HomeMy WebLinkAboutBUILDING PERMIT APPLICATION4
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ALL APPLICABLE INFO MUST BE COMPLETED FOR AP,?LICATION TO BE ACCEPTED I (1 /!v IR _ Q o 9 I
Date: �' �)' I I Permit Number: I
KMEWLED
-el D TC]�9-�-� 1�s �e��� SEP t 3 2017
Building Permit ApplicatiOWANNED PERMITTING
Planning and Development services 13Y St. Lucia County, FL
Building and Code Regulation Division St. Lucie County
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential
PERMIT APPLICATION FOR: Addition
I PROPOSED IMPROVEMENT LOCATION: I
Address: 9400 S. Ocean Drive, Jensen Beach, FL 34957
Legal Description: Ocean Towers Condominium- A Condominium Comprising a Part of Section 35 Township 36SRange 41 E As
Shown in Declaration of Condominium OR 352-1846 (4.25 AC)
Property Tax ID #: 3535-701-0000-000-4
Site Plan Name:
Project Name:
Setbacks Front Back: Right Side:
DETAILED DESCRIPTION OF WORK:
Install New Pump House, Pumps & Generator.
Left Side:
Lot No.
Block No.
I CONSTRUCTION INFORMATION: III
HVAC L JJ Gas Tank UGas Piping
Electric ❑✓_ Plumbing Sprinklers
Total Sq. Ft of Construction: 345
Cost of Construction: $ 350,000.00
Shutters Windows/Doors
Generator W1 Roof Flat
S Ft. of First Floor: 345
Utilities:] Sewer O Septic
Building Height: 8'
Roof pitch
OWNER/LESSEE:
CONTRACTOR:
Name Ocean Towers Condominium Association
Name: Thomas J. Flynn
Address: 9400 S. Ocean Drive
Company: The W Group, Inc.
City: Jensen Beach State: FL
Zip Code: 34957- - Fax:
Phone No.
Address: 1409 SW Albatross Way
City: Palm City State: FL
Zip Code: 34990 Fax:
Phone No. (772) 220-1930
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail:.Tomflynn@tvvgcontractors.com
State or County License: CGC 1505177
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAIN INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: Not Applicable
Name: W.F. McCain BAwmlates, Inc. Name:
Address: 1171 1ft Street Address:
City:yem Beach State: FIL City: State:
Zip: 32960 Phone(m)no-1o93 Zip: Phone:
FEE SIMPLE TITLE HOLDER:
Name:
C—/ Not Applicable I BONDING COMPANY:
Name:
Address:
City: I City
Zip: Phone: I Zip:
Applicable
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 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
commencing wpirkoL recording our Notice of Commencement. 1-7
Si a of Owner/ Lessee/Contractor as Agent for Owner
Si of Contractor/License Holder
STATE OF FLORIDA
/%3iULT
STATE OF FLORIDA {�
COUNTY OF ' lse _
COUNTY OF y
/ / /I/
The forgoing instrume acknowledged before me
The forgoing instgunen was cknowledged before me
this day of4��, .20�by
this /a day of v� 20/?by
A
Name of person making statement
Name of perion making statement
Personally Known // OR Produced Identification
Personally Known FOR Produced Identification
Type of I e of a "o
Type of Identificati
Produce „F Io K STFi ppT
ProdueedSTEWART
N ^ ry- blic • Slate of Florida
Issi F 913198
?� °= Notary Public -State of Florida
i Commission
k FF 913196
4?
t 31, 2019
g•'` My Comm
(Signatu A59B.
signature of lanai Notary Assn.
Commission No. (Seal)
Commission No. (Seal)
REVIEWS
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ZONING
SUPERVISOR
PLANS
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REVIEW
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DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17