HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:.April 6, 2021 Permit Number:
9`ro [Luc�aai � � RECEIVED
APR m 6 2021
Building Permit Application
artm
Planning and Development Services Permitting GC unt/ent
St. Lucie ..our�ty
Building and Code Regulation Division Commercial Residential X
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION:
Address: 151„NoNaranja Avenue, Port St. Lucie, FL 34983
Property Tax ID #: 3419-530-0191-000-8 Lot No. 5
Site Plan Name: River Park Unit 4 Block No. 39
Project Name:
DETAILED DESCRIPTION OF WORK:'
Install new seawall. in front of existing retaining wall. Remove existing dock, and install new dock. Relocate existing boat lift.
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional workto be performed under this permit— check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters _ Windows/Doors _ Pond
Electric = Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 19,500.00
Sq. Ft. of First Floor:
Utilities: —Sewer _ Septic Building Height:
OWNER/LESSEE:
",CONTRACTOR:.,
Name Jeff Klaas'
Name:
Address:151 NE Naranja Avenue
Company:
City: Port St. Lucie State: _
Address:
Zip Code: 34983 Fax:
City:, State:
Phone No. 772-214-5633
Zip Code: Fax:
E-Mail: klaas.natalie@gmail'.com
Phone No
Fill in fee simple.Title Holder on next page ( if different
E-Mail
State or County License
from the Owner listed above)
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: x Not Applicable
MORTGAGE COMPANY: x_ Not Applicable
Name:
Name:
Address:
Address:
City: State:
City: State:
Zip: Phone
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. LucieCounty 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 n the jobsite before the first inspection. If you intend to obtain financing, consult
with lender o an a before commencing work or recording our Notice of Commencement.
oe-
01
Sig f ner/ Lessee/Contractor as ent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDAA
STATE OF FLORIDA
COUNTY OF 0,116
COUNTY OF
Swop to (or affirmed) and subscribed before me of
Sworn to (or affirmed) and subscribed before me of
✓ Physical Pres nce or Online Notarization
Physical Presence or Online Notarization
this , day of 2020 by
this day of 2020 by
-ev LwS�
Name of rWrWn making statement.
Name of person making statement.
Personally Known OR Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of Identification
Produced A
Produced
(Signature of Nota
(Signature of Notary Public- State of Florida )
o""nV'P'ti, KAREN S. NIELSEN
Commission No. °�`" B<-,State of FI1g4gfVotary Public
Commission No. (Seal)
_+ *=Commission # GG 207484
+o � My Commission Expires
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