HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: SCANNED Permit Number:
By
St. Lucie County
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: Concrete
Commercial ✓ Residential ✓
PROPOSED IMPROVEMENT LOCATION: �II
Address: 3100 N HIGHWAY A1A, FT. PIERCE, FL 34949
Legal Description: SANDS ON THE OCEAN -SECTION 1 A CONDOMINIUM COMPRISING A PART OF SECTION
25 TOWNSHIP 34 RANGE 40 AS SHOWN IN DECLARATION OF CONDOMINIUM OR 404-1995 (5.72 AC)
Property Tax ID #: 1425-606-0000-000-8
Site Plan Name:
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK'
C,4&,PA RCS r9-6017
Lot No.
Block No.
CONSTRUCTION INFORMATION: III
VIIOI WU1h LV UC Cl IVI IIICV
HVAC EI Gas Tank
U11=1 LIIIJ
❑Gas
PC11111L UICLK dil
Piping
dpply-
_ Shutters
E]
Windows/Doors
Electric Plumbing
Sprinklers
Generator
0
Roof = Roof pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 99 C)[)
S Ft. of First Floor:
Utilities:nSewerE]Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
NameSANDS ON THE OCEAN SEC 1 CONDOMINIUM
Name:
Address:3100 N HWY Al
_Company: -S-T rl u2o—� �c3 ✓
City: FT: PIERCE State:FL
Zip Code: 34949 Fax:
Phone No. 772-334-8900
Address: A0. Qdx '96.�26
City: DK laj2$tog State: Cz
Zip Code: Fax:
Phone No.
E-Mail:tracyh@advpropmgt.com
Fill in fee simple Title Holder an next page (if different
from the Owner listed above)
E-Mail: _rr.Pd�ruxon/ 6j /�eCCa1L_r
State or County License: CGCoig/Oj� r
If value of construction is 52500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY: _Not Applicable
Name:
Address:
Address:
City:
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.
no representation that is granting a permit will authorize the permit holder to build the subject structure
any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
It 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 JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER QR AN AXTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
Signature of Owner/ Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORID STATE OF FLORIDA
COUNTY OF ��. L UCi Jr COUNTY OF S7- eoW
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this.q?o day of Sc±e,,In ,20Vqby this(/ff dayof d—emeD 20_1�%by
Mc 5.a�1 1, ). 411Va1F_ 97;V,P
Name of person making statement. Name of person making statement.
Personally Known >C OR Produced Identification Personally Known V 'stOR Produced Identification
Type of Identification Type of Identification
ProduceProduced
(Signature of Fptary PubAltato, qpPdme;
6cyl-xoQlrxOoxtq (Signature of Notary F
!�PuEOC-SummCommission No. at misvonlGG224297\T? �`Commission No.
,m. Frpira Jun 120lI.oua6Nrtlowl
REVIEWS FRONT I ZONING SUPERVISOR I PLANS I VEGETATION SEATURTLE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW
of Flodde
MANGROVE
REVIEW