HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE✓s—1
INFO MUST BECC, LETED FOR APPLICATION TO BE ACCEPTED
Date: �` A —AND Permit Number: OP
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMITTYPE:boat lift
PROPOSED IMPROVEMENT LOCATION:
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Address: 94 Aqua Ra Dr., Jensen Beach, FL 34957
Property Tax ID #: 451181100200007
Site Plan Name:
Project Name: Infante Boat Lift
DETAILED DESCRIPTION OF WORK:
Commercial Residential x
Install boat lift on existing pilings. 12000 lb. HiTide Boat Lift
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit — check all that apply:
Lot No.19
Block No.
_Mechanical _ Gas Tank _ Gas Piping _Shutters —Windows/Doors
_ Electric _ Plumbing _ Sprinklers _ Generator _ Roof
Total Sq. Ft of Construction:
Cost of Construction: $ 7000.00
Sq. Ft. of First Floor:
`Utilities: _Sewer _Septic Building Height:
Pitch
OWNER/LESSEE:
CONTRACTOR:
Name Gabino Infante
Name: Maurice Petz
Address: 5096 Bright Galaxy Lane
Company: Linden Marine Construction, Inc.
City: Greenacres State: _
Zip Code: 33463 Fax:
Phone No.
Address: 2469 SE Dixie Hwy.
City: Stuart State: FL
Zip Code: 34996 Fax:
Phone No 7725450012
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail lindenmarine@gmail.com
State or County License sIcl8466
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.
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SUPPLEMENTAL
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DESIGNER/ENGINEER: _ Not Applicable
N a m e: Roger Bober
MORTGAGE COMPANY: _ Not Applicable
Name:
Add ress: 4050 Selvaz Road
Address:
City: Ft. Pierce State: FL
Zip: 31981 Phone e005a40735
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY: _Not Applicable
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 Court 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 JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
Signature of ner Lessee/Contractor as Agent for Owner
Signatu e ContPactor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF �IAa✓��
,
COUNTY OF �id,�1
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this) day of 20 v by
this day of 3 20�y by
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A1AnI Gem U 4%q-
Name of person making statement.
Name of person making statement.
�OR
Personally Known Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of Identification
Produced JAMIE PUalamsuran
Produced JAMIE PUGH
rbF MY COMMISSION
EXPIRES: NOV
r°Oo MY COMMISSION#GG047204
EXPIRES: NOV 14, 2020
Boned through 1st S
Bonded through 1st State Insurance
(SidyatUre of Notary Pub is -State of Florida)
(Sl'gnaiug of Notary Public -State of Florida) '
Commission No. (Seal)
Commission No. (Seal)
REVIEWS
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SUPERVISOR
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VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
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DATE
RECEIVED
DATE
COMPLETED
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