HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE.ACCEPTED
Date: SCANNED Permit Number:l9
BY 0.�cE�Eo
St. Lucie County ti1o�6
anning and Development Services Building Permit Application ��N eaa�`rne`<
Bluilding and Code Regulation Division Pe Sty '\e�o�atY
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line II
PROPOSED IMPROVEMENT LOCATION:
Address: 1055.North AIA , Fort Pierce, FI. 34949
Legal Description: Bryn Mawr Ocean Towers -A Cundomnium compnsing a part of N 550fl on sections 14 and 15 towership 04 range 10 all MPD and shows In dedaation of condominium pr 447-540
Property Tax ID #:
Site Plan Name:
Project Name:_
Setbacks Front
Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Concrete repair
Lot No.
Block No.
CONSTRUCTION INFORMATION: III
❑HVAC ❑ Gas Tank
❑Electric ❑Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 11 r 0-Z— 5
Piping ❑_Shutters ❑Windows/Doors
nklers ❑ Generator ❑ Roof = Roof pitch
St�Ft.I of First Floor: _
Utilities: nSewer ❑Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Bryn Mawr Ocean Towers Condominium Assoc. Inc.
Name: Patricia Salazar
Address:5055 North AIA
Company: Daniello, Salazar & Sons, Inc.
City: Fort Pierce State: FI_
Zip Code: 34949 Fax: 772-569-4300
Phone No.772-569-9853
Address: 2708 N. Australian Ave. Ste 9
City: WPB State: FI_
Zip Code: 33407 Fax: 561-833-3573
Phone No. 561-835-4788
E-Mail: Juliet@elliottmerrill.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail: info@concreterepairing.net
State or County License: CGC 1524218
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
ICTION LIEN MA
_ Not Applicable
N am e: MIL Engineering, Inc.
Ad d ress• 2030 37th Ave.
City: Fort Pierce State: Fi.
Zip:32ge0 Phone7r2-seg-l2sT
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:_ y
City:
Zip: Phone:
MORTGAGE COMPANY: _ Not Applicable
Name:_
Address:
City: wPB State:
Zip: Phone:
BONDING COMPANY: _Not Applicable
Name:
Address:
City:
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.
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 andcovenantsthat 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 work or recordine vour Notice of Commencempnt.
Is
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTYOF::�f&Lu a<KA
COUNTY OF ETA
The for oing instrument was acknowledged before me
The forng,��g Instrument was acknowledged before me
this By ofy U� 20 18pby
this L�day of A, V 5 •200 by
�L_
1
Name of person making statement
Name of person making statement
Personally Known OR Produced Identification
Personally Known K OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
61a
G L F'J
(Signature of Notar) u •, "; tate of Fl i bLLAZO
(Signature of Notan,r
P I' -
: o;:•"•�'� •' RITACOLLAZO
' MYCOMMJ�SIQNe# G
Commission No. i• a 2024413
EXPI
?'`.°
Commission No.
= � • - Y COMMII90aHj GG 114413
:°•' Bonded Thru Notary Public llndmriters
noq EXPIRES: June 13, 2021
o Bonded Thru Notary Public undamrilers
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REV)EW
REVIEW
REVIEW
REVIEW
DATE
G
RECEIVED
DATE
,
COMPLETED
Rev. 8/2/17
JOSEPH E. SMITH, ilRK OF THE CIRCUIT COURT — SAINT L -I COUNTY
FILE # 4445892 'TOOK 4143 PAGE 2323, Recorded 06/'• .<1018 10:13:32 AM
STATE OF FLORIDA
ST. LUCIE COUNTY
AFIER RECORDIN"ETURN TM THIS IS TO CERTIFY THAT THIS IS A
Dealer., S.lear 6 Sm,I Inc. TRUE AND CORRECT COPY OF THE
3708 N. AusuaBhn Ave. Ste d 9
well Palm Beech, Fl. 33407 ORIGINAL. HE. SFAI ,C ERK
M'.aa,RM IMB ar I
BY DtV CIRrk
NOTICE OF COMMENCEMENT JU�1 la g018
The undersigned hereby gives notice that improvements will be made to certain real pr car anew lh seciloD
713, of the Florida Statutes, the following Information Is provided in this NOTICE OF COMMENCEMENT.
1. Description of Property (Legal description and street address, If available) TA FOLIO NO: 141440141000-00-9 common areas
SUBDIVISION BLDCK TRACr LOT BLDC UNIT
All of ERYN MAWR CONDOMINIUM - 505$ North AIA Fort PI r e. FI 34949 Building C
1-GENERAL DESCRIPTION OF IMPROVEMEWe
CONCRETE RESTORATION EC4/o,nc 14- QwpI rs-C'WhsGie R 5/ tam;-- q C,
3.- OWNER INFORMATION OR LESSEE INFORMATION 1FTHE LESSEE CONTRACTED FOR THE IMPROVEMENT
a. Name and Address. Brvn Mawr Condominium 5055 Nmth AIA Fort Pierce FI 34949
b.lnterat in property
I.- Name and address of fee simple titleholder(if different from Owner listed above)
4.-CONTRACTOR'SNAML Daniella. Salazar Se Sams Inc.
Contractor4addreaa: 2708 N. Australlon Ave. Suit. 9 Want Palm Reach. FL 33407 b.Phaneflumber.561-835478E Faa561-833-3573
S.-SURETY(If.pplieable,aropyorlhepaymmtbood'u.tb,bW): '
.. Name and address
6.-LENDEWSNAME,
Leader's address
PhoneNumhcr,
7, Persons within the State of Florida designated by Owner upon whom node, or other documents may be served as provided by Section
713.13(1)(a) 7., Florida Sentence:
a. Name and addrain
b. Phone numbers ofdesignated persons:17 5694853
8` ..In addlaon to hlmselforhenelf, Ownerdedgoeus of
to reeeha. eopy orth. Wes.1. Notices. provided in Scene. 713.13 (1) (b), Florida Sciences.
b. Phone numbers efpeaoo or entilydrsigueted by Owner
9.Expiaaoo dxteornouct ofcemmeocement(tbe expiation date may not bebefore lbecompletton o17tonnrue0on sodinalpsymenao fleconlraalar butwin be
Iyurfrom the date ofrerordiog arsine, di@tent dahheped0ed) _,I0_
Under Penalties of perjury,) declare that I have read the foregoing and that the facts In it are fruits the best ofmy Imowledgeand belief(Section
95.54 Florida Statutes) _
�s
tine i 1 1
(5lgmmmo Ow er ar, Lenee, or0ater'sor Lessee's
(Print Name.ad Provide Slgmtory's Ti11t/ORce)
AuMorized Ol cenDireetodPartunllAmnster
State ofFlarldet
County of Pslm Beech
The f/o/r'e+.g5vipvg inctrvmev�IOnes aca!n�..laddee befire ma thl.
day of L - 30/
BYE i1� jJ- 1 XJSS ,as,
Dr) I r
(name of person)
(type ofmaborlty,._. . o1Gttr, Ire ,eeun any In fact)
IJ.17, /�5,�s q,,
Fo nAn /"1s-r-tlA r V>t-Ef.../i
Mawr
IO-(Je-(S
(nam partyoab Alfofwhominalrumentwinexeted)
,a
Personally Know or produced identification
eo dentification Produced
J(YLIE A BARRtTF
`
COMMISSION YFFg2]52
140-1
(Signature aCNotary Public)
„da�My
F�cPFES Beplemher z0, 2018
(Pr ar Stamp Commissioned Name ofNolmy Public)
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