HomeMy WebLinkAboutBuilding Permit Application I
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: sla
v
Lo-
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 Commercial X Residential
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
u z/'�I�d!��y � $ !}.a- ��rr�" f t a", Yc,`�.' t -r` � � rrg3,gf�"7.v �. - .� .�c•1z i�•� =" �"
Address: 10740 S . OCEAN DRIVE JENSEN BEACH 34957
Legal Description: VISTANA'S BEACH CLUB CONDO PHASE II
Property Tax ID#: 4 511— — Lot No.
Site Plan Name: Block No.
Project Name: VISTANA BEACH CLUB
Setbacks Front Back: Right Side: Left Side: y
..,,i >A§t xt -'�Df✓Ei'saV�.RP 'y{�31t1z�,lx�^+3YYsY"}„�+S�. r;^.?h...rn:..r �S..x3 - .arnc +Hl{y�x
r' 37y�fi✓Y,735 ;;3''f,y a?� F?: ` uW � :.fit".
Olz
a
REPLACE 200AMP THREE PHASE FUSED DISCONNECT
,'vs..... ....... m v,'ai iYL.`i.:5'!? 'R. 1.E+"..2Et "+. 50
, �xci .F-'•'.tu ':;, .�e 'n zz3.st;21 a��rt a�..°mac^..c-'�3 #S,!f 1E� �.is'4
�3��IIC�ft AT�� -F������.� �'�� ���Acid itiona I work to be nartormedunder this permit-cnecK all appy:
❑HVAC LJ_Gas Tank E]Gas Piping _Shutters Windows/Doors
11 Electric 0 Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: SFt.of First Floor:
Cost of Construction:$ Utilities: Sewer Septic Building Height: "
tic- a xs '2'�J x ra�= Vis- zy c/'� r`� 4. /.+;�.'n.-zrp -x u<i.�wY { J '•.� 'i'�.a�� #,+ .-�'��•k.ras"- {'
lf.er-a rs -wl.Y .3" ` Y rs - r?�ax- ' l E1r� AL.'f±�iv sfi fv�ct x '+ v ^S�S. "L y .c S.<L s,` xF ... ➢
YJ�' f �� f { � "1 �. Ar
! F
��� -^yG� ;g:�»Lt h �r'Ui�r� sr._'t=..._...r}�c x >,r,.
Name kh5tbnabeve i C L+- Name: JAMES P WILLIAMS
Address: q0® Z fan 6l0rC0C/,-e°C Company: ARLINGTON ELECTRIC
City: noor" State: Address: 3251 SE DIXIE HWY
Zip Code: Fax: City: STUART State: FL
Phone No. Zip Code: 34997 Fax: 772-287-2380
E-Mail: Phone No. 772-287-1353
Fill in fee simple Title Holder on next page(If different E-Mail:GREGG @ARLINGTONELECTRICINC.COM
from the Owner listed above) State or County License: ECO 0 0 012 7
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
�.::J-a' �-- �s 6-c^�`T S;^L3 .{y =,•J.�'.^�7� ::..'.y SZS-<'�.(.i 7.u;1 �;_1.�a. ;}: .'i�-. .- y�,�uti� ���,L�'�s;i.�i'�`:�L.'..y��y'�;as, n^7iA�l� i`i15�'�iu'
f� s `-�"fl�Y{�1 F !a f(tic x !i �' ,�sV �� a �"��•�K.s ��e z.,A.#� >S axi K ae,. �'.r Fza.>sz aa.,..r'9e- ��`x^y` p�#
�.?,,�.�,�3e;,. -•-��"rn3rs�"ii x"x,�:t--^:i. att�s�n'..:-'+�3.::-!•':v. .'t_. _:,er��—_...•.r a�'73. cr.__.. .1': ,>e €.. ...�.. n�... r.
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: F _Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
1 certify that no work or Installation has commenced prior to the issuance of a permit.
St.Lucie County makes no representation that Is granting appermit 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
commencing work or recording our Notice of Commencement.
s
sl atur f Owner/Lessee/Agent Sign tne Contractor/License Holder
STATE OF FLORIA STATE OF FLORI �a2�
COUNTY OF M/ i71� COUNTY OF
The forgoing InstrumeLitwas acknowledged before me The forgoing Instrument was acknowledged before me
this day of 201.�by this day of .20� —by
of person acknowledging) (Na person acknowledging)
WIM 41
�. HRISTINE M.SCOGGINS �
.•i
Is
Sign a of Notary P _I ,St/atJk F W gyJS—sna-
m.Expires Aug 2,201 ure of Notary Public-State o F orida"�' 'zCommission #FF 38793Personally Known �fSg�„P,lit�ugersonal{y iCnown o OR Produced Identificatio
Type of Identificatio P �+ ype of Identifi t ,
CHR
„!!l,,,,
"`;PAY PU6��, $ �;e of Florida -
Commission No. (Seal) Commission No. —~�. Notary Publi f�
_ My Comm.Ex Rug 2.2017
Commission#FF 38793
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS