HomeMy WebLinkAboutBuilding Permit ApplicationALL 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 34952
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential x
PERMIT APPLICATION FOR: Dock/Seawall
Address: 87 AQUA RA DRIVE
Legal Description: RIVER WATCH BLK 4 LOT 4 (OR 4090-1015)
Property Tax ID #: 4511-815-0013-000-7
Site Plan Name:
Project Name:
Setbacks Front Back:
DETAILED RESCRIPTION OF WORK:
Right Side: Left Side:
Lot No.4
Block No.
REPLACE AN EXISTING 170' +/- LINEAR FOOT WOOD SEAWALL WITH VINYL SHEET PILE AND
CONCRETE CAP
CONSTRUCTION CTIO NOR ATIOt
itiona work to e Derformed urider this permit — c ec a a p p y.
LIHVAC Gas Tank Gas Piping _ Shutters ❑ Windows/Doors
Electric ❑ Plumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: S�Ft.I of First Floor:
Cost of Construction: $ or) Utilities: L_I Sewer D Septic Building Height:
OWNER/LESSEE;
CONTRACTOR
Name PETER RAMGOLAM
Name: SCOTT SZAFRANSKI
Address: 87 AQUA RA DRIVE
Company: HARBOR BAY MARINE INDUSTRIES, INC
City: JENSEN BEACH State: EL
Zip Code: 34957 Fax:
Phone No. 516-317-8018
Address: 1525 SE CAMBRIDE DR
City: PORT ST LUCIE State: FL
Zip Code: 34952 Fax:
Phone No. (772)335-7080
E-Mail:PRAMGOLAM@GMAIL.COM
Fill in fee simple Title Holder on next page if different
from the Owner listed above)
E-Mail: scott@harborbaymarine.com
State or County License: 18367
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: Not Applicable
Name: PAUL WELCH, INC Name:�,�
Address: 1984 BILTMORE DR #114 Address: t'
City: PORT ST LUCIE State: FL City: State:
Zip: 34982 Phone 772-785-9888 Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
BONDING CO PANY: Not Applicable
Name:
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 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 twice for
improvements to yo rty. A Notice of Commencement must be recorded and posted on the jobsite
be fo e he fist ins ction. I you intend to obtain financing, consult with lender or an orn before
com en in work r reco in our Notice of Commencement.
Signature o 0 ner/ Lessee/Contractor as Agent for Owner
Signatur or/ e er
A
STATE OF FIL77(1
COUNTY OFr-�,o
STATE FLORID
COU TYOF %?w4kr\
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The forg ing instrument was acknowledged before me
lay
The forgoing instr ent was acknowledged before me
j
this of 20 by
this day of z0 by
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Name of person aking statement
Name of person making statement
Personally Known OR Produced Identification
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Personally Known OR Produced Identification
Type of Identification
Produced�V 'U• 30',` i )r YN r L,i ,�
Type of Identification �
Produced
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(Signature oflotary Public- State of Flori j'
(Signat e of Notary ubl c- State of Flor1 NOTARY PUB
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Commission No _ ( '1 & 1vIYCDMMISSION#GG
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mission No &3� 1 � 2
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Bonded Thru Budget Notary
Expires 9/23/
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0
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17