HomeMy WebLinkAboutPP PERMIT APPLICATION KAYAK LAUNCHAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 5/19/21 Permit Number:
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P 6 ° 1 ° ° Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial x Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: KAYAK LAUNCH
PROPOSED IMPROVEMENT LOCATION:
Address: 5445 Palmetto Avenue, Ft. Pierce, FL 34982
Property Tax ID #: 3403-502-0215-000-7
Site Plan Name: The Petravice Preserve
Project Name: The Petravice Preserve KAYAK LAUNCH
DETAILED DESCRIPTION OF WORK:
Erect a prefabricated EZ Launch for kayaks & canoes Model 500955 with 5008900
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Lot No.
Block No.
Additional work to 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: 332 Sq. Ft. of First Floor:
Cost of Construction: $ 50,855.30 Utilities: _ Sewer _ Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
NameSt Lucie County Board of County Commissioners
Name: Randy Thomas
Address:2300 Virginia Ave
Company:Aqua Waste Repairs, Inc.
City: Ft. Pierce State: _
Zip Code: 34982 Fax:
Phone No.772-462-2897
Address:3575 Sneed Road
City: Ft. Pierce State: FL
Zip Code: 34945 Fax: 772-461-6668
Phone No772-461-6228
E-Mail: middlebrookm@stlucieco.org
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mailawrinc@hotmail.com
State or County License FL CGC 1507436
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
Name:
MORTGAGE COMPANY: x Not Applicable
Name:
Address:
City: State:
Zip: Phone
Address:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable
Name:
BONDING COMPANY: Not Applicable
Name: North American Specialty Insurance Company
Address:
Address: 1200 Main Street Suite 800
City:
City: Kansas City, MO
Zip: Phone:
Zip: 64105 Phone:407-786-7770
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 or an attornev before commencing work or recording your Notice of Commencement.
Signature of Owner/ Lessee/Contractor as Agent for Owner
Contractor/License Holder
Signatu r r,111
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF
COUNTY 0FSt. Lude
Sworn to (or affirmed) and subscribed before me of
Sworn to (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
X Physical Presence or Online Notarization
this 'S5 z' day of NIL «2020 by
this 191h day of May 2020 by
Nl , V-A A , d d t.' (9 iinl (
Randy Thomas
Name of person making statement.
Name of person making statement.
Personally Known ✓ OR Produced Identification
Personally Known x OR Produced Identification
Type of Identification
Identification
Produced
ed
ATyef
re of Notary Public- Stat d cla) '
(Signabife of Notary Public- State of Flori QP��A ��'� S.
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Commission No. 3, °a�F
Commission No. ccstosss e�'
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REVIEWS
FRONT
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SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
RE IEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 5/6/20