HomeMy WebLinkAboutMarshall Bldg Dept Application07282020_0001All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
Building. Permit Application
Planning ond'DevelopmentServices
Building and Code Regulation Division Commercial Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: J
PROPOSED IMPROVEMENT LOCATION:
Address: 8800 S. Ocean Dr. #1006 Jensen Beach FL 34957
Property Tax ID #: 3535-603-0090-000/0 Lot No.
Site Plan Name: ov-,-+CV 1 Block No.
Project Name: .0 "nvcA I br%
DETAILED DESCRIPTION OF WORK:„ T=Z2 _ nl–
New Electrical Meter Second Electrical Meter
[CONSTRUCTION INFORMATION:
Additional work to be performed under this permit – check all that apply:
_Mechanical _ Gas Tank ^ Gas Piping _ Shutters _ Windows/Doors _ Pond
_ Electric _ Plumbing _ Sprinklers ^ Generator _ Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $151 \ Utilities: —Sewer —Septic
Building Height:
OWNER/LESSEE:
++
CONTRACTOR:
Name Charles W. Marshall, Jr.
Address: 222 Bolivar Street
Name: Justin Thiery
Company: Island Kitchen & Rath
Address: 10875 S Ocean Drive
city: Canton State: MA
Zip Code: 02021 Fax: 781-281-8494
Phone No. 781-738-4319
City: Jensen Beach State: FL
Zip Code: 34957 Fax:
Phone No 772-237-7348
E -Mail: cwmarshalljrggmail.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E -Mail ikb.nm_a�siGtan (a�gmail rnm
State or County License _ CBC1259508
V0 UC W wi,oLruF_uon is c:)uu or more, a.KtGUKDtu Notice of Commencement is required.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name:
MORTGAGE COMPANY: X__ Not Applicable
Name:
Address:
Address:
City: State:
Zip- Phone
City: I State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:_ Ledgeway Capital LLC
Address: 222 Bolivar Street
City: Canton, MA
Zip: 02021 Phone: 781-738-431.
BONDING COMPANY: Not Applicable
Name:
Address:
City:
Zip: Phone:
OWNER/ CONTRACTORA FFIDVIT: 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 paying twice for
improve nts to your property. A Notice of Commencement must be recorded in the public records of St.
cC n y and posted on the jobsite before the first inspection. If you intend to obtain financing, consult
Wl Ip lin ed or an attorney hefnre rnmmanrina,e,nrL, — ..,.,,�41-- KI. :__ _r __
- -- - -
.......
r lAlllr, YOU, Notice ut Commencement.
Si of 0 n r essee/Contractor as Agent for Owner
Signup of Contract r/ icense lder -
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF 'i -
COUNTY OF St Lucie
Sworn to (or affirmed) and subscribed before me of
Sworn to (or affirmed) and subscribed before me of
. Physical Presence or Online Notarization
this � day of _ 20 l� by
Physical Presence or Online Notarization
this day of tT 20_ by
--- cA•/ I- D � t�1�A
Justin Thiery
Name of person making statement.
Name of person making statement.
Personally Known OR Produced Identification
Personally Known X OR Produced Identification
Type of Identification
Type of Identification
Produ�ced�
Produced
-nature o Publi,�,SXpte of Florida
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(Signature of N ary Public- State of Fl
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