HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INJO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: �` a� SCANNED Permit Number:
BY RECE72.T8
s. �� = " - St. Lucie County
• Building Permit Application AUG 0
Planning and Development Services
Building and Code Regulation Division ST. Lucie County, Permitting
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential
PERMIT APPLICATION FOR: Other II
PROPOSED IMPROVEMENT LOCATION':
Address: 4250 N HIGHWAY AtA, FORT PIERCE, FL
Legal Description: OCEAN HARBOR SOUTH BLDGii
Property Tax ID #: 1423-501-0000-000-0
Site Plan Name:
Project Name:
Setbacks Front Back:
,DETAILED DESCRIPTION OF WORK -
Right Side:
BLDG)
Left Side:
Lot No.
Block No.
CONCRETE RESTORATION UNITS 201, 301 AND 608. THE SCREEN ENCLOSURE AT UNIT 101
WILL BE REMOVED AND REPLACED SO THAT REPAIRS CAN BE MADE AT 201.
CONSTRUCTION_ INFORMATION:
rtiona war to e e orme under t—checkispermit a apply:
❑HVAC 11 Gas Tank ❑Gas Piping In _ Shutters ❑ Windows/Doors
❑ Electric ❑ Plumbing ❑Sprinklers ❑ Generator ❑ Roof ❑ Roof pitch
Total Sq. Ft of Construction:
Cost of Construction: $ %1 0, ��
SLI�Ft.� of First Floor: _
Utilities: nSewer ❑Septic
Building Height:
OWNER/LESSEE:" `
CONTRACTOR:
Name OCEAN HARBOR SOUTH CONDO ASSN
Name: ROBERT STARK
Address:4250 N HIGHWAY A1A
Company: STRUCTURE -CON
City: FORT PIERCE State: FL
Zip Code: 34949 Fax:
Phone No. 772-569-9853
Address: P.O. BOX 2626
City: OKEECHOBEE State: FL
Zip Code: Fax:
Phone No. 772-215-8631
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail: STRUCTURCON@AOL.COM
State or County License: CGC 061033
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: I
DESIGNER/ENGINEER: _Not Applicable
Name: /y) / r-fifYP:7-L 0. ,t ✓ 1-
Address:�o3o 3 ?'LJ/fve
City:yee7'0 /d"CW State: 77
Zip: 3.2, 94 6 Phone 7 ;�d -,5 4 9 -, a f
FEE SIMPLE TITLEHOLDER: Not Applicable
Name:
Zip:
MORTGAGE COMPANY:
Applicable
Address:
City: State:
Zip: Phone:
BONDING COMPANY:
Name:
Address:
Zip: Phone:
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
rnmmpnrino work or rernrdine vnur Notice of Commencement.
Signa lire Kf Own / Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA nn
6t6". R(i)e l�
STATE OF FLORI L
I
COUNTY OF .fin
COUNTY OF 4 I_
The for ing instr ment was acknowledged before me
The for oing instrume t was acknowledged fore me
this � day of (20L by
this day of �� 20 by
C, 2r) C VN
Name of person statement
Name of rs making statement
Personally Known V OR Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of Identification
Produ Zq
Produced
(Signatur f Nota
(Signal r of Notary P ' of FL990 N A CLAIR
�``�"r'b°`` JULIE�Ei�F-Y NETT
` -
Commission No.
�r �YCOM�r11SS+PNpFF907264
Commission No. EXPI
COMM SSa #FPt 32752
ust 05, 2079
N0113N�,•
V+Fa,. nfl?r' EXPIRES Seperter 28, 2018
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n0"°1N01*ry9in1''
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
RE IE
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
p
7Id
COMPLETED
Rev.8/2/17