HomeMy WebLinkAboutSLC ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
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Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT TYPE: Boat Lift
PROPOSED IMPROVEMENT LOCATION:
Permit Number:
Building Permit Application
Commercial Residential X
Address: IUlSI SUcean urive Lot A11, Jensen Beach
Property Tax ID #: 4533-311-0015-000-4
Site Plan Name: Roop
Project Name: Roop Lift
DETAILED DESCRIPTION OF WORK:
Install 16k Boat Lift off of Existing Sea Wall.
CONSTRUCTION INFORMATION:
Lot No.
Block No.
Additional work to be performed under this permit — check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters _ Windows/Doors
_ Electric _ Plumbing _ Sprinklers _ Generator Roof
Total Sq. Ft of Construction: 144 Sq. Ft. of First Floor:
Cost of Construction: $ 13,000.00 Utilities: _ Sewer _ Septic Building Height:
Pitch
OWNER/LESSEE:
CONTRACTOR:
Name Albert Roop
Name: Dennis Respol
Address:10751 S Ocean Boulevard
Company: Hammerhead Marine Construction
City: Jensen Beach State: _
Zip Code: 34957 Fax:
Phone No.
Address:2633 SW Tanforan Boulevard
City: Port St Lucie State: FL
Zip Code: 34987 Fax:
Phone No(772) 924-7244
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
If value of rnnrtrnrtinn ' t1rnn
E-Mail hammerheadmarine@att.net
State or County License31536
--- - •••--•-i •••- �+•+��+ Lvdwc vl wmmtmuemem is requires.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFO
TION:
IName: Paul Welch Inc -- Not Applicable
Address: 1984 SW Biltmore Street
City: Port St Lucie
Zip: 34984 State: FL
Phone (772) 785-9888
FEE SIMPLE TITLE HOLDER:
Name: Not Applicable
Address:
City:_
Zip: Phone:
MORTGAGE COMPANY:
Name:
Address:
city:
Zip; phone:
BONDING COMPANY:
Name:
Address:
City:
Zip: Ph
Not Applicable
State:
_Not Applicable
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain t to do the work a
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie Countyy makes no representation that is granting a permit will authorize the permit holderand installation as indicated.
which is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may
structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
to build the subject structure
In consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, performsthetworkor rohibit such
in accordance with the a p
approved lans, 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 Y
TWIC FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF OMMENCEMENT MUST BE RECORDED A
ND
POS E ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF Y 1 YOUR PAYING
WIT LEN ER OR TO OBTAIN FINANCING CONSULT
ATTORNEY BEFORE RECORDING YOU T�rF
Signe of Own / Lessee , '', �t r as Agent for Owner
STOFFLOR
COY OFThe forAef
iinstrum nt was acknowledged before me
thi of
20��Y
L.r.� v
Naon making tatement.
PersonaIl r own _ �R Produced Identification
Type o at i
dentific
Pro uced
(Si a e of Notary Publi St te, r1a 1caMioA._
ommission No. ,__1
E
FRONT ZONINGCOUNTER REVIEWD
ev. 7 1
FebrVBry 09.
Signaturelof Cont actor/L'cense Holder
STATE OF FLORI�1
COUNT*OF
The forgoing instrum nt was acknowledged before me
this day of 20-211y
Name person makingsent.
Personally Known OR Produced Identification
Type of Iden � 'cation
Produ,p
SUPERVISOR I PLANS
REVIEW REVIEW
f EXPIRES IJN # GG071348
No. eq'+@l`lp9, 2021
VEGETATION I SEA TURTLE I MANGROVE
REVIEW REVIEW REVIEW