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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:-- ) SCANNED Permit Number: % 7 D1- Q/ 0 1
BY rs_ _F RECEIVE
IZ St. Lucie County
Building Permit Application AUG / y 2017
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 X Residential
PERMIT APPLICATION FOR: Other
_PROPOSED IMPROVEMENT LOCATION: III Address: 5167 NORTH HIGHWAY A1A, FORT PIERCE, FLORIDA
Legal Description: OCEAN HARBOUR TOWER CONDOMINIUM E -A CONDOMINIUM
Property Tax ID #: 1411-709-0000-000-0
Site Plan Name:
Project Name:
Setbacks Front Back:
Right Side: Left Side:
Lot No.
Block No.
'DETAILED DESCRIPTION OF WORK: III
GENERAL CONCRETE RESTORATION REPAIRS - UNITS 101, 308 AND 501
CONSTRUCTION INFORMATION: III
HUUILI0IIdIWU1RLUUe enunneU unaermlbpernnL—cnecxdu dpply:
❑HVAC _Gas Tank ❑Gas Piping _Shutters ❑Windows/Doors
❑Electric Plumbing Sprinklers ❑Generator ❑Roof ❑ Roof pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 15,000.00 Utilities: Sewer ❑Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name OCEAN HARBOUR CONDO ASSN, INC
Name: ROBERT F STARK
Address:835 20TH PL
Company: STRUCTURE -CON
City: VERO BEACH State:FL
-Zip Code:32960 Fax:
Phone No.
Address: P.O. BOX 2626
City:_OKEECHOBEE State: FL
Zip Code: 34973 Fax: 863-324-0018
Phone No. 772-215-8631
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail: STRUCTURCON ,AOL.COM
State or County License: CGC 061033
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
r-
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name: jML ENGINEERING
MORTGAGE COMPANY: X Not Applicable
Name:
Address: 2030 3TFH AVENUE
Address:
City: VERO BEACH State: FL
Zip:32960 Phone:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: X Not Applicable
Name: NA
BONDING COMPANY: X 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 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 first inspection. If you intend to obtain financing, consult with lender or an attorney before
as Aeent for Owner
STATE OF FLORIDA ` (� STATE OF FLORI
COUNTY OF —� T dl G.-n M / 0 COUNTY OF 4!b y)
The for nstru en was acknowledge fore me
this day of 20y
1�V t bSs
(Name of person acknowledging)
C\�& NL'1� 0 -d
(Signature Notary P
ublic -State of Florida )
Personally Known OR Produced Identification
Type of Identification Produced
Commission No.
--Revised 07/15/2014
JOU19 A BARRETT
My COMMISSION #FFI997s
The forgoing instrum nt as acknowledged before me
this day of c l 20 �� by
ROBERT F STARK
(Name of person acknowledging)
(Signature of Notary Public- State of Florida )
Type of
Known OR
No.WS4�w?.w`
Notary (�J sion State of Florida
Comm �ssion # FF 233084
My Con , Expires May20,201i
REVIEWS
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ZONING
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MANGROVE
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INITIALS