HomeMy WebLinkAboutPEREZ, PERMIT APPAll 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 Commercial Residential xx
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: DOCK AND BOAT LIFT
PROPOSED IMPROVEMENT LOCATION:
Address: 2092 NETTLES BLVD, JENSEN BEACH, FL 34957
Property Tax ID #: 4502-501-0095000-3
Site Plan Name:
Project Name: PEREZ DOCK AND BOAT LIFT
Lot No. 2092
Block No.
DETAILED DESCRIPTION OF WORK:
REMOVE EXISTING DOCK AND PILINGS, INSTALL NEW 4'X40' APPROACH WITH 10'X16' TERMINUS. INSTALL NEW
16,000 LB BOAT LIFT
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit – check all that apply:
Mechanical
Electric
Gas Tank
Plumbing
Total Sq. Ft of Construction: 460
Cost of Construction: $ 27000
Gas Piping
Sprinklers
— Shutters Windows/Doors Pond
Generator Roof Pitch
Sq. Ft. of First Floor:
Utilities: --Sewer __Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name LUIS PEREZ
Name: OTIS LEONARD
Address: 2092 NETTLES BLVD----
Company: OTIS LEONARD DOCKS AND ACCESSORIES
—�
City: JENSEN BEACH State:
Zip Code: 34957 -- Fax:
Phone No. 305-401-6000
Address: 1608 SE APACHE AVE
City: STUART State: FL
Zip Code: _34994 Fax:
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Phone No 7722632764
E-Mail: lucas@condelandscaping.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E -Mail LEONARDOTISI6@YAHOO.COM
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State or County License 31973
If value of construction is 2500 or more, a RECORDED 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 ApplicableMORTGAGE COMPANY: _ Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable BONDING COMPANY: 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
W 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 Recoird a € otice of Commencement may result in paying twice for
improvemeis to your property. A Notice of Commencement must be recorded in the public records of St.
Lucie Count nd posted on the jobsite before the first inspection. If you intend to obtain financing, consult
with lewder of an attorney before commencing work or recopoinY iourrNNotice of Commencement.
Signature of Owner/
as Agent for c wrier
STATE OF FLORIDA
COUNTY OF
Sw v; to (or affirmed) and subscribed before me of
1L Physical Presence or Online Notarization
this LV, da of � 2020 by
Name of person making statement.
Personatl sown ���Z OR Produced Identification
Type odentifrcation
Produ ed'
ure of N
Commission No..
REVIEWS I FRONT
COUNTER
DATE
REC.EIVED
DATE
COMPLETED
oflorida
., racy A. Volt
tart' Public
Otte of Florida
Commit HHOO1137
Ex ires 5/18/2024
ZONING SUPERVISOR
REVIEW REVIEW
Signature of Contractor License Holder
STATE OF FLORIDA
COUNTY OF I
Sw nn to (or affirmed) and subscribed before me of
V Physical Presence or Online Notarization
this -aday of d { -�InlV- ( 2020 by
Name of person making statement.
Personally Kgown OR Produced Identification
Type of ldey(t)tication
re of N¢tori/ Public- Stat9,,gJ Rorir v A. Volz
I ?ublic
Commission Na. �S ate o Florida
Commh HHOO1137
Expir 5/18/2024
PLANS VEGETATION SEATURTLE MANGROVE
REVIEW REVIEW REVIEW REVIEW