HomeMy WebLinkAboutBUILDING PERMIT APPLICATION04/24/2018 3:38 PM FAX 7723372699 KENT—BLOSSER
0 0001/0003
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
SCANNED
BY
St. Lucie County
Building permit Ap
Planning and Development Servlccs
Building and Code Regulation Olvision
2300 Virginia Avenue, FOR Pierce FL 349B2
Phone. (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: Electrical
Address: 10200 S Ocean Or, Jensen Beach. F134957
Legal Description: Atlantis III By the sea
Commercial x
o 4-- f-k
Permit Number: \-A C) -• Q1 N
nn APR 2 b 2018
ST. Lucie County, Pern
Residential
Property Tax ID #: 4511518.0000-000.1
o.
Site Plan Name: Atlantis By the Sea Lot Blockk No.
Project Name: Atlantis By tho Sea. (1) Building - 68 units
Setbacks Front Back: Right Side: Left Side:
Replace damaged pipe and wire for the balcony ceiling concrete restoration as needed.
1st floor - 101-104 & 107-110 2nf Floor - 201-210, 3rd Floor - 301-310, 4th Floor - 401-410
5th Floor - 501-510, 6th Floor - 601-610 and 7th Floor - 701-710
❑HVAC Gas Tank ❑Gas Piping
9Electric Plumbing ❑Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $
Shutters ❑ Windows/Doors
Generator 11 Roof = Roof pitch
S Ft. of First Floor: _
Utilities:nSewer Septic
Address: �Sy a h� SEA. taaoe O�gh ��
City: V� v,S e n Aeg �_ Stater
Zip Cod?z_'i Fax:
Phone No.
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Name: Kent Messer
Building Height:
Company: Blosser Electric
Address: PO Box 7305
City: Port St Lucia 5tate: Fl
Zip Code: 34985 Fax:
Phone No. 772-337.0055
E-Mail: nrblosserg9mail.com
State or County License: EC13001570
or more, a RECORDED Notice of Commencement is
04/24/2018 3:38 P31 FAX 7723372699 RENT—BLOSSER
1@0002/0003
Name: ..
Add ress-+=os orw e,, j...M e..a, na4ssr
City: State:
Zip: Phone
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
Address: Po eox wos
City:
Zip: Phone:
MORTGAGE COMPANY:
Not Applicable
Na me: xam em.rcr
Address:
City: v.nsit uo State:
Zip: Phone: `
BONDING COMPANY:
Address:
ZIP: Pho
—Not 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 an 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 yo property. A Notice of Commencement must be recorded and posted on the jobsite
before the first i e ion. If you intend to obtain financing, consult wither or an attorney before
commencing rk or ecordina vour Notira rf r ,e
.,a„a.,.. Lesseer..antractor as Agent for Owner
Slgnaturd of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF
STATE OF FLOR1—
f(
COUNTYOF-
The forgoing instrument was was acknowledged before me
this Il day of AfL I 20 a by
The for oing Instru ent was acknowledged before me
this = `day l
of tie! 20A A by
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Name of perso aking statement
Personally Known OR Produced Identification
Name of per so making statement
Personally
Type of Identification
Known V OR Produced Identification
Produced
Type of identification
Produced
(Signaiu�o tary/ Public-Stal1t7e��of Florida)
(Signature at Notary Public. State of Florida )
Commission No. ! I tV (Seal)
Commission No. GINW lO
(Seal)
REVIEWS
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REVIEW
SUPERVISOR
PLANS VEGEEATIO7N-SEATUR7LEMANGROVE
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REVIEW
REVIEW
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REVIEW
Rev. 8/2/17 � i R BOtTCq _
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EXPIRES April Oc, 2021 -� E7tPIRF.$ April 09, 2027