HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: December 20, 2017 Permit Number: �`� 1 �� t o
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Building Permit Application
Planning and Development Services DEC 2 1 209
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: To Select from dropbox, click arrow at the end of line
PROPOSED 1,MPRO.VEMENT LOCATiO;N
Address: 44 Aquq Ra Drive, Jensen Beach, Florida 34957
Legal Description: WINDMILL VILLAGE BY THE SEA-UNITTWO-BLK A W 1/2 LOT 6 (OR 3721-556)
Property Tax ID M. 4511-811-0007-100-1 Lot No. 1/2 LOT 6
Site Plan Name: Block No. A W
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK
Installing 65 LF 6 Foot tall white PVC Vinyl Fence,then tapering down to a 4'tall white PVC vinyl Fence with a 1^ ^
5'tall gate located in the front in line with the front of the dwelling with a small 2'section for connection purposes
(adjusted to field conditions). See drawing for details. The total fencing will equal to 103'to 110'total length.The
termination point will be the seawall in the rear of property.
CONSTRUCTION INFORMATION
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itiona wor to e e orme under this permit—check all t=apply.
11HVAC 0 Gas Tank ❑Gas Piping _Shutters �Windows/Doors
Electric F] Plumbing Sprinklers E Generator 11 Roof Roof pitch
Total Sq.Ft of Construction: 103' LF to 110' LF SFt.of First Floor:
Cost of Construction:$ 1400.00 UtilitiesSewer Septic Building Height: 6'
Name 'CA Hunter Trust Name: Steven Drake Marston Jr.
Address: 145 Santa Lucia DR Company: Manta Ray Construction
City: West Palm Beach State: FL Address: 85 South Las Olas Drive
Zip Code: , 33405 Fax: City: Jensen Beach State: FL
Phone No. to , ` V 17 Zip Code: 34957 Fax:
E-Mail: Phone No. 772-201-8316
Fill in fee simple Title Holder on next page(if different E-Mail: mantarayconstruction@gmail.com
from the Owner listed above) State or County License: CBC1259999/CCC1330490
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPP,.LEMENTAL_CONSTRUCTION,LI;EN LAW jNFO:R ATION
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _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:
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 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 befor
commencing work or recording our Notice of Commencement.
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STATE OF FLORIDA STATE OF FLORIDA d�w z
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The forgoi�ng instrument was acknowledged before me The forgoing'instrument was acknowledged before m
this yn
y of �T_Cr 20L7 by this gUday of Dp4C. 20JJ by
Name of Pers n making statement Name of person making statement
Personally Known OR Produced Identification Personally Known OR Produced Identification C�
Type of Identification Type of Identifica
Produced Produced ] �(
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(Signature o otary P lic-Si (Signature of Not Public-State of Florida)
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, � : CHER A HOTTENSMITH
Commission No. Y
OM lbtA#dGO90400 Commission No. (Seal)
' EXPIRES April o4.2021
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17