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All APPLICABLE INFO MUST BE COMPLETERf&JtLVPLICATION TO BE ACCEPTED
Permit Number: Q Q 01- 0 L{? / Date: 01 /04/2022
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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 2
PROPOSED IMPROVEMENT LOCATION:
Address: 10101 South Ocean -Drive Jensen Beach, Florida 34957
Property Tax ID #: 4502-801-0008-000-8
Site Plan Name: AO-01 Architectural Site Plan
Project Name: Ocean Glass Residence and Marina
DETAILED DESCRIPTION OF WORK:
New construction of residential building 2
New Electrical Meter Second Electrical Meter.
CONSTRUCTION INFORMATION:
Affidavit required)
I
Lot No. 1
Block No. 11
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
OWNER/LESSEE: CONTRACTOR:
Name Seaglass Ocean Drive Development LLC Name: Kenneth Ringe
Address: 1111 Kane Concourse STE 209 Company: Bayview Construction Services LLC
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 kringe@bayviewconstruction.com
State or County License CGC1520874
1
from the Owner listed above)
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.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: Not Applicable
Name: Wright Gardner Architect LLC Name:
Address: 154 Kroq Street Suite 125 Address:
City: Atlanta State: GA City: State:
Zip: 30307 Phone- 404) 218-8460 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 structurewhichconflictswithanyapplicableHomeownersAssociationrules, 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
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.
Signature of Contractor- or - Owner Builder as applicable
STATE OF FLORIDA
COUNTY OF
Swor to (or affirmed) and subscribed before me of Physical Presence or Online Notarization
this ay of 202by Name
of person making statement. Personally
Known OR Produced Identification Type
of Identification Produced Signature
of Notary Public- State of Florida) THYRAJNICHOLS
Commission
No. (S , C.vmissiori 0 GG 207405 Expires
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FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER
REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE
RECEIVED
DATE
COMPLETED
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