HomeMy WebLinkAbout Building Permit Application z. J
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED' Date: 01/04/2022 Permit Number: L.-*—?L (,V l
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Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential ✓
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 CBDG Funding
PERMIT APPLICATION FOR: Duplex Building 4
PROPOSED IMPROVEMENT LOCATION:
Address: 10101 South Ocean Drive Jensen Beach, Florida 34957
Property Tax ID#: 4502-801-0008-000-8 Lot No. 1
Site Plan Name: AO-01 Architectural Site Plan Block No. 11
Project Name: Ocean Glass Residence and Marina
DETAILED DESCRIPTION OF WORK:
New construction of residential building 4 cJ kc
New Electrical Meter ✓ Second Electrical Meter (Affidavit required)
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit—check all that apply:
"echanical _Gas Tank —Gas Piping _Shutters ✓Windows/Doors _Pond
_✓Electric ✓lumbing _✓Sprinklers _Generator ✓Roof Pitch
Total Sq. Ft of Construction: 9,036 Sq. Ft.of First Floor: 2,564
Cost of Construction: $ 878,000.00 Utilities: ✓Sewer _Septic Building Height: 42 ft
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OWN'ERAESS:EE: CONTRACTOR: ti
Name Sea-glass Ocean Drive Development LLC Name: Kenneth Ringe
Address: 1111 Kane Concourse STE 209 Company: Bayview Construction Services LLCI
city: Bay Harbor Islands State: FL Address: 4826 SE Railway Avenue
Zip Code: 33154 Fax: City: Stuart State: FL
Phone No. 213 365-0830 E- Zip Code: 34997 Fax: 772 288-1337
Mail: Igal@ecologicsgroup.com Phone No 772 283-9300
Fill in fee simple Title Holder on next page(if different E-Mail krinqe@bayviewconstruction.com
I from the Owner listed above) State or County License CGC1520874
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.
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SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: _
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name:Wright Gardner Architect LLC Name:
Address: 154 Krog Street Suite 125 Address:
City: Atlanta State: GA City: State:
Zip: 30307 Phone (404) 218-8460 Zip: Phone: I
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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 conflicts with any applicable Homeowners Association rules,bylaws or and covenants that may restrict or prohibit such
structure.Please consult with your Homeowners 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 I
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 our Notice of Commencement.
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Signature of Contra o or- caner ui der as a kplicable
STATE OF FLORIDA
COUNTY OF V\ sn,
Sworn to(or affirmed)and'subscribed before me of Physical Presence or Online Notarization
this!'tfay of 202�_4y
Name of person making/statement.
Personally Known OR Produced Identification
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Type of Identification Produced
(Signature of Notary Public-State of Florida)
Commission No. (Seal) ?o ,,.. THMJNICHOLS
+► C w*siw-f GO 207405
Expires July 1,20n
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev 10/12/21