HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
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 Residential
PERMIT APPLICATION FOR:
P;f20Prl
OSEDINPROUEMfENT LOCATION
Address: 85 South Las Olas Drive, Jensen Beach Florida 34957
Legal Description: BEACH CLUB COLONY-SECTION ONE W 50.3 FT LOT 22 (OR 2004-2794; 39531499
Property Tax ID#: Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
NJTAIUE. DESCRIPTION OR WORK M
✓�'e{O�cu-,•. r_ // F' �5�..�r l,.J�✓-/c�c,l✓ ,i� f"PE1J 3 f�rea.r [� �`e.•Jor ���r�r5`
r
Ur � G�/..,/r• dc�- --row., � � � �,
00 S
� �' r .c*..
WP M iabwq �,flji-d�,a���ui.a• .-.aA
iCONSTRs.UCTIOU INFORMATION 4n�
c'. a:
.Additional work to be pertormed under this permit–check all that appy:
_Mechanical _Gas Tank _Gas Piping _Shutters V Windows/Doors
_Electric _Plumbing _Sprinklers _Generator _Roof
Total Sq. Ft of Construction: Sq. Ft.of First Floor: 1256
Cost of Construction:$ $2400.00 Utilities: —Sewer —Septic Building Height:
O: ``N�ERILES$EE r CQ'NTRACTOA,
Name Drake Marston Name: Drake Marston
Address: 85 South Las Olas Drive Company: Manta Ray Construction
City: Jensen Beach, State: FL Address: 85 South Las Olas Drive
Zip Code: 34957 Fax: City: Jensen Beach, State: FL
Phone No. 772-201-8316 Zip Code: 34857 Fax:
E-Mail: mantarayconstruction@gmail.com Phone No 772-201-8316
Fill in fee simple Title Holder on next page(if different E-Mail mantarayconstruction@gmaii.com
from the Owner listed above) State or County License CBC 1259999
If value of construction is 2500 or more,a RECORDED Notice of Commencement is required.
I
S RPWEMl NTAM0, S IR11 flI_A1N N' MATIO:N -
jDESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: State: City: State:-
Zip:
taterZip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
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 thepermit 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
I 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.
Sig re of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF 5- -� .�'e- COUNTY OF ` 'T—C�L-(L�o�
The oing instru ent s acknowledg before me The oing instrui nt s acknowledge fore me
this day of 20�y this day of 20L by
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Not u lic-St to f o ' (Signature of Not Public-State of Florida)
.11Y Pu,,� ANGELA M HUFF
Personal( k °,-. l�li dt8t t d ld(l :ion Personally Knovy a rs tion
ANGEType of I ®] i C is 'on FF 234730 Type of Ident' 6Lotary Public LA M HUFF
Produce =�,� m ay 27,2018 Produced . State of Florida
''' , ~ Banded through National Notary Assn :�, o�c on #FF 234730
.,,�of ilpQ� My Comm.Expir
~ _�— Commission No. "���"„� �S�NP7,2018
Commission"fVo: "� (Seal dedthroughNationalNotaryAssn.
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 7/2014