HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED ^ a
Date: SCANNED Permit Number: �' 03a3
yil BY
't. Luce County REC' _, .7 7)
Building Permit Application MAR 1 a ZU17
Planning and Development Services PERMITTING
Building and Code Regulation Division St. Lucie County, FL
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential xxxx
PERMIT APPLICATION FOR: Concrete
PROPOSED IMPROVEMENT LOCATION:
Address: 2800 N A-1-A, Ft. Pierce, FL 34949
Legal Description: Barclay Beach Club Phase I - Building "B" Garage
Property Tax ID #: 1425-607-0000-000/0 Lot No.
Site Plan Name: Barclay Beach Club Building%"B' Garage Block No.
Project Name: Reapir concrete carport
Setbacks Front Back: Right Side: Left Side:
❑HVAC Gas Tank
❑ Electric Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 93.749.36
Neinm —cn ecrt an Ludiappry:
Gas Piping Shutters
Sprinklers ❑ Generator
Sqf —F�t. of First Floor: _
Utilities:InSewer ❑Septic
Windows/Doors
Roof = Roof pitch
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Barclay Beach Club Condo Association
Name: Jose L Dato
Address: 2800 N Hwy A-1-A
Company: Data Construction Inc.
City: Ft. Pierce State: FL
Zip Code: 34949 Fax:
Phone No.
Address: 867 33rd Court S.W.
City: Vero Beach State: FL
Zip Code: 32968 Fax: 888-638-3925
Phone No. 772-492-9454
E-Mail: Henry.Richer@FSResidential.com
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail: info@datoconstructionllc.com
State or County License: CGC1517481
f
�� „e,U=,., LUueuuLuon l»zouu or more, a net.unuev Notice or commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: = Not Applicable
Name: Mav Engineennama
MORTGAGE COMPANY: Not Applicable
Name:
Address: 1835 2Om so -.et
Address:
City: V..Beach State: F1-
Zip; 32e60 Phone: 772-569.0035
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. Lucie Countyy makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in con, 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 r�orded and posted on the jobsite
before the first inspection. If you intend to obtain financing, consult with I$nder or an attorney before
commencing work or ring your Notice of Commencement. L _�
Owner
STATE OF Fl.
COUNTY OF
The forgoing instrument was acknowledged kefore me
this &da^y _of 1`Y\nne 20 �y
cA)61 - b6t,
(Name oo �rson acknowledging)
)
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-1 Y'tr h r, l\L�r.� k�
natbre of NotaryPublic-Statilf Florida)
PeIrsbnally Known OR Produced Identification
Ty e of dentif' ation Produced
�o. L4. U
Commission No. (Seal)
STATE OF F1
COUNTY OF
The for oing instrument was acknowledged before me
this �Fday of �'Aj% i'"1 1 20 1-1 by
(Name off person Vknowledging )
(SignLtVe of4Notary Public- State of 0orida )
Personally Known OR Produced Identification
Type of Identification Produced
Commission No.
Revised 07/15/2014
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