HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED r�
Date: February 02, 2018 Permit Number: D �o� 0 a
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Building Permit.Application
Planning and Development Services FEB ,r 2018
Building and Code Regulation Division /
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)-462=1553 Fax: (772)462-1578 Commercial Residential.,1'11
PERMIT APPLICATION FOR: .To Select from dropbox, click arrow at the end of line
PROPOSED iM;PRO.VEMENT LOCATION ': " r
Address: 89 S LAS OLAS DR
Legal Description: BEACH CLUB COLONY-SECTION ONE W41.81 FT OF LOT 21 (OR 4059-2883)
Property Tax ID#: 4511-500-0043-000-9 Lot No.
Site Plan Name: Block No.
Project Name: FENCE REBUILD
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK . u
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Installing 40 LF 6 Foot tall Wood Fence in rear and 40'on side. No Gate
Hurrican Irma damage,
CONSTRUCTION INFORMATION
Additional work toe ertormed under this permit—check a appy:
HVAC Gas Tank ❑Gas Piping _Shutters Windows/Doors
Electric 0 Plumbing Sprinklers a Generator Roof Roof pitch
Total Sq.Ft of Construction: Sq.Ft.of First Floor:
Cost of Construction:$ 1000 Utilities:Sewer Septic Building Height:
ODUNER/LESSEE X77 .CONTRACTOR 5 x
Name Peter Deaton Name: Steven Drake Marston Jr.
Address: 420 Sw Beachway Avenue Company: Manta Ray Construction
City: Palm City State: FI Address:. 85 South Las Olas Drive
Zip Code: 34990 Fax: City: Jensen Beach State: FL
Phone No. 772-571-7752 Zip Code: 34957 Fax:
E-Mail: Phone No. 772-201-8316
Fill in fee simple Title Holder on next page(if different E-Mail: mreservicesfl@gmail.com
from the Owner listed above) State or County License: CBC 1259999/CCC1330490
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
:SUPPLEMENTAL CONSTRUCTLON LIEN LAW INFORMATION x.
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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 before
commencing work or recording our Notice of Commencement.
Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORI STATE OF FLORID
COUNTY OF COUNTY OF_�
The fo oing instrument was acknowledg efore me The fo oing instrym en was acknowledged*fore me
this�day of 20 by this day of 20/00 by
Y n n e v ifD"Y) r ori go,
N g Name of person making statement Name of persorymaking statement
nally Known -AOR Produced Identification Personally Known OR Produced Identificati
e of Identification Type of Identification
uced Produced =LLN
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MA
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17