HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: February 15, 2018 Permit Number: OR ' Q �
AWS-1 A
Building Permit Application
Planning and Development Services FEB 2��8
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982 J
Phone:(772)462=1553 Fax: (772)462-1578 Commercial Residential
PERMIT APPLICATION FOR: Demolition
PROPOSED IMPRq.VEMENT LOCATION Y k '
Address: 98 N. EI Mar Drive, Jensen Beach, Florida 34957
Legal Description: BEACH CLUB COLONY-SECTION ONE E 41.98 FT OF LOT 28 (OR 3603-119;4034-1947)
Property Tax ID#: 4511-500-0057-000-0 Lot No.
Site Plan Name: Block No.
Project.Na.me: Erkman
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK r
Demolitioning Alumium
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CONSTRUCTION INFORMATION
�Additional wor ,toe n e ormed under this permit—c eck a appy:
HVAC Ej Gas Tank ❑Gas Piping _Shutters Q Windows/Doors
0 Electric 0 Plumbing Sprinklers Generator 0 Roof Roof pitch
Total Sq. Ft of Construction: SFt.of First Floor: 864
Cost of Construction:$ 1000.00 Utilities:nSewer 0 Septic Building Height: 12
OWNER/LESSE.E = —` �4 CONTRACTOR , - har
Name Nancy C Erkman Name: Drake Marston
Address: 98 N EI Mar DR Company: Manta Ray Construction
City: Jensen Beach State: FL Address: 85 South Las Olas Drive
Zip Code: 34L
/'957 Fax: City: Jensen Beach State: F
Phone No. / S 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: CBC 1259999
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENITAL.CONST.RUCTION LIEN LAW INF;ORIVIATIO;N_
_ .
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 Signature of Contractor/License Holder
STATE OF FLORIDA ro; = STATE OF FLORIDA ° x�
COUNTY OF !/✓liter =? COUNTY OF big 2 9�
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The forgoing instrum t was acknowledged before The forging instru nt was acknowledged before m z c
this day of 20�' by mxnb'c this / }day of 20by �,"
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Name of person making statement P a � Name of person making statement
Personally Known —/ OR Produced Identificati ��z Personally Known OR Produced Identification H
Type of Identification m _Q Type of Identification
Produced CON Produced
.(Signature of leary Public-State of Flori ) (Signature of No a Public-State of Florida)
Commission No. (Seal) Commission No. (Seal)
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17