HomeMy WebLinkAboutBuilding Permit Application Complete copyAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 9/9/2020 Permit Number;
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s °"` np Building Permit Application
Planning and Veve%prnent Services
Building and Code Regulation Division Commercial
2300 Virginia Avenge, Fort Plerce FL 34982
Phone: (772) 462-1553 Fax: (772) 462--1578
Residential X
PERMIT APPLICATION FOR: Christopher Jones
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Address: 4473 S Indian River Dr, Fort Pierce FL 34982
Property Tax ID #: 2436-233-0003-010-5
Site Plan Name:
Project Name:
installation of pilings and dock
New Electrical Meter Second Electrical Meter
Lot No.
Block No,
Additional work to be performed under this permit-- check all that apply:
—Mechanical W 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. 68,300 Utilities:Sewer J Septic Building Height:
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Name Christopher Jones
Name:
Address; 4473 S Indian River Car
Company: soulh Florlda Building Into, dba BDI Marino Conlraolors
City: Fort Fierce State:
Zip Cody: 34982 Fax: --
Phone No.(954) 816-7828
Address: 11718 SE Federal Hwy #222
City: Hoge Sound State: FL --
Zip Code: 33455 -- Fax:
Phone No561-612-4300
E-Mallelizabeth@bdimarineendsite.com
E-Mail:chris;ones@bellsouth.net
Fill in fee simple Title Holder on next page ( If different
from the Owner listed above)
State or County Licen•SeCGC1528016
If value of construction is 2500 or More, a RECURVE0 Notice of commencement is requires.
if value of HAVC Is $7,500 or more, a RECORDED Notice of Commencement is required.
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SUp{�L M N7Aig O�VSTR41 NIt N{�l�Nl ViI'I`NFOI
DESIGNER ENGINEER:. x Not Applicable
Name:
M/a1ION; A a ai Y'I t
MORTGAGE COMPANY: x Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone,
City: State:
Zip: Phone ____
FEE SIMPLE TITLE HOLDER: x
Name:
Not Applicable
BONDING COMPANY: x 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 County makes no representation that is granting a ermit will authorize the permit holder to build the subject structure
structure Pleasie consult wyithpyolurHoHome ners Associationtandrreviewyyour dead far any restrictions which maor prohibit such
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••resldential use
WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in paying twice for
Improvements to your property. A Notice of Commencement must be recorded in the public records of St.
Lucie County and posted on the jobsite before the first inspection, if you intend to obtain financing, consult
with lender or an attorney before commencing we or recordin your Notice of Commencement.
Signature of Owner/ Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA, STATE OF FLORA
COUNTY OF c11M } c�t1� COUNTY OF \ C0 M 13e.(A0)
Sw rn to (or affirmed) and subscribed before me of Sworn to (or affirmed) and subscribed before me of
Physical Presence or� � Online Notarization Physical Presence or ^ Online Notarization
this i day of ejCm keen , 2020 by this �GL day of S2rJiCM NQ L.. 202o by
C.h 6's 3ws e�11R� i n ,
Name of person making statement. Name of person making statement.
Personally Known OR Produced Identification )(%%N Personally Known V\ OR Produced identification
Type of Identification Type of Identification
Produced ®c.V(sS 1Ll(�S➢ Produced
( nature of Notar r Ittw tams* art aJ • •+ i•udi gn ture of Notar u!>Ro�Sta�Wfy�fNi sot Plorlda
Amanda Ellioti Amanda EllloH
My commispJ'o,nC� G 936496 My CummlOelAfrQQfl76196
Commission No, Expims 12/QS @8}� Commission No. Iw. tu61
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev.