HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED 1
Date: �- �/t�• os •Valo be;HNNED Permit Number AS
' REC
St. Luce County `VED
Building Permit Appli ation JAN 2 2020
Planning and Development Services Perm itDepartment
Building and Code Regulation Division" 9 p
2300 Virginia Avenue, Fort Pierce FL 34982 St. Lucie County, FL
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial x
PERMIT TYPE: C r'J Y7 e Y I GC b� P/l ,A i7iL�J E'h .
PROPOSEDaMPROVFVIENTLOCATION: ;
Address: 4100 N HWY A1A, Ft Pierce, A 34949
IDroperty Tax ID M 1423-502-0000-000-3 — _ Lot No.-__-__
Site Plan Name: Block No.
Project Name:
AILED DESCRIPTiQt�L`OF WORK:
4
Concrete Repair of Column at Pool's Women's Bathroom
CONSTRUCTION IN FQ#M'ATIO N:
I! Additional work to be performed under this permit — check all that apply:
—Mechanical —Gas Tank _Gas Piping —Shutters —Windows/Doors
_ Electric _ Plumbing —Sprinklers —Generator _ Roof Pitch
Total So,. Ft of Construction: 20 Sq. Ft. of First Floor:
Cost of Construction: $ 5,000.00 Utilities: —Sewer _ Septic Building Height:
OWNER/LESSEE: '.`` _
CONTRACTOR:
Name Treasure Cove Dunes Condominium Association
Name: Jose L Dato
Address:4100 N HWY A1A
Company:Dato Construction INC
Address: 867 33rd CT SW
j City: __Fort Pierce, FI _ State: _
City: Vero Beach State: FL
Zip Code: 34949 Fax: NIA
Phone No. (772) 480 - 1530
Zip Code: 32968 Fax: N/A
Phone No (772) 492 9454
E-Mail: michael.weber@alsigroup.com
Fill in fee simple Title Holder on next page ( if different
E-Mail info@datoconstructionlle.com
i State or Ceurty License CGC1517481
from the Owner listed above)
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
�SUPPL! EMENTAL-CONSTRUCTION LIEN LAW INFORMATION:
1 DD-ESi—GN-E-R/ENGINEER: _Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name: I'.t. GOHLITT ENGIN-r.ERING
Name:
Address: 15551NDIAN RIVER BLVD. EUI T E S-1C5
Address:
i City: VERO BE CH State: IL
_
City: State:
Zip: „^Fa Phone In2u5nn09
J
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
BONDING COMPANY: Not Applicable
1
Name:
Name: ! !
Address:
Address:
�
City:
I 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 Countyy makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in contlict 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 wi!!, 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 JOB - BEFORE THE FIRST INSPECTION. IF YOU IN ND TO OBTAIN FINANCING, CONSULT
WITH YOUR LEND TTORNEY BEFORE RECORDING YOUR COMMENCEMENT."
I �
I I
Signature of Owner/ ss a/Con actor as Agent for Owner Signature o Con ractor/Lic a Holder
! STATE OF FLORIDA STATE OF
I COUNTY OF COUNTY OF_
I The for"oin instr ent was acknowledged kiefore me The for oin
e g g V gins' �r. nt was acknowledged b�gfore me
thisday of _ _ Way I this, -day Of , 2Q1�oy 1
I
Name of person making statement. Name of person making statement. 6 !
iPersonally
Known OR Produced Identification i Personally sown OR Produced Identification l
9 Type of I nu at eion : Type of deniif _-lien P E+I
L I ML.y
Produced Produced ` I
I II
(Signature of Nota Public- t (Signal
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