HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED /�
Date: March 22, 2018 Permit Number: 1���, 0QZ3
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Building Permit Application
Planning and Development Services
Building and Code Regulation Division 5T, Lucie County, Permitting
2300 Virginia Avenue, Fort Pierce FL 34982 _
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential
PERMIT APPLICATION FOR: Fence
PROPOSED IMPROVEMENT LOCATION:
Address: 85 South Las Olas Drive, Jensen Beach Florida 34957
Legal Description: BEACH CLUB COLONY-SECTION ONE W50.3 FT LOT 22 (OR 2004-2794-13953-499)
Property Tax ID#: 4511-500-0045-000-3 Lot No. 27
Site Plan Name: Fence repair due to Irma Block No.
Project Name:
Setbacks Front Back: Right Side: _Left Side:
DETAILED DESCRIPTION OF WORK:
Repaired Fence due to hurricane Iram. Wood Fence - L,' _ i�v �F , ,` p k, �',,�� p` cv-z i Q_
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[CONSTRUCTION INFORMATION:
Additional work to be performed under t ispermit—check all apply:
HVAC Gas Tank Gas Piping Shutters ❑Windows/Doors
❑Electric ❑ Plumbing Sprinklers ❑Generator ❑ Roof Roof pitch
Total Sq. Ft of Construction: 100 or less LF Sq. Ft. of First Floor: 1200
Cost of Construction: $ 1500.00 Utilities: Sewer F]Septic Building Height: 13,000
OWNER/LESSEE: CONTRACTOR:
Name Pensco Trust Co Raymond Cannady IRA _ Name: Steven Drake Marston Jr.
Address: 3391 Bobalink Way Company: Manta Ray Construction
City: Palm City State: Florida Address: 85 South Las Olas Drive
Zip Code: 34990 Fax: City: Jensen Beach State: Florida
Phone No. 772 247-7308 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: CBC1259999/CCC1330490
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
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.
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Signature of caner/Lessee/C ntra for as Agent for Owner Signature of Contractor/License HoldiKr
STATE OF FLORIQA STATE OF FLORIDA
COUNTY OF S . COUNTY OF 5,-,r. Ly5:s`'
The forgoing instrument was acknowledge before me The forgoing instrument was acknowledged before me
this2-a—day of 1*1 d'( 20 ,� by this 1.�day of V`t�a C 20 by
Name of person making statement Name of person making statement
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identifi ation Type of Identification
Produced Produced�RlL
(Signature of Nota I vb W-4State of t J� i {� (Signature o c oar Iic�Staty df Florida o``
r� y VyC �ti#GG02�021 G+1-k t + rY + art r? 20^0 G..
Commission No. ExPlrct „:iicUnlerwrte , Commission
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17