HomeMy WebLinkAboutBuilding.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
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial x Residential
Address: 8735 S Ocean Dr Jensen Beach FL 34957
Legal Description. 34/35 36 41 THAT PART OF S 2577,66 FT OF N 2858.86 FT OF FRACT SECS 34 AND 35 LYG W OF SR A
Property Tax lD#: 3534-111-0005-000-5
Site Plan Name-,
Project Name: Marina Repair
Setbacks Front Back: ... Right Side:
Left Side:
Lot No.
Block No.
I DETAILED DESCRIPTION OF WORK: I
Repair an existing 6' X 2W marina access ramp
CONSTRUCTION INFORMATION:
Additional work to be ertormed under this permit —check all tl2at apply:
OHVAC Gas Tank [_� Gas Piping F ]Shutters Windows/Doors
11 Electric � Plumbing F]Sprinklers 11 Generator Roof Roof pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ C) 0 Utilities: 0 Sewer [j Septic Building Height:
OWNER LESSEE:
CONTRACTOR:
Name Island Dunes Country Club Inc
Name: OTIS LEONARD
Address: 8735 S Ocean Dr
Company: OTIS LEONARDS DOCKS & ACCESSORIES
City: Jensen Beach State: FL
Tip Code: 34957 Fax:
Phone No, 561-540-6004
E-Mail: Troy@godbysafeandfackxom
Fill In fee simple Title Holder on next page (if different
from the Owner listed above)
Address: 1608 APACHE AVE
City: STUART State: FL
Zip Code: 34994 Fax:
Phone No. 772-263-2764
E-Mail: LEONARDSTR@AOL.COM
State or County License:
it value of construction is 52500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: I
DESIGNER/ENGINEER: Not Applicable
Name:
Address:
City: State:
Zip: Phone
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY: Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY: _Not Applicable
Name:
Address:
City:
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 Horne 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
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 work or recording vour Notice -of Commencement.
as Agent for Owner
STATE OF FLORIDA 7;
COUNTY OF Z-, � IcZ 0 I'l 0 r
Sworn to for affirmed) and subscribed before me of
P sical Pr nce or Online Notarization
this ' ( day of 2 Rodj��3020 by
Name of person making statement,
Personally Known ✓ OR Produced Identification
Type of Identification
Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF -1-4 V
Sworn to for affirmed) and subscribed before me of
P ysical Prelserice or _ Online Notarization
this j{ day of02'0 by
Name of person making statement.
Personally Known OR Produced Identification
Type of Identification
lsignature of - 2rf`T:IPrTtdc1 )'. ` (Signature of Notary Publ airr6f Florida
otwmr P Notary Public state of Florida
Commission Andrea Lila Suarez
R A.e. ission GOV209 Commission N ,,Xy Notary Public State ��T
OF n°t Expires m/D612021 1idr is Suarez
-, My Commission GG 112329
REVIEWS FRONT ZONING SUPERVISOR PLANS VE A OWN SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
COMPLETED