HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: March 21, 2018 I— RECEIVED E Permit Number: Ind 3' d6�O�
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Planning and Development Services a
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: Fence
PROPOSED IMPROVEMENT LOCATION:
Address: 83 S Las Olas Drive, Jensen Beach
Legal Description: BEACH CLUB COLONY-SECTION ONE- E 47.20 FT OF LOT 23 (OR 3426-1261: 3921-2412)
Property Tax ID#: 4511-500-0046-000-0 Lot No. 23
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
CONSTRUCTION INFORMATION:
Additional work toe nertormed under this permit—check a 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 S Ft. of First Floor: 1168
Cost of Construction:$ 1000.00 Utilities:R Sewer Septic Building Height:
OWNERAESSEE: CONTRACTOR:
Name BBALL GROUP LLC Name: Steven Drake Marston Jr.
Address: 1916 Baythorne RD Company: Manta Ray Construction
City: West Palm Beach State:__EL Address: 85 South Las Olas Drive
Zip Code: 33415 Fax: City: Jensen Beach State: Florida
Phone No. 561-632-4587 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 thepermit 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 wner/Lessee/C ntra for as Agent for Owner Signature of Contractor/License Hold r
STATE OF FLORIQQA STATE OF FLORIDA
COUNTY OF COUNTY OF 4A, Ly���
The forgoing instrument was acknowledge before me The forgoing instrument was acknowledged before me
this�a—day of W`d r 20 by this W day of Yt`Q C 20A�_ 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 IQ t-- Produced N L
GIVENS
(Signature of NotarIPub c $tate of (Signature of;JUofary iY{�lic-State of Flond o"
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Commission No. EXPIREc'�er mixr16,2020 i _.
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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