HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: .SCANNED Permit Number
BY.�,
1 St. Lucie County
Building Permit Application RECEIVER
Planning and Development Services APR 01 1019
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982 pennutdng Department
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial x Residential St. Lurie County
PERMIT APPLICATION FOR: Concrete III
Address: 3000 N HWY Al A, FORT PIERCE, FL 34949
Legal Description: THE ATRIUM ON THE OCEAN II- A CONDOMINIUM COMPRISING A REPLAT OF TRACT Q OF CORAL
COVE BEACH SECTION ONE (PB 11-30) ALL MPD AND SHOWN IN OR 1558-594- (4.20 AC - 182,952 SF)
Property Tax ID #: 1425-756-0000-000-0 Lot No.
Site Plan Name: The Atrium On The Ocean If Condominium Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
IIDETAILED DESCRIPTION OF WORK:
Sma- 4 linih AZ A 3 A'V ASRio 47 Al 49 410 411 A!Z
CONSTRUCTION INFORMATION: III
HVAC "Gas Tank
Electric 0 Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 7, 'd 1%0, DO
Piping LJShutters
klers L.J Generator
ScFt. of First Floor: _
Utilities:Sewer Septic
Windows/Doors
gRoof = Roof pitch
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name The Atrium On The Ocean II Condominium Association, Inc.
Address:3055 CARDINAL DRIVE, STE 200
Name: Robert F Stark
Company: Structure -Con LLC
City: VERO BEACH State: FL
Zip Code: 32963 Fax:
Phone No. 772-562-9031
Address:
City: OKEECHOBEE State: FL
Zip Code: 34973 Fax: 863-824-0018
Phone No. 772-215-8631
E-Mail: pead.spires@fsresidential.com
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: CGC061033
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name: Keystone Engineering & Consulting, Ina
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:18 Danube weer Ddve
Address:
City: Cocoa Beach State: FL
Zip:3zss, Phone
City: T��-' State:
Zip: Phone:
FEE SIMPLE TITLEHOLDER: _ Not Applicable
Name:
BONDING COMPANY: _Not Applicable
Name: 19
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 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
cornmenring work orrecording your Notice of Commencement.
Signature of Owner/ Lessee/Contractor as Agent oror o
Signature of Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF sTLuc,F
COUNTY OF sT Lucie
The for,ggping instrument was acknowledged before me
The for ping instrument was acknowledged before me
this l`I dayofkAewcl-. 201_ej by
thisdayofIff/]Rm!< 20_d by
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Ake _M,er_
Name of person making statement
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Name of perso making statement
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Personally Known OR Produced Ide n`f+r�ti9Q
Personally Known OR Produced Identification
Type of Identification \\` 0
Type of Identification
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Prod ed 1 L_ ei; �
produced
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(Signature of Notary Public -State o�Florida 14pd113, 2021
xSignature of Notary Public -State of Florida )
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Rev. 8/2/17