HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICAOLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: t I I a\ 1 Permit Number:
RECEIVED
Building Permit Application ' NOV 21 2018
Planning and Development Services
Building and Code Regulation Division ST, Lucie County, Permitting
2300 Virginia Avenue, Fort Pierce FL 34982 _
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential V
PERMIT APPLICATION FOR: Boat lift
PROPOSED IMPROVEMENT LOCATION:
Address: 10851 S Ocean DRive, Jensen Beach
Legal Description: Windmill Village By -The -Sea Condo No 1 Unit 113 & Pro-Rata Share in Common Elements (OR 3670-1256)
Property Tax ID #: 4511-810-0120-000-5
Site Plan Name: Carfora
Project Name: Carfora Lift
Setbacks Front Back: Right Side: Left Side:
_DETAILED DESCRIPTION OF WORK:
Install Ace 10k Boat Lift on Existing Pilings. Electric already exists.
Lot No.
Block No.
CONSTRUCTION INFORMATION:
-AUailional work to be nertormed under this permit — check a apply:
11HVAC L_J Gas Tank Gas Piping _ Shutters Windows/Doors
❑a
Electric Plumbing Sprinklers [ Generator Roof Roof pitch
Total Sq. Ft of Construction: S . Ft. of First Floor:
Cost of Construction: $ 5,600.00 Utilities:Cn Sewer []Septic Building Height:
O.WN'ER/LESSEE:,
CONTRACTOR:
Name Christopher Carfora
Name: Dale Gasparik
Address:10851 S Ocean Drive #113
City: Jensen Beach state: FL
Zip Code: 34957 Fax:
Phone No. (914) 755-0714
Company: LD Contracting
p Y�
Address: 2633 SW Tanforan Boulevard
City: Port St Lucie State: FL
Zip Code: 34987 Fax:
Phone No. (772) 924-7244
E-Mail:carfora@ciccny.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail: Idcontractinginc@gmail.com
State or County License: CBC059269
11 vdWe or consirucuon is -�cauu or more, a KLLU ULU Notice of commencement is required.
SUPPLEIViENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
N a m e: Paul Welch
MORTGAGE COMPANY: _ Not Applicable
Name:
Address: 1984 SW Blltmore Street
Address:
City: State:
Zip: Phone:
City: PortSt Lucie State: FL
Zip: 34984 P h o n e (772) 785-9888
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY: Not Applicable
Name:
Address:
City:
Ad d ress: 2633 SW Tanforan Boulevard
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 your paying twice for
improvements to your property. A Notice of Commencement must be recorded and posted on the jobsite
before tt,hh,e first inspection. If you intend to obtain financing, con ult with lender or an attorney before
commonainR worker recording your Notice of Commencement i
Sign ure of er ssee/Contractor as Agent for Owner
Signat re of Contracto nse Holder
STA E OF FLORIDA
STAT OF FLORIDP
COU TYOF — -Lucie
COON OF.
The for oing instrument was acknowledged before me
The forgoing instru ent was cknowledged before me
thistday of IAV!QM Je / . 20—a by
this �,� day t 20 by
/Ioff
Name of persorillmaking statement
Name of perso8 making statement
Personally Known /OR Produced Identification
Personally Known % OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
(Signat - tat e of orida)
:�?'•Pr��' 1 REGINA
(Signature o otary
.4 .. M(C
HFA' R ERG
Commission N •. -
ar• MISSION # GG071548
Commission No. '?a OMlurrrq3Ebl# ERG
XPIRE� GG0718�
oast ' EXPIRES
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Febrva ry 09,2021
Y 09, 2021
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REV W
REVIEW
REVIEW
REVIEW
DATE
J
RECEIVED
IJl
DATE
COMPLETED
3 I
tev. 9/2/17