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Home My WebLink AboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLEi ev FOR APPLICATION TO BE ACCEPTED O �� Date: SCANNED Permit Number: BY St. Lucie County Building Permit Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential PERMIT APPLICATION FOR: Legal D- . • _ u Property Tax ID#: rJd - XG- 0000-0co-2 Lot No. Site Plan Name: Project Name: Setbacks Front Back:: ?AMC Right Side: Left Side: 40 (- -12a9 0at- Block No. -G09 70f-709 80! 1-15-09 Mechanical ,Gas Tank _Gas Piping _Shutters —Windows/Doors Electric _ Plumbing -_Sprinklers Total Sq. Ft of Construction: t:ost of Construction: $ 3 "91-1 I5 — Generator _ Roof Sq. Ft. of First Floor: Utilities: _Sewer _Septic Building Height: Address: City: State: �L Zip Code:'Z-!1-2ct Fax: phone No. E-Mail: Fill in fee simple Title Holder on next page (if different from the Owner listed above) City: L41a2 Pai r k `_ State: rt- 2ipCode: `S"0340M _ Fax: %(''75-(`ro Phone Not - -144 'tg4o E-Mail State or CountyUcensesl�� ISfQre27 _ construction is 2500 or more, a RECORDED Notice of Commencement RRCEI'.' -0 A10 012016 DESIGNER/ENGINEER: Name: �)I AA W\-&a — Not Applicable MORTGAGE COMPANY: ?!t Not Applicable Name: Address: Address:l2a IV &doncd City: Zip: Za4G6 Phone R..7 �f+ , 65 State: j✓L _ f=� FS- . q( City: State: Zip: Phone: FEE SIMPLE TITLEHOLDER: Name: -:g� Not Applicable BONDING COMPANY: ___,Not Applicable Name: Address: Address: City: City: Zip: Phone: zip: Phone: OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated. 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 ermit holder to build the subject structure which is in conflict with any applicable Home Owners Association rules, bylaws or an�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 inspection. If you intend to obtain financing, consult with lender or an attorney before �mninn mine,.,nrIe nr rornrriinv vnnr Nntira of Cnmmencement. YVI • //LL// /J ,{ (�/yam/� /�/ � dz ll / J /iL / /�� •� lk (, irCl Signature of Owner/ Lessee/Contractor as ent for Owner Signature ofContractor/License Roldee STATE OF FLORI STATE OF FLORIDA COUNTY OF '!C'.LLi COUNTY OFF f The forggIng instru ent was acknowledged before me this Mp day of� � 20y& by The for oing instrur nt was acknowledged before me this is -day of Fit t '" . 204b by , 0l�lnl�s �� - •tea � � (Name of person acknowledging) (Name of person acknowledging,, f &&-qg (Signature of Notary Public- Stateeof Flori a) (Signature of Notary Public- State of rida ) Per,�aRvxnnwn OR Produced Identification Personally Known O pe o Itlenti Ic tam:' •,, EF iKA RgNEE FORSYTH Type of Identifl Produced � '��' '�� ERIKA RENEE FORSYTHE Produced '� pp�stoN>a FF235aao " sCOMMISSION FF235640 • CommisionNo * RES M Ikelo °�a�gxPIRES Ma 28. 2078 Commission No. �,K,wnw WQ/17YP.A-:q Fq,rraNaioM1SMncn car " REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE _ COMPLETED ev. ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED ��LO _ p3�% �j SCANNED Permit Number. Date: BY St. Lucie County Building Permit Application Planning and Development Services Building: and Code Regulation Division 230DtrirginiaAvenue, Fort Pierce FL34982 Residential Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial PERMIT APPLICATION FOR: To Select from droptlox, click arrow at the end of line PROPOSED IMPROVEMENT•LOCATION: Address: 9600 S. Ocean Dr. Jensen Beach, FL 34957 Legal Description: The Empress Condominium Property Tax ID tt: Lot No. Site Plan Name: Block No:, Project Name: Setbacks Front Back: ?- Right Side: Left Side: F DETAILED DESCRIPTION OF WORK t , Concrete Restoration (J 10 �� lv `+ utr e4J Spa f(s) C Cc k sp< l (r S kv*r retd_vz� , CONSTRUCTION INFORMATION: Additional wor to e e orme under t—checkispermit a apply: OH VAC Die Tank EIGasPiping _Shutters Windows/Doors DElectric D;Plumbing []Sprinklers Generator Roof Total Sq. Ft of Co ction: Sq. Ft. of First Floor: _ - Cost ofC6h`s3ruiftion: $ : t7� Utilities: 11, SewerI ISeptic Budding Height-. OWNER/LESSEE: . CONTRACTOR: - .Name The Empress Condominium Name: Daniello & Associates Address: 9600 S. Ocean Dr. Company: Daniello & Associates City: Jensen Beach State:FL Zip Code: 34957 Fax: Phone No. 561-835 4788 Address: 2708N. Australian Ave. City: West Palm Beach State: FL Zip Code- 33407 - fax: Phone No. 561835 47 88 E-Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) E-Mail: info@concteterepairing .net State or County License: CGC 1518181 If value of construction -is-$2500 or more, a RECORDED Notice of Commencement is required. utwulVttt/Crow MCCn: _NOT xppucaoie MORTGAGE:COMPANY: :Not Applicable Name: eimkerenairreerina end Canseualon services Name: WA _ Address: 120NFederelli 4Sute305 Address: City:.LakeState: F< I City: Stater Zip: a34so Phone: 5612n9263 I Zip: Phone: FEE SIMPLE TITLE HOLDER: _Not Applicable Name: NA Address: City: Zip: Phone: BONDING COMPANY: Name: wA Address: Zip: Phone: I certify that no work or installation has commenced'priorto the Issuance of a permit _Not Inconsideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments. The following building permit applications are exempt from undergoing a'full concurrency review: room additions, accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use WARNING TO OWNER:'Yourfailure to Record a Notice of Commencement may result in your paying twice'for improvements to your property- A Notice of Commencement must he recorded and posted on the jobsite before the first inspection. If you intend to obtain financing, consult with tender or pn jittorney before _ Signature of Ow / Lessee/Agent STATE OF FLORIDA I STATE OF FLORIDA COUNTY OF rn A ltTI1J COUNTY OF :F('-' V "L 5 a, The for oing instru entwasacknowledged before me thisayof J(1J.fL 20� by 1 Commission No. Revised 07/15/2014 Jo MY COMMI^§LCA g FF969259 —EXPIRES Mardi 00. 202p The forZng instrument was acknowledged before me this - —day of _S V 20 1 by d OR ProducedIdentification AMANDA MARIE POLO NlYeONI!, 1831011' Ff 105833 EXPIRES: March 24.2018 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS .•IF e e -act-+�W` H... .+F .. �� '"1'� A..N °ds"�S� \ �' R C,�_��L•, p{$ 4➢ a8 i Y& '3 ^+�a.,.e,.snxid ✓. �.°.iz� �� a"4`h.-.i., s�"°a..%..� r_ ..a. a �...r..m.t3a....a ..: Y .*ra,=... .. ...�r:<.a. v rv..Wr ..-s'S- .F x3,1.e.%s4 .-r#, .� •�', °� °i as �r� 1 i• o i. y PIN M 3•-.-Sv. emu'".-....v.. W.�«_,..Yi'•_. s,1,-�....�. .-a.v 3 ..y-.fcVt ...W�v.. ..a �15s.-..._ •1. • • • 1- Iy� 1 . . 1 .�.. �S.�un` HIM 7� iY �� • 1 1 6r � � 0 ` ` �1 Not Applicable I MORTGAGE COMPANY: _ Not Applicable Address: Address: City: \�wn �4 rtate: City: - ` l.' State: Zip:�4H0 Phon S'RS-.SFi� Zip: Phone: FEE SIMPLE TITLEHOLDER: _ Not Applicable BONDING COMPANY: _Not Applicable Name: Name: Address: -- - Address: - - — ----- -- - City: City: Zip: Phone: Zip:, Phone: OWNER/ CONTRACTOR AFFIDVIT: Application is hereby medi f6 obtain a'permit to do the work and installation as indicated. I certify that no work or installation has commenced prior -to the issuance of a permit. St. Lucie Counttyy makes no representation that is granting a permit will authorize the permit holder to build the subject structure which is in'confiict with any applicable Home Owners Association rules, bylaws or antl 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 inspection. If you intend to obtain financing, consult with lender or an attorney before commencing work or recording vour Notice of Commencement. f Signature of wner essee/Con Icto s Agent for Signature r{.License Hold J STATE OF FLORID a= STATE OF FLORI _' 1"'' COUNTY OF o, . �^•' COUNTY OF = <= The f oing instr eItwasacknowledged before %%by �g c The or ping instr nt waf acknowledged befo Me � day by this day of 1 111E 20 2 ms,QA thl of20/% ax�a 0 £ tn9 a DS9 /t adz= eCkC ET GCS (Name of person acknowledging) 2 �p < (Name of person acknowledging) 's 9 j9 N a o iA K �N Flp (Si a ure of Nota ublic-State of Florida) (Signature of Not Public -State -of Florida Personally Known OR Produced Identification Type of iden ca ' n Personally KnRW OR Produced Identiflcation---� Type of Identifiicati Produced If .. :�(_ Produced Commission No. (Seal) Commission No. (Seal) REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE DATE COMPLETED ' Rev.7/2014