HomeMy WebLinkAboutSLC ApplicationAll AP�LICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
•Date: 3/19/2020 Permit Number: ________ _
, • 1 I 1,11 I'
Planning and Development Services
Building and Code Regulation Division
Building Permit Application
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial ----Residential _x ___ _
PERMIT TYPE: Replace Lift
PROPOSED IMPROVEMENT LOCATION:
Address: 10701 S Ocean Dr LOT 849 Jensen Beach, FL 34987
Property Tax ID#: 4511-510-0050-000-2
Site Plan Name : Baron----------------------------
Lot No. 849 ----
Block No. __ _
Project Name: _B_a _ro_n_L i _ft ________________________________ _
[ DETAILED DESCRIPTION OF WORK:
Replace existing lift
[ CONSTRUCTION INFORMATION:
Additional work to be performed under this permit -check all that appl y:
Mechanical Gas Tank _ Gas Piping Shutters Windows/Doors
Electric _ Plumbing _ Sprinklers Gener ator Roof Pitch
To tal Sq. Ft of Co nstruction: 144' Sq. Ft. of First Floor:
Cost of Construction:$ 5600.00 Utilities: Sewer _ Septic Building Height:
OWNER/LESSEE:
NameJohn J Baron
CONTRACTOR:
Name: Dennis Re spol
Address: 10701 S Ocean Dr Lot 849 Company: HammerHead Marine Construction
City: Jensen Beach
Zip Code: 34987
Phone No. 302-542-7981
Fax:
E-Mail:johnjbaron@gmail.com
State :
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Address: 2633 SW Tanforan Blvd
City: Port St. Lucie
Zip Code: 34987 Fax:
Phone No 772-52 8-2976
E-Mail Hammer HeadMarine@att.net
State or Count y License� �L5'3.t,.
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: FL --
Construct Angle Dock
8
SUPP,LEMENTAL CONSTRUCTION LIEN LAW INFORMATION: ,.
DESIGNER/ENGINEER:
Name: Paul Welch
Address: 1984 Sw Biltmore St
City: Port St. Lucie
_ Not Applicable
State: _FL __
Zip: 34984 Phone n2-rns.9aoo
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 indi cated.
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
"WARNINC TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYINC
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE O OMMENCEMENT MUST BE RECORDED AND
PO T ON E JOB ITE BEFORE THE FIRST INSPECTION. IF O I TO OBTAIN FINANCINC, CONSULT
WI YOUR DER AN ATTORNEY BEFORE RECORDING YO R TICE COMME EMENT."
tractons Agent for Owner
twas acknowledged before me
_£-;J.Qdt'.1:,1;� _ _, 20.26:?by
of person making s atement.
/ OR Produced IdentificationPersonally Known
Type of Identification
Produc'T'--+---.,,.....-,------
REVIEWS
DATE RECEIVED
DATE COMPLETED
STATE F FLORIM r .. ,.., ""\ COUNTY OF_-��tt=:--���-l.--1re...J--'--'�----
t was acknowledged before me
---'Lf-£.�==-� 20�by
rson ma�ate
Personally Known ___ OR Produced Identification __ _
Type of Id 1 1 ation
Produce
PLANS VEGETATION REVIEW REVIEW SEA TURTLE REVIEW MANGROVE REVIEW