C
MORTGAGE COMPANY: _ Not Applicable
Name:
Address: 2030371n Avenue
Address:
City: V—'Bears State: FL
Zip: 32980 Phone: T725691257
City: - State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable
Name:
BONDING COMPANY: Not Applicable
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
I certify that no work or installation has commenced prior to the Issuance of a permit.
St. Lune countY.maxes no representation that is,granting a.permit will authorize. the permit bolder to.build.the subject structure
which is in contiict 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 first inspprtion. If you intend to obtain financing, consult with lender or an attorney before
STATE OF FLORIDA i� 11 STATE OF FLORIDA&. O
COUNTY OF t aT ft.t �/`2� COUNTY OF
The f r rl�g instr ent was acknowle_dg44��d before me The forgoing instrument was acknowledged before me
this day of 20/ (O by this J day of • a q 20 (� by
(Na—memo person acknowledging (Name of person acknowledgin¢.l
J
(Signat re Notary Public -State of Florida) - - -- (Signature of NdtYry Public - State rida )
.Personally Know - Personally Knowr,4<�,g &Fibdiic lf8enbficatro'
Type ofidentiflc )8ktcedJUL1E A BAR Type of Identification i*{ucedpfl�AGOPALAKRISH4A'�
My COMMISSION #FF732752{=r Al MitU�Gv ilS�l'SG"4 t?'3,.
Commission No + .. t EXPIRES: November 5 2919
r0*'1' Commission No "� - °. nnn rnN NofaryPu(5eal)u,r:,'�
IRES Siber 26, 2016 � e
(407)398-01M Floridanciarvsarviro
Revised 07/15/2014
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