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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: February 15, 2018 Permit Number: U V oS • � �
Building Permit Application
Planning and Development Services FEB 15 2018
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: Window/door
PROPQSED IMPROVEMENT LOCATION
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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 Name: Erkman
Setbacks Front Back: Right Side: Left Side:
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DETAILED DESCRIPTION OF WORK
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Installing 2 exterior doors one in the front and one in the rear.
-CQNSTRUCTION INFORMATION
Additional work to be nertormed under this permit—check all appy:
HVAC Gas Tank ❑Gas Piping _Shutters Q Windows/Doors
11 Electric ❑ Plumbing Sprinklers Generator a Roof Roof pitch
Total Sq. Ft of Construction: SFt.of First Floor: 864
Cost of Construction:$ 600 Utilities:lnSewer E]Septic Building Height: 12
OWNER/LESS;E-E1 CONTRACTOR �.rS
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Name Nancy C Erkman Name: Drake Marston
Address: 98 N EI Mar DR Company: Manta Ray Construction
City: Jensen Beach State:_ Address: 85 South Las Olas Drive
Zip Code: 34957 Fax: FL City: Jensen Beach State: FL
Phone No. 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.
SUP_,PLEMENTAL.CONSTRUCTION:-LI,EN.LAW.INFORMATION. r
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 s Agent f wn Signature of Contractor/License Holderg,.
STATE OF FLORI ��o STATE OF FLORIDA _��
COUNTY OF =��= COUNTY OF =Z
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The for ping instrum t was acknowledged befo afigf The for ping instrum t�jas acknowledge efore � ¢ 2
this day of 20 by ¢ ¢2 this day of O 20 Eby ¢�X
azA M e ILhL em 1-0 N ¢�w ti d��14)�� PX_rT V N
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Name of perso making statement m Name of peon making statement
Personally Known OR Produced Identif Personally Known OR Produced Identificati - •. :0.
Type of Identification ; 3Q Type of Identification "*,;q;F•
Produced '++ ;� ' Produced
.(Signature of Not Public-State of Florida) (Signature of Nota ublic- ate 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