HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED �p
Date: Permit Number:
•
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential x
PERMIT APPLICATION FOR: Boat lift
PROPOSED IMPROVEMENT LOCATION:-
Address: 92 Aqua Ra Dr.,Jensen Beach, FL 34957
Legal Description: Windmill Village by the Sea-Unit two-blk A beg at ww cor lot 18,th n00deg 03 min sec w 1 10'th n89 deg 55 min
Property Tax ID#: 451181100190007 Lot No.18
Site Plan Name: Block No. A
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK: .
Install 1 ea. used 6000 lb. HiTide Aluminum Elevator Lift
CONSTRUCTION INFORMATION:
Additional work to be Derformed under this permit—chITI apply:
HVAC L_J Gas Tank ❑Gas Piping _Shutters ❑Windows/Doors
❑
ZElectric ❑ Plumbing ❑Sprinklers ❑Generator ❑ Roof Roof pitch
Total Sq. Ft of Construction: Nt'� S . Ft.of First Floor:
Cost of Construction:$ 2400.00 Utilities: Sewer[]Septic Building Height:
�OW.N'ER/LESSEE: .`�CONTRACTOR:
Name Dale Townsend Name: Maurice Petz
Address:92 Aqua Ra Dr. Company: Linden Marine Construction, Inc.
City: Jensen Beach State:FL Address: 2469 SE Dixie Hwy.
Zip Code: 34957 Fax: City: Stuart State:FL
Phone No.4193464711 Zip Code: 34996 Fax: 7725450752
E-Mail: Phone No. 7723490727
Fill in fee simple Title Holder on next page(if different E-Mail: lindenmarine@yahoo.com
from the Owner listed above) State or County License: 18466
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Roger Baber,PE Name:
Address:8528 SW Kansas Ave. Address:
City: STuart State: FL City: State:
Zip: 34997 Phone: 8005440735 Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
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 your property. A Notice of Commencement must be recorded and posted on the jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencing work or recording our Notice of Commencemen
Signature o er/Lessee/Contractor as Agent for Owner Signature ontractor/License Holder
STATE OF FL(JIDA STATE OF FLORIP A
COUNTY OF C.l COUNTY OF
The fQrWng instrument was acknowledged before me The for oing instru ent was acknowledged before me
this 1 ,) day of�69VwA v / , 20 1-Eby thisday of 4d9Y 20 J_!�by
A Ulm\ C L ��� V v &k u" C �-
(Name of erson acknowledging) (Name of person acknowledging)
(Signs re ofyot4 Public-State of Florida) (Sign u of otary Public-State of Florida)
Personally Known OR Produced Identification Pe sonally Known X OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. (Sea MMIEPUSH Commission No. (Seal)
MY COMMISSION#GG047204 _
EXPIRES:NOV 14,2020 ® JAMIE PUGH
Bonded through let State Insurance MY COMMISSION#GG047204
Revised 07/15/2014 ^ EXPIRES:NOV
14, 0
Bond Insurance
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE -�
COMPLETE I
INITIALS