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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPUCATION TO BE ACCEPTED Date: 09/25/2018 SCANNED Permit Number: BY ` ' R St. Lucie County RECEIVED 010416 oil Building Permit Application SEP 2 5 2918 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: To Select from dropbox, click arrow at the end of line 46F PROPOSED IMPROVEMENT LOCATION: Address: 9400 S Ocean Dr. Bdg B Jensen Beach, FL 34957 Legal Description: Site Plan Name: Project Name: Ocean Towers Condominium Assoc Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK: Replace clubhouse roof INFORMATI 0HVAC Gas Tank 0Electric Plumbing Total Sq. Ft of Construction: Cost of Construction: $ S 0, 000 Block No. nit — check all appy:-- - - Piping Shutters Windows/DDDoorsrss nklers Generator 11 Roof I 1 // y Roof pitch S Ft. of First Floor: _ Utilities:in Seweh ElSeptic Building Height: OWNER/LESSEE: CONTRACTOR: Nameft-rm d� 0weec oDamidikm ASX'Da. Name: Address:9400 S Ocean Dr Company: The W Group, Inc City: Jensen Beach State:FL Zip Code: 34957 Fax: Phone No. Address: 1409 SW Albatross Way City: Palm City State: FL Zip Code: 34990 Fax: Phone No. 772-220-1930 E-Mail: Fill in fee simple Title Holder on next page (if different from the Owner listed above) E-Mail: tomflynn@twgcontractors.com State or County License: CGC1505177 If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: Name: Braden & Braden AIA, PA Address:417 se coconut City: Stuart State: FL Zip: 34996 Phone 772-287-8258 FEE SIMPLE TITLEHOLDER: _ Not Applicable Name: Address: City: Zip: Phone: MORTGAGE COMPANY: _ Not Applicable Name: Address: City: State: Zip: Phone: BONDING COMPANY: _Not Applicable Address: 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. AN tic e of Commencement must be recorded and posted on the jobsite before the first insp ction.}}f� yo end to obtain financing, consult with lender or an attorney before commencing workrydYekofd' Your Notice of Commencement. Signature of 0w ee/Contractor as Agent for Owner Signature of Contractor/License Holder STATE OF FLORi A STATE OF FLORIDA COUNTY OF S7, Las COUNTY OF ST /ICG{ 9 The for oing instrument was acknowledgg beforeme The forgoing instrument was acknowledged before me this: dayof S� 20[O by this jZ�Lday of 5E15"T 20JJ by 7� hYn1Al Name of person making statement Name of person making statement Personally Known 7� OR Produced Identification Personally Known ✓ OR Produced Identification Type of Identification Type of Identification Produced Produced r o Notary Public- State of Florida 1 t re of Notary Public- State of Florida 4Rv • TRACYAP ao . • io TRACYAPRILC�E Commission No. MYCOMMISSIC B50656 •.••-g Commission No. 9 ISSION#a%%Wks yr o� EXPIRES:MatA 27,2021 ��oF Banded nuu Budget Wei BeMroa uy+ EXPIRES: Match 27, 2027 EXPIRES: Math27.2D2iga M FIOQ� 0�� BO REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED /Q Rev.8/2/17