HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMP 'D FOR APPLICATION TO BE ACCEPTED '- 1
Date: SCANNED Permit Number:BY
St. Lucie County
Building Permit Application
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: To Select from dropbox, click arrow at the end of line III
PROPOSED IMPROVEMENT LOCATION: III
Address: 9400 S OCEAN DRIVE, JENSEN BEACH, FL 34957
Legal Description: OCEAN TOWERS CONDOMINIUM A -A CONDOMINIUM COMPRISING A PART OF SECTION 35
TOWNSHIP 36S RANGE 41 E AS SHOWN IN DEC OF CONDO OR 348-2288 (4.57AC)
Property Tax ID #: 3535-701-0000-000-4
Site Plan Name:
Project Name:
Setbacks Front Back: Right Side: Left Side:
Lot No.
Block No.
I DETAILED DESCRIPTION OF WORK: III
CONCRETE RESTORATION UNITS 216, 312, 315, 316, 510, 512, 309, 609, 809,1009, 1016, FLOOR
8 TRASHROOM AND FLOOR 6 TRASHROOM. ENGINEER OF RECORD IS CHARLES_DARDEN
#7691A:-SPECIAL INSPECTOR-ISJOHN-BRIENBACH #2072
"CONSTRUCTION INFORMATION:
AaaitionaiworKtoDeDerrormea unclert ispermit—check all apply:
EIHVAC Gas Tank ❑Gas Piping _ Shutters Windows/Doors
11 Electric 0 Plumbing Sprinklers E Generator E]Roof Roof pitch
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction: $ 30,580.00 Utilities:In Sewer []Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name OCEAN TOWERS CONDO ASSOCIATION
Name: PATRICIA R SALAZAR
Address: 9400 S OCEAN DRIVE
Company: DANIELLO, SALAZAR AND SONS INC
City: JENSEN BEACH State: FL
Zip Code: 34957 L, Fax:
Phone No. 7 ,�' Q — T 6 5 — S 5 % _7
Address: 2708 N AUSTRALIAN AVE, SUITE 9
City: WEST PALM BEACH State: FL
Zip Code: 33407 Fax:
Phone No. 772-763-9006
E-Mail: OCEANTOWERSOFFICE@GMAIL.COM
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail: FGSPENCER@CSM-E.NET
State or County License: CGC1524218
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTALCONSTRUCTION LIEN LAW INFORR, ON`-n ry
DESIGNER/ENGINEER:
Name: CSM Engineering
_ Not Applicable
MORTGAGE COMPANY:
Name:
✓Not Applicable
Address:-iaae&,
aoles
Address:
City: Stuart
Zip: 34997 Phone
State: FWda
772-226d601
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER:
Name:
_ Not Applicable
BONDING COMPANY:
Name:
_Not Applicable
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 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 recording vour Notice of Commencement.
W
Signature of Contractor/License Holder
Signature of Owner/ Lessee oC ntra t-for-G"
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Name of persoy making statement
Name of pers making statement
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Personally Known V OR Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
(Signature of Notary Public -State of FI rida)
(Signature of Notary Public- State a )
Commission No. ,•":1�%'"•. RI 0
Commission No. .'�i^.":""••, R(Br d�.LAZ0
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=.; ;; MY COMMISSION#GG174413
$ = EX RES: June 13, 2021
is EXPIRES: Jlme 13, 2021
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Rev.8/2/17