HomeMy WebLinkAboutRevised SLC Application (2)I I
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: ________ _ Permit Number: ________ _
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential x
PERMIT TYPE: Boat Lift
PROPOSED IMPROVEMENT LOCATION:
---------
op
Address: 1075 1 SOcean Drive Lot A 11 , Jensen Beach
Property Tax ID#: 4511-31 1-0015-000-4 Lot No. ___
_ Site Plan Name: Roop Block No. __
_-----'-----------------------------
Project Name: _R_o_ � _L_ift _________________________________ _
I DETAILED DESCRIPTION OF WORK:
Install 1 6k Boat Lift off of Existing Sea Wall.
I CONSTRUCTION INFORMATION:
Additional work to be performed under this permit -check all that apply:
Mechanical
Electric
Gas Tank
_ Plumbing
_ Gas Piping
_ Sprinklers
Total Sq. Ft of Construction: _1_44 ______ _
Shutters _ Windows/Doors
Generator Roof ____ Pitch
Sq. Ft. of First Floor: __________ _
Cost of Construction:$ 13 ,000.00 Utilities: Sewer _ Septic Building Height: ___ _ ---------
OWNER/LESSEE: CONTRACTOR:
NameAlbert Roop Name: D ennis Respol
Address: 107 5 1 S Ocean Boulevard Company: Hammerhead Marine Construction
City: Jensen Beach State:
Zip Code: 3 4957 Fax:
Phone No.
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Address:263 3 SW Tanforan Boulevard
City: Port St Lucie
Zip Code: 3 4987
Phone No (772) 924-7244
Fax:
E-Mail hammerheadmarine@att.net
State or County License 31536
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
State:�
� SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER:
Na me: Paul Welch Inc
Address: 1984 SW Biltmore Street
City: Port St Lucie
_ Not Applicable
State: FL --Zip: 34984 p h O ne (772) 785-9888
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State: --Zip: Phone:
BONDING COMPANY: _Not Applicable
Name:
Address:
City:
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
T IMPROVEMENTS TO YOUR PROPERTY. A NOTICE ENT MUST BE RECORDED AND
Pers T
REVIEWS
DATE
RECEIVED
DATE COMPLETED
EFORE THE FIRST INSPECTION. I NU,NI) A NCI NG, CONSULT
TTORNEY BEFORE RECORDING Y T ."
Signatu
ST ATE F FLORl,Qj. L �couNT)\ oF 1::.r l U.vH---
t was acknowledged before me ��=--.,.==-_,20;;l..f:,hy nt was acknowledged before me � ,20.2f)Jy
/4R Produced Identification __ -+--
FRONT COUNTER
ZONING REVIEW
SUPERVISOR REVIEW
person makin7ent.
Personally Known ___ OR Produced Identification __ _
Type of Iden · ·cation Produ
PLANS REVIEW
VEGETATION REVIEW
SEA TURTLE REVIEW
G
548 ps, 2021
MANGROVE REVIEW