HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
FISCEIVED
-- — Building Permit Application �qN 5 2022
Planning and Development Services
Building and Code Regulation Division St. Permitting
Lucie n
2300 Virginia Avenue, -Fort Pierce FL 34982
Phone: (772) 462-1553 fax: (772) 462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Dock/Seawall
PROPOSED IMPROVEMENT LOCATION:
Address: 1.055 NETTLES"BLVD. `
Legal Description: NETTLES ISLAND INC, A CONDO -SECTION II. PARCEL 1054 AND. PRO-RATA SHARE IN COMMON.ELEME�
3867-2582)
Property Tax ID #: ——�' u` S a"�_$0 �� {a"aca ;� . Lot No. 1055
Site Plan Name: Block No.
Project Name: : MARTIN DOCK REPLACEMENT
Setbacks - Front Back: Right Side:
DETAILED DESCRIPTION OF WORK:
Left Side:
REMOVE EXISTING DOCK; RECONFIGURE & CONSTRUCT A 1,000 SQ FT DOCK
n
CONSTRUCTION INFORMATION:
Additional work to n_.Ga's
orme un er t is permit— c ec a app y:
CJHVAC Tank Gas Piping _ Shutters a Windows/Doors
Electric 0 Plumbing Sp rinkle rs Generator 0 Roof Roof pitch
Total'Sq. Ft of Construction:. S . Ft. of First floor:
Cost of Construction: $ 3 a v'' Utilities:Cn Sewer Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name SHAWN MARTIN
Name: KENNETH LIPPARD
Address: 1055 NETTLES BLVD
Company: LINEAR SOLUTIONS, LLC
City: JENSEN BEACH State: FL
Address: 247 SW RIVERWAY BLVD
Zip Code: 34957 Fax:
City: PALM.CITY State- FL
Phone No. 330-283-3232
Zip Code: 349.90 Fax:
E-Mail: Sh1AR.'(1/S( IE I (y �h'1�}IL .C'bh^
Phone.No. 772-240-2935
Fill in fee simple Title Holder on next page (if different
E-Mail: info@linearsolutionsconstruction.com
from the Owner listed above)
State or County License: CGC1528570
If value of Construction is 52500 or more; a RECORDED Notice oT Commencement is requires..
(OR
SUPPLEMENTAL CONSTRUCTION LIEN LAW'INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name: PAUL WELCH, INC
Name:
Address: 1984 BILTMORE DR #114
Address:
City: State:
City: PORT ST LUCIE State: FL
Zip: 34982 Phone 772-785-9888
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 your paying twice for
improvements to yo r property. A Notice of Commencement must be recorded and posted on the jobsite
before the firs ins ection. If you intend to obtain financing, consult with lender or an attorney before
commenci o or recording our Notice of Commencement.
Signatur of Wrier/ Les tractor as Agent for Owner
Signature of Co tr or/License Holder
STATE OF
STATE OF FLORIDA a
COUNTY OF "—
a/
COUNTY OF
/
The for oing instru e t was ckn9 ]edged before me
this day of�/ 20 by
The forgoing instr ment wa acknowledged before me
this day of, 2Q?� by
1p'nVAIA
Name of person making statement
Name of person kings t ment
Personally Known'X OR Produced Identification
Personally Known OR Produced Identification
Type of i ication
Type of Identification
Pro ced
Produced
roe..
(Sign tire of ND ublic- S ' to of FJsr-+tea)
•'�.i°�O'P ScQ J. FLYNN, Attarney at Lae!
(Signature of No a F
MYCOMM1SS10 186134
'!°
Commission No.. c� Notary Public -(d al) Of Ohio
Commission No. of EXPIRES: April 1,2 22
° -my cc ssion Has No Erpir allon QGt
. o 0:, Sec. 947.03 B.C.
�iy a
•PJ:.4B7ia:'.Y'
hu. .
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17