HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: vt_ Permit Number:
SCANNED'
;�...: ._ (BY =RECEIVED
• ���►�
Building Permit ApplicationPlanning and Development Services Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT LOCATION:
Address: 75 LAS OLAS DR. S, JENSEN BEACH. FL 34957
Legal Description: BEACH CLUB COLONY -SECTION ONE
Property Tax ID #: 4511-500-0050-000/1
Site Plan Name:
Project Name:
Setbacks Front Back:
Right Side
Left Side:
Lot No.25
Block No.
DETAILED DESCRIPTION OF WORK: I
RE -ROOF - 5 V METAL ROOF OVER PEAL AND STICK 16 OC 4/12P
CONSTRUCTION INFORMATION: I
1]HVAC U Gas Tank
11 Electric 0 Plumbing
Total Sq. Ft of Construction: 1600 SQ FT
Cost of Construction: $ 3,200.00
permit — cnecK a
Gas Piping
Sprinklers
apply:
Shutters
Generator
Sq. Ft. of First Floor: _
Utilities: 11 Sewer E]Septic
QWindows/Doors
RRoof Roof pitch
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name RITSCHARD, MARGARET K.
Name: OWNER
Address:75 LAS OLAS DR. S
-Company:
Address:
City: JENSEN BEACH. State:FL
Zip Code: 34957 Fax:
City: State:
Phone No.
Zip Code: Fax:
E-Mail:
Phone No.
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
State or County License:
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name:
Name:
Address:
Address:
City: State:
City: State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLEHOLDER: _ 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 your property. A Notice of Commencement must be recorded 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 vour Notice of Commencement.
Signature of O ner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF ">' N - L-0 c %'�"
COUNTY OF
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this q day of 20�'_k by
this day of , 20_ by
Name of person making statement
Name of person making statement
Personally Known OR Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of Identification
Produced I or b 1.
Produced
(Signature of Nota -
DEANNAM RIE GIVENS
(Signature of Notary Public- State of Florida )
° ° " MY COMPd11 # GG 022023 m
Commission No. _ £s ber 16, 2020
Commission No. (Seal)
EXPIRES. ece
Bonded;hru Notary Public Underwriters
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
tev. 8/2/17
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: '2k`'41 %� Permit Number:
tiy, ,,_. ��. •,._ . ,.. SCANNED
BY _ RECEIVED
` U ding Permit Applicati n FEB 0 9 2018
Planning and Development Services
Building and Code Regulation Division ST, Lucie County, Permlttfng
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential x
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT LOCATION:
Address: 73 LAS OLAS DR. S, JENSEN BEACH, FL 34957
Legal Description: Beach Club Colony -Section one W 52.03 Ft of lot 25 (or 626-2200:3734-2182,2184 ;3746-981)
Property Tax ID #: 4511-500-0051-000/8 Lot No.25P
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK: I
RE -ROOF - 5 V CRIMP METAL ROOF OVER PEAL AND STICK 16 OC 4/12P
alsoSnaloe�es a��►{sas l5 Lasd1O'S p f, C du fN"X
CONSTRUCTION INFORMATION:
Additional work to be nertormed under tis permit — check all
_apply:
11HVAC Gas Tank aWindows/Doors
_❑
FlElectric F� Plumbing Sprinklers D Generator Roof Roof pitch
Total Sq. Ft of Construction: 1600 SQ FT S . Ft. of First Floor:
Cost of Construction: $ 3,200.00 Utilities:L Sewer Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
NameGEERTSEMA. BRUCE KJARLENE V/ALAN B.
Name: OWNER
Address:73 LAS OLAS DR. S
Company:
City: JENSEN BEACH . , State: FL
Address:
Zip Code: 34957 Fax:
City: State:
Phone No.772 229 9764
Zip Code: Fax:
Phone No.
E-Mail:Arlene206@aft.net
Fill in fee simple Title Holder on next page (if different
E-Mail:
from the Owner listed above)
State or County License:
If value of construction is S2500 or more, a RECORDED Notice of Commencement is required.
Ah
VW NW
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name:
Name:
Address:
Address:
City: State:
City: State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLEHOLDER: _ 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
is in Home Owners Association rules, bylaws or and covenants that may restrict or such
which conflict with any applicable prohibit
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 the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commeaqing work or recqEjRng your Notice of Commencement.
Signature of Owner/ Less ee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF -S)- . �.�C� <
COUNTY OF
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this -c\- day of `F-3r by
this day of , 20_ by
�► o e .�. G
Name of person making statement
Name of person making statement
Personally Known OR Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
(Signature of Notary, b' e D RIEGIVENS
(Signature of Notary Public- State of Florida )
V ... •..61 .
Commission No. MYCOM�ISSIOMber16 2020
Commission No. (Seal)
F�(PIRE�.
'T o: BondedThru Notary publl,UndenOters
'•.TOFF;...
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION'
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
- o—('�
Rev. 8/2/17