HomeMy WebLinkAboutBUILDING PERMIT APPLICATION~'1
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: SCANNED Permit Number: o • (� Iq
BY
;', - _ , St. Lucie County
Building Permit Application
t
g;ar 5evelgpmentService
g;ond.CodeAq ulatloi_giv_, isiooIrgmiogenue Fort Pierce FL 34 81
phone: (772) 462-1553 Fax: (772) 462-15�
Commercial x Residential
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
LOCATION
Address: 10740 S OCEAN DR
Legal Description: VISTANA'S BEACH CLUB CONDOMINIUM- PHASE II- UNITS 201 THRU 204, 301THRU 304
401 THRU 404,501 THRU 504,601 THRU 604,701 THRU 704 & 801 TRHU 804
Property Tax ID #: 4511-521-0001-000-8
Site Plan Name:
Project Name: Vista Beach Club electrical upgrades
Lot No.
Block No.
Setbacks Front Back: Right Side: Left Side: II
DETAILED DESCRIPTION OF WORK:
Direct replacement of the following; main line power and cab light disconnects, load side conduit,
automatic transfer switch, light fixtures in machine room and pit, receptacles in machine room and pit.
CONSTRUCTION. INFORMATION: III
A drtlpna workto ePerformedunder tisTi —checkpermit a aoov:
HVAC LJ Gas Tank
Gas Piping
IJ Shutters
Windows/Doors
Electric 1:1
Plumbing
Sprinklers
E Generator
1:1
Roof
=
Roof pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 1 S-j qq2,0
S Ft. of First Floor: _
Utilities: Sewer E]Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Vistana Development Ltd
Name: James Bimonte
Address: CIO SVO Association Mngt Acct
Company: Nichols Contracting Inc.
City: Orlando State: FL
Zip Code: 32819 Fax:
Phone No.
Address: 508 OLNEY SANDY SPRING RD. STE. 200
City: Sandy Spring, MD 20860 State: MD
Zip Code: 20860 Fax: 561-812-3286
Phone No. 561-812-2862
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail: msaavedra@nicholscontracting.com
State or County License: EC13001997
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
,1413,
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name: Vistam Development Ltd
MORTGAGE COMPANY:
N a me: James Bimonte
_ Not Applicable
Add ress: 10740 S OCEAN DR
Address: GOSVOAssodalionMngtAcct
City: Orlando State:
Zip: Phone
City: SandySpring,MD20860
Zip: Phone:
State:
FEE SIMPLE TITLEHOLDER: _ Not Applicable
Name:
BONDING COMPANY:
Name:
_Not Applicable
Address: 508 OLNEY SANDY SPRING RD. STE. 200
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 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 TOOWNER: Your failure to Record a Notice of Commencement may result in your paying twice for
improvements r property. A Notice of Commencement must be recorded and posted on the jobsite
he fir before tnsp ction. If you intend to obtain financing, consult with lender or an attorney before
co
of Owner/ Less& -/Contractor as Agent for Owner I Signature
STATE OF FLORIDAQV STATE OF FLORIDA
COUNTY OF //T 11 � COUNTY OF PalmBeaN
The forgoing instrument was acknowledgedbefore me
this 12. day of September . 20by
ILVM lMlc
Name of persoy.making statement
Personally Known ✓ OR Produced Identification
Type of Identification
of
Commission No. { - "r:`: Notav eSt 108171
„ Commis r! esS,91912021
M Comm.E*P Asm.
p 7 �'?, y lbfe,�yf,NationalNoury
REVIEWS I UPERVIS
COU TER I REVIEW I ZONING S REVIEWOR
f4*1121 rlIJ1]
COMPLETED
Rev.8/2/17
Holder
The forgoing instrument was acknowledged before me
this 12 day of September , 20 H by
James Bimonle
Name of person making statement
Personally Known x OR Produced Identification
Type of Identification
Produce NA
;
O<
on
o O
or 3
d 3
(Signature of Notary Public- State of Florida )
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Commission No. GG3779e (Seal)
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