HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAR APPLICABLEINFO MUST RE COMPLETED FOR APPLICATION TO SE ACCEPTED u
Date: NDvN Pehnit Number.��X
SCANNED.
15M� St. Lucie County RECEIVED
Building Permit APPI MIGHT 17 2019
Planning and DeuelopmentServ/crs
autldlnaand Code Regubdanomsfon sr.
Lurie County, PurmlCting
23MWiglnhAvcnue, Fort pkrw FL 34M
Phone: (772) 462-1553 Fax (772) 462d578 Commercial u Residential
I PERMITTYPE: Framing, denglass,stucco.& mesh
Address- 8750 S. Ocean Dr. Jensen Beach, Flodds 34W
Property Tax ID D Lot No.
Site Plan Name: BIod:No.
Project Name: The Admiral Cordmnin u n
I Ut.l AILED DESgiIRT10N;OF WORK:
Framing, dmgles% etucco 6 mesh
Additlonal uuodr to be performed under this permit —check all that apply.
_MeeAi Vu - _ Gas Tank _Gaspiping _Shutters _W(ndows/Doors
_ Electric - _ Plumbing _ Sprinlders _ Generator —Roof pitch
Total Sq. Ft of Construction; Sq. Ft. of First Floor:
Cost of Consh ctIon: S 27,934M MIMIes —Sewer —Septic Building Hecht.
S. Ocean
state.• _
Zip Code. 3407 Fax -
Phone No.
E-Mail:
Fill in tee simple Title Holder on nest Page (if dtlferwd
from the Owner Usted above)
Cpmparw-Danlello. Salamr5 Sons, Inc
Addrm:270a N. Austrellan Ave.
qty Went Palm Beach State -FL
Zip Code: 33407 Fax 561.8334M .
Phone NoI5614135.4788
E-Maltinft@6oncr8WeP8Mfv.net
Stew or County License CGC 152-4218
rr value or ronsvueoon.et 5:soo w more, a RECDIIDID Nodce of Commencement b required. 31 N3b
tl vitae of HVAC b S7,SW of more, a'RE07RDED OI ". of Cammenceme t Is required.
Name: csMe gmeerin cmadwo — --- —
Address: zaa sw o—
City: sn,aa State: n
Zip: U"Al Phonen-+ 7zas
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY: __L/NotApplicable
Name'
Address:
City: State:
Zip: Phone:
BONDING COMPANY:
Address:
City:
Zip: Phone:
Applicable
OWNER/ CUNT RACTOR 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 JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTYOF 5t-
STATE OF FLORIDA
COUNTY �
0
The forgoing instrument was acknowledged before me
a
The forgoing instr•�(^�nt yeas acknowledged before me
thisdayofQ( 6-(n1N' .20_ by
this•F%dayofS
L� k E L . C a" 2\'1LZs.
$
Name of person making statement.
Name of person making statement.
y Produced Identification—
Personally Known OR Produced Identification
Personally KnownOR
Type of Identification
Type of Identification
Produce a
Produced
(Signa ure of Notary lic- State of Florida.)
(Signature of Notary Pub
RIOtlI •SHAWVEA
P IE
Notary ublic-State of Florida
Commission No. ff;.
e•S•': RI'j�ICOLLA20
Commission No. ;,; f,1y �ll$S
IONq GG 114413
11 Commission N GG 243201
s�Fo •• ep EXPIRES: June 13, 2021
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Rev. 2/7/19