HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMOLETE'Dr FOR APPLICATION TO BE ACCEPTED
Date: SCANNED Permit Number M;^<c
- - • a c "' St. Lucie County
I -
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 -'COrl mercial X Residential
PERMIT APPLICATION FOR: Other
PROPOSED IMPROVEMENT LOCATION:
Address: 10200 S. OCEAN DR, JENSEN BEACH, FL 34957
Legal Description: ATLANTIS III BY THE SEA -A CONDOMINIUM COMPRISING A PART OF N 605.23 FT OF GOVI'S
LOTS 1 &2 OF SECTION 11 TOWNSHIP 37 RANGE 41 MPD AND SHOWN IN DEC OF CONDO OR 376-412
Property Tax ID #: 4511-518-0000-000-1
Site Plan Name:
Project, Name: _.
Setbacks Front Back:
Right Side: Left Side:
Lot No.
Block No.
DETAILED DESCRIPTION OF WORK:
CONCRETE RESTORATION
C"
CONSTRUCTION INFORMATION:_
11HVAC 1-1Gas Tank
I Electric El Plumbing
Total Sq. Ft of Construction:
Cost of Construction:.$ 5 01�0
nit — check all apply:
Piping In Shutters ❑ Windows/Doors
ars LiGenerator 0 Roof Roof pitch
S Ft. of First Floor:
}
Utilities: _ Sewer E]Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name ATLANTIS III CONDO ASSOCIATION
Name: LUIS LIBREROS
Address: 10200 S OCEAN DR
Company: CONQUER RESTORATION BY GOLDEN CONST
Address: 5877 LAS COLINAS CIR
City: JENSEN BEACH State: FL
Zip Code: 34957 Fax:
Phone No. 772-233-1510
City: LAKEWORTH State: FL
Zip Code: 33463 Fax:
Phone No. 561-827-7148
E-Mail:
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: CGC1510734
If value at construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLM
DESIGNER
Name: cyA
Address
City; STUART
Zip: 34994
FEE SIMPLE
Name:
Address: 4
City:
Zip:
_CONSTRUCTION N LAW INFORMATION:
-
X Not Applica
PE# 76910
FL
Phone: 772-22P4601
x Not Applicable
MORTGAGE COMPANY: X 'c.NotApplicable
Name:;' "
Address:
City:- State:,
Zip;" Phone:
NG COMPANY:
ress:
I certify that no work or installation has commenced prior to the issuancAfa permit.
St. Lucie County makes no representation that.is granting a perriiii"will authorize the permit holder to build the subject structure
which is in conflict with any applicable Home OwnerkAssociation rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Home Owners Assdciation 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 inspecti9b. If you intend to obtain financing, consult with lender or an attorney before
STATE OF FI
COUNTY OF
The forgoing instrument was acknowledge before me
this,2ir day of M M LI— . 201by
1 VNk id �iLL,
(Name of person acknowledging)
STATE OF FLOWN
COUNTY OF (Y IOLi/1 i n
The for®oing instr/�tnrie�nt� �was �acknowledged before me
thi� day of LLI��20 ,/ y by
LUIS F. LIBREROS
(Name of person acknowledging)
tune of Notary Public- State of Florida) (Signature of No ry Public- State of Florida )
Personally Known OR Produced Identification Personally Knowr� OR Produced Identification
Type of Identification Produced Type of Identification Produced '
Commission No. (`� 9RSiG7LF ' @a111���� LOWiAINESOk-nN0 Commission N ,,� ,i,,,"���"���- �N�I rH^�SLE BRATTI
a MYcCOMMISSKIN#FF9a54 4 �'=sESf Florida -Notary
I&,'S Commission # GG 21
Revised 07/15/2014
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