HomeMy WebLinkAboutcurrin slc applicAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
gir C' o
p s (p
Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: Dock addition and boat lift
PROPOSED IMPROVEMENT LOCATION:
Address: 200 OLIVE AVE
Property Tax ID #: 3419-510-0266-000-3
Site Plan Name:
Project Name:
DETAILED DESCRIPTION OF WORK:
Residential x
Lot No.
Block No.
1) Install a 118 sq ft dock addition onto an existing 159 sq ft dock, 2) Install a 4 piling HiTide 16000 lb. boatlift
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit —check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters
Electric _ Plumbing _ Sprinklers
Total Sq. Ft of Construction: _
Cost of Construction: $ 16500
_ Generator
Sq. Ft. of First Floor:
Windows/Doors _ Pond
_ Roof Pitch
Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Ryan Currin
Name: Maurice Petz
Company: Linden Marine Constr., Inc.
Address: 2469 SE Dixie Hwy.
Address: 123 Maplewood AVE
City: Watertown MA State: _
Zip Code: 02472 Fax:
Phone No.
City: Stuart ; t t :FL
Zip Code: 34996 Fax:
Phone No 7725450012
E-Mail: currinelectric@hotmail.com
Fill in fee simple Title Holder on next page if different
from the Owner listed above)
E-Mail linenviron@gmail.com
State or County License slc18466
It value of construction is 25oo 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 Applicable
MORTGAGE COMPANY: X Not Applicable
Name: Paul Welch. PE
Name:
Address: 1984 SW Biitmore St # 114
Address:
City: State:
City: Port St. Lucie State: FL
Zip: 34984 Phone 77278ss888
Zip: Phone:
FEE SIMPLE TITLE HOLDER: X Not Applicable
BONDING COMPANY: X 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 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 9K an att efore commencing work or recording our Notice of Commencement.
Signature of Con ac r/L cense Aoider
Signature of Owner a ee ontractor as Agent for Owner
STATE OF FLOM
STATE OF FLORIDCOUNTY
I�
OFU�.\C t
COUNTY OF `l Ck e—
Sworn to (or affirmed) and subscribed before me of
Sworn to (or affirmed) and su scribed before me of
V
Physical Presen a or Online Notarization
this day of f 2020 by
Physical Pr nce or Online Notarization
this � day of ICY V 2020 by
Maurice Petz h��MAPb�NN�r
Maurice PEtz
Name of person making statement.�r-OPI, %V",q-0W., `
Name of person making statement. ```%% NA C�'14ej
Personally Known OR Pr�l� ific Sy ��
Personally Known OR Pr�uQs�dk�•''ie
Type of Identification S`
ifi Type of Ide capo ���;' ••�
Pro ced 1 >r 1 �� Q
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(Signature o Notary Pub ic- St;te pV
(Signature of Notary Public- St �i a�UB�\G••.•
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of
Commission No.tC��� "f4i I)'O `
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Commission No. 9, ��f'j�T • 1 0Q`��
Commission r
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.