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All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Num
91r. WOE
0
- ° Building Permit Appli
Planning and Development Services
Building and Code Regulation Division Commercial
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: Dock addition and boat lift
PROPOSED LOC I''MPROVEMENT ATION
UP
MAR 19 2021
P mitting [department
iu9t. Lucie County, FL
Residential x
Address: 200 OLIVE AVE
Property Tax ID #: 3419-510-0266-000-3 Lot No.
Site Plan Name: Block No.
Project Name:
J,<
DETAILED pESCRIPTION+ OF WORK:,M'
1) Install a 118 sq ft dock addition onto an existing 159 sq ft dock, 2) Install a 4 piling HMde 16000 Ib. boatlift
New Electrical Meter Second Electrical Meter
CONSTRUCTION'INFO;RMATI,ON
Additional work to be performed under this permit— check all that apply:
_Mechanical _ Gas Tank —Gas Piping _ Shutters _ Windows/Doors
_ Electric _ Plumbing _ Sprinklers _ Generator _ Roof
Total Sq. Ft of Construction: Sq. Ft. of First Floor: _
Cost of Construction: $ 16500 Utilities: —Sewer —Septic
_ Pond
Building Height:
Pitch
...OW.NEft/LESSEE ".;
"CONTRACTOR S
Name Ryan Currin
Name: Maurice Petr
Company: Linden Marine Constr., Inc.
Address:123 Maplewood AVE
City: Watertown MA State: _
Address: 2469 SE Dixie Hwy.
Zip Code: 02472 Fax:
City: Stuart State: FL
Phone No.
Zip Code: 34996 Fax:
E-Mail: currinelectric@hotmail.com
Phone No 7725450012
Fill in fee simple Title Holder on next page ( if different
E-Mail linenviron@gmail.com
from the Owner listed above) IState
or County License sicl8466
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.
SUPPLEMENTAIL, CONSTRUCTION LIEN LAW.JNFORMATION:
DESIGNER/ENGINEER: Not Applicable
MORTGAGE COMPANY: X_ Not Applicable
Name: Paul Welch, PE
Name:
Address: 1984 SW Biltmore St# 114
Address:
City: Port St. Lucie State: FL
City: State:
Zip: 34984 Phone 772785988E
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. 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
witn ienaer cK an att
eTore commencing worK
or recorain our ivotice or LommencemenL.
Signature of Owner a ee ontractor as Agent for Owner
Signature of Con ac r/L cense Aolder
STATE OF FLO A
STATE OF FLORID
COUNTY OF �C te' L
COUNTY OF
Sworn to (or affirmed) and subscribed before me of
Sworn to (or affirmed) and su scribed before me of
Physical Presen a or Online Notarization
this � day of (' 2020 by
Ph sical Pre nce or Online Notarization
this 2day of io 2020 by
Maurice Petz "40% 41119if09041"
Maurice PEtz
Name of person making statement%'"ANMAE
Name of person making statement. %% 1//�
��` -BHA C4
Personally Known OR Pro ification
Personally Known OR PrO
Type of Identification ?
Type of Ide ificat o �p. %
Pro ced F1 Y� 1 ; ' ; Q
1
Prod eires
�Ort' 1
•a
202 IFri113
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94081
(Signature of Notary Public- St •�i a) O. /•
(Signature o Notary Pub ic- State FIeb4l• pV8•.•'° Q `♦♦
Commission NA071- � rip 0,
Commission No.
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