HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
6/22/2018 SCANNED Permit
By
St Lucie County
Building Permit
Planning and Development Services
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: Sign U III
Address: 9490 S Ocean Dr Jensen Beach, FL 34957
1,, 1 rl ccrrt.,rinn- OCEAN TOWERS CONDOMINIUM A -A CONDOMINIUM COMPRISING A PART OF
SECTION 35 TOWNSHIP 36S RANGE 41 E AS SHOWN IN DECLARATION OF CONDOMINIUM OR 352-1846
Property Tax ID #: 3535-701-0000-000-4
Site Plan Name:
Project Name: Ocean Towers Condo A
Setbacks Front_ Back:
Right Side: Left Side:
DETAILED DESCRIPTIONOF. WORK
± •,O�-yc'w,L. t WL2� "ri-d.9 Glr v.) �, 4:l9QTLA-r� C1'z. -^4.� Gx�.}
❑ HVAC
U Electric
ElPlumbing
Lot No.
Block No.
❑ Windows/Doors
11 Roof = Roof pitch
Total Sq. Ft of Construction: 5 Ft. of First Floor:
Cost of Construction: $ -5r SOU . 0-0 Utilities:Sewer D Septic Building Height:
OWNER/LESSEE:
NameOcean Towers Condominium A
Address:9400 S Ocean Drive
City: Jensen Beach State:FL
Zip Code: 34957 Fax:
Phone No.
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Name: Robert Gralak
Company: Flamingo Signs LLC
Address: 4444 SE Commerce Ave
City: Stuart State:FL
Zip Code: 34997 Fax: 772-220-7768
Phone No. 772-220-7377
E-Mail: flamingosigns@aol.com
State or County License: E312001146
If value of construction is $2500 or more, a RECORDED Notice of Commencement is
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N a m e: Jmaev Pa^
Address: 12MI SE CaIUYAw
City: ii a lscu d State: FL
Zip: 07455 Phone772-2634677
MORTGAGE COMPANY: —\,Lf- Not Applicable
Name: I
Address:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: \ Not Applicable BONDING COMPANY: lot Applicable
Name: 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.
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 andreviewyour 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
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Signature Contractor as Agent for Owner
Sign3tnrea r1rrFLicense Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF OfAa1IK
COUNTYOF 1+4&7
The forgoing instrumentwas acknowledged before me
The forgoing instrument was acknowledged before me
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this ZS day of u-14 H e . 20 l ' by
this 1fday of .
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Name of person making statement
Name of person making statement
Personally Known I,- OR Produced Identification
Personally Known r — OR Produced Identification
Type of identification
Produced pit-/✓fxs L-rC&7&,
Type of Identification
Produced fk1t'f 1-tchrYYL
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(Signature of Notary Public-S F o 'da
(Signature of Notary Public- State of Florida j
Commission No. �� ?z) ���j (. P�IcSuite ofFlIdde
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or ne" Expires 04/03/2021
REVIEWS
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DATE
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DATE
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Rev. 8/2/17
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