HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED /
Date: SCANNED Permit Number: C)
BY
j EC REIVED
S{. Lucie County
- W1
.6ASIRRI-
- - - -- Building Permit Applicati n NOV 0 8 20,,Q
Planning and Development Services
Building and Code Regulation Division ST, Lucie County, Pern i,t ng
2300 Virginia Avenue, Fort Pierce FL 34982 -
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PERMIT TYPE:
PROPOSED IMPROVEMENT LOCATION ", - p
Address: S. Ocean Dr. Jensen Beach, Florida 34957
Property Tax ID pr58-2467860 .3'S 3 S • "iO l • 6 wo • 000 Lot No.
Site Plan Name: Ocean Towers Condominium A Block No.
Project Name: Ocean Towers
DETAILED DESCRIPTION OF WORK: 3 ;'
Steel exterior doors replacement -walkways I d-- <d 12yua r CfL7 kx l r Ue t
CONSTRUCTION, INFORMATION:.;: <
Additional work to be performed under this permit— check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters _Windows/Doors
Electric _ Plumbing _ Sprinklers _ Generator — Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 23,000 Utilities: —Sewer ._ Septic Building Height:
OV✓NER%LESSEE ;
CONTRACTOR
NameO a T werrCondominium
Name: Patricia Salazar t
Address: 9469 & Ocean Dr.
Company:Daniello, Salazar 8 Sons, Inc.
City; Jensen Beach, FI. State: _
Zip Code: 34957 Fax:
Phone No.772-229-2229
Address: 10933 Grandview Ct.
City: Royal Palm Beach State.Fl_
Zip Code: 33411 Fax: 561-833-3573
Phone No561-835-4788
E-Mail:0 o M i
.tw
Fill In fee simple Title Holder on next page if different
from the owner listed above)
E-Mailinfo@ooncreterepairing.net
State or County License CGC 1524218
If value of constructionls $2500 or more, a RECORDED Notice of Commencement is required.
Ifvalue of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUP,,LPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION
Y ri.'_a , ',..'.•t.. i' r.. e'.._. v. .:
'.,:
E ;.: L._ i .. _
,e..` %& ...
DESIGNER/ENGINEER:
Name:
Not Applicable
MORTGAGE COMPANY:
Name:
Not Applicable
Address:
Address:
City:
Zip: Phone
State: _
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 commented 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 followingbuilding 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
YIRH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
�r&P , M9r�
Cam'
Signature/of Owner/:Lessee/Contractor asrAgent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA ,
<A-4r"
STATE OF FLORIDA
—�`c—ii
COUNTY OF
COUNTY OF—i��LM
The fqMoing instrt ent N s acknowledged ore me
thisi, day of 20
The forgoing instr&u/�en was acknowledged before me
this �7 day of Ck o t>_ 20_Lfn
Name of piq&rrmaking statement.
Name of person making statement.
ersonally Kno OR Produced Identification
Personally Known J OR Produced Identification
e o 1 ent ication
Type of Identification
Produced
Produced
MIC E. DERRICK
FI0 Y PUBLIC
- FLORIDA
(Sig to o ota _ �Rgi0`14f773
(Signature of Notary
Commission No. E 1DrP f@S7/31120
_;•c •�o�¢IOpEjpIBS10NXGG114113
EXPIRES:Jmre t3, 2021
Commission No_ N'�dt.�!;.±r
{Seal)-
poad�7T�puNw Unleiwtters
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 21//19