HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE I FO MUST BE COMPL'rv.`J FOR APPLICATION TO BE ACCEPTED
Date: A D SCANNED Permit Number:
BY
St. Lucie County RECEIVED
Building Permit Application NOV 0 s 2010
Planning and Development Services Permitting oepgrtmgnt
Building and Code Regulation Division St. Lucie County
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PERMIT APPLICATION FOR: Concrete
PROPOSED IMPROVEMENT LOCATION:
Address: 10200 S. Ocean Dr. Jensen Beach Florida 34957
Legal Description: Atlantis III By The Sea Condominium Association Inc.
Property Tax ID #: i-I Sr 1 k 5 l 8 w D O DD- OOD /_1_ Lot No.
Site Plan Name:
Project Name: Atlantis III
Setbacks Front Back: Right Side: Left Side:
Block No.
DETAILED DESCRIPTION OF WORK: II
Concrete railing replacement and concrete restoration for Units 602,702,101,201,301,401,501,701 and
column repair in front of Unit 605 on catwalk
CONSTRUCTION INFORMATION: III
11HVAC U Gas Tank
11Electric Plumbing
Total Sq. Ft of Construction:
I
Cost of Construction: $ 93US S�
Piping LShutters 0 Windows/Doors
nklers E] Generator 0 Roof = Roof pitch
S�Ftj. of First Floor:
utilities:l _JSewerE]Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Atlantis III By The Sea Condominium
Name: Patricia Salazar
Address:10200 S. Ocean Dr.
Company: Daniello and Associates, Inc..
City: Jense Beach State: FI_
Zip Code: 34957 Fax:
Phone No. 772- 334-8900.
Address: 2708 N. Australian Ave. Ste 9
City: West Palm Beach State: Fl—
Zip Code: 33407 Fax: 561-833-3573
Phone No. 561-835-4788
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail: info@concreterepairing.net
State or County License: CGC 1618181
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTI IEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
N a m e: Mather Engineering Corporation
MORTGAGE COMPANY:
Name:
Not Applicable
Address: 2431 SE Dime Highway
Address:
City: Stuart State: Fl.
Zip: 34996 Phone 772-287-0525
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER: _.I Not Applicable
Name:
BONDING COMPANY:
Name:
_/Not Applicable
Ad d ress: 2708 N. Australian Ave. Ste 9
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 certifythat 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
Signature of Owner/ Lessee Contractor as Agent for Oar Signature of Contractor/Licenseilo der
STATE OF FLOggMI1�A (n� STATE OF
COUNTY OF iaL U_k =-f - < XA . COUNTY OF A � (JI.-l�",7k e
The forng instrument was acknowledged before me
this R day of -)I fD U 20 1 Oy
Name of person making statement
Personally Known --�011 Produced Identification
Type of Identification
The for�Q�pI�g instrument was acknowledged before me
this°'9`ayofy10 ✓ 20 1?by
#n'lC,A-;L_(a 2
Name of person making statement
Personally Known FOR Produced Identification
Type of Identification
Produced
(Signature of Notary Publi - State of Florida) (Signature of I otary°Public- Sta a of Florida )
Commission No.
REVIEWS
Rev
°�:':%'••. RITA&01 Commission No.
MY COMMISSION # GG 114413 'mc
a_ EXPIRES: June 13,2021
FRONT ZONING SUPERVISOR PLANS VEGETATION
COUNTER REVIEW REVIEW REVIEW REVIEW
RIJ6@§tP 2O
MY COMMISSION # GG 114413
EXPIRES: June. 13,2021
SEATURTLE I MANGROVE
REVIEW REVIEW