HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: 2(X9(e—oq �/ S
Building Permit Applica4on JUN 1 8'020
Planning and Development Services ST, Lucie County,
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential xxx
PERMIT TYPE: Dock replacement with boatlift
PROPOSED IMPROVEMENT LOCATION:
Address: 74 Aqua Ra Drive Jensen Beach FL 34957
Property Tax ID #: 4511-811-0015-000-9
Site Plan Name:
Project Name:
Lot No.14'
Block No.
DETAILED DESCRIPTION OF WORK:
Removal of existing framing of dock and construction of new dock using existing pilings. Installation of a boatlift.
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit — check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters
_ Electric _ Plumbing _ Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $ 11.000.00
_ Generator
Sq. Ft. of First Floor:
Windows/Doors
Roof Pitch
Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name William Cooper
Name: Jeffery McCabley
Address:74 Aqua Ra Drive
Company: Franklyn Construction, LLC
City: Jensen Beach, FL State: _
Zip Code: 34957 Fax:
Phone No. 317-506-6937
Address:1599 NE Amy Ave.
City: Jensen Beach State: FL
Zip Code: 34957 Fax:
Phone No 772-284-4042
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail mpmstuart@gmail.com
State or County License CGC1522984
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.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER:
Name:
_ Not Applicable
MORTGAGE COMPANY:
Name:
_ Not Applicable
Address:
Address:
City:
Zip: Phone
State:
City:
Zip: Phone:
State:
FEE SIMPLE TITLEHOLDER:
Name:
_ Not Applicable
BONDING COMPANY:
Name:
_Not Applicable
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 the permit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws Oran 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."
I"
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Signature of Owner/ Lessee/Contractor as Agent for Owner
Slgnate��ff'(!�tor/Llce6se Hol r
STATE OF
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STATE OF
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COUNTYOFORIDA
COUNTYOFORIDA
The forgq. instrument was acknowledged before me
this day of rAVy7ltY ,2024by
The f oing instrum nt wacknowledged before me
this 9day of Ufa 2020by
Azaz,9w owc. Coda(
MCCAuI-EY
Name of person making st ement.
Name of person making statement.
Personally Known OR Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type o eI entificaation, . Ll GENS>'
Produced
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(Signature of Notary PublicoF f FIo99§4ME1ER0IERGKS
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MCommivw GG 98105
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REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.2/7/19