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HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: l0'�(/'� ) Permit Number: RECEIVEiIJ JUN 3 0 2021 0 p' o n --� St.Lucie County Building Permit Application Permitting Planning and Development Services 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:NEW 4'X24' MARGINAL DOCK AND 10'X15' PLATFORM PROPOSED IMPROVEMENT LOCATION: Address: 2063 NETTLES BLVD JENSEN BEACH, FL. 34957 Property Tax ID#: 4502-501-0066-'C()©—I Lot No. Site Plan Name: NETTLES ISLAND Block No. Project Name: IZARD RESIDENCE DETAILED DESCRIPTION OF WORK':. CONSTRUCT A 4'X24' MARGINAI DOCK ALONG SEAWALL AND A 1 0'X1 5' PLATFORM 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 —Windows/Doors _Pond Electric _Plumbing _Sprinklers _Generator _Roof Pitch Total Sq. Ft of Construction: Sq. Ft. of First Floor: Cost of Construction:$ 12,000:00 Utilities: —Sewer _Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name DOUG IZARD Name:MICHAEL GUIDICE Address:2063 NETTLES BLVD. Company:TREASURE COAST BARGE, INC City: JENSEN BEACH , FL State:_ Address:1200 SE DIXIE CUTOFF RD. Zip Code: 34957 Fax: City: STUART State:FL Phone No. Zip Code: 34994 Fax: E-Mail: Phone No(772)220-3625 Fill in fee simple Title Holder on next page(if different E-MailTREASURECOASTBARGE@YAHOO.COM from the Owner listed above) State or County License20077 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. =SUPPLEMENTi4L'CONSTRUCTION-LI'EN LAW INFORMATIbN - .- DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _ Not Applicable Name: Name: Address: Address: City: State: City: State: Zip: Phone Zip: Phone: FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: 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 or an attorney Wore commencing work or recording our NoVzp of Commencement. Signatur Owner/Lessee/ tractor as Agent for Owner Signature of Contractor/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF COUNTY OF Swor o(or affirmed)and subscribed before me of Sworn (or affirmed)and subscribed before me of ", Physical Presence or Online Notarization hysical Presence or Online Notarization this 2�day of`Vc4,r44?, 2021 by this ZL4L day of JZ4^3c= 202If by - Name of ltdIrson making statement. Name of person making statement. z (/. rn co Personally Known OR Produced Identification � Personally Known OR Produced Identificatio 2 z- Type of Identification Type of Identification — a 0o Prod —' G vJ�e— Produced = to (Signature of Notary Public-State ai,. (Signs ure of Notary Public-State of Florida ) Commission No.9/ 3,G (d I) c��j F,p� Commission No. lkl1 -74 1 (Seal) s/boo REVIEWS FRONT ZONING S GS';" P S VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW RE ��� s�RE W REVIEW REVIEW REVIEW DATE i RECEIVED I)QUZA DATE COMPLETED Rev.