HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
SCANNEDBuildin Permit Application
BY
Planning and Development Services St. Lucie County
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: To Select from dropbox, click arrow at the end of line III
PROPOSED IMPROVEMENT LOCATION: �II
Address: 4250 N A1A, FORT PIERCE, FL
Legal Description: OCEAN HARBOUR SOUTH CONDO BLDG A
Property Tax ID #:1411-705-0000-000
Site Plan Name:
Project Name:
Setbacks Front Back:
Right Side: Left Side:
DETAILED DESCRIPTION OF WORK: sr�d'oS —®r(,f
Lot No.
Block No.
CONCRETE RESTORATION UNIT 1101. ON ORIGINAL PERMIT, 1001 WAS LISTED AS OVERHEAD REPAIR AND REPAIR TL
INTO EDGE REPAIR AT 1101. THIS PERMIT SUBMITTED AS DIRECTED BY JOE CICISO--4- GO 0 9F-
CONSTRUCTION INFORMATION: III
HVAC L _1 Gas Tank UGas Piping LJ Shutters
Electric 0 Plumbing []Sprinklers E Generator
Total Sq. Ft of Construction:
Cost of Construction: S 900.00
S Ft. of First Floor: _
Utilities:n Sewer E]Septic
QWindows/Doors
11 Roof = Roof pitch
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name OCEAN HARBOUR SOUTH CONDO ASSN
Name: ROBERT STARK
Address:835 20TH PLACE
Company: STRUCTURE -CON
City: VERO BEACH State:FL
Zip Code:32960 Fax:
Phone No.772-794-6195
Address: P.O. BOX 2626
City:OKEECHOBEE State: FL
Zip Code: 34973 Fax.
Phone No. �--a2 -p2 1 61 gG 31
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.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name: M L ENGINEERING
Address: 2030 37TH AVE
City: VERO BEACH State: FL
Zip: 32982 Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY: _Not Applicable
Name: _
Address:
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 yRu intend to obtain financing, consult with lender an attorney before
Y,
as
STATE OF FLORIDA r— I j STATE OF FLORIDA
COUNTY OF -�;-4J rLr. (RAJ�� COUNTY OF rI h P-4
The forgoing instru¢�n�t �(a acknowledge fore me
this�a 3ayofyLA'1 Z 20 - �y
A
person
ary ublic-State of Florida )
OR Produced Identification
Type of
Commission No.
EXPIRES September 28, 2018
Revised 07/15/2014
The for oing instruuntept was acknowledged before me
this ray of QC_ b b e-15' 20 / _� by
Ra'3E_e 5— �9A/.,Z—
7 =no vyl�dging`
(Sign re of Notary Public- State of Florida )
Personal ZUZLQ Identification
Type of I e 1i, won Pg},glCtfRd
My COMMISSION #FF1 at)
�XPPRES- Sup rember 28, 201 a
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS