HomeMy WebLinkAboutBUILDING PERMIT APPLICATION 6-6-18r
Total Sq
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date. 6/6/2018 Permit Number: / 1 n 6 - oil )
Rmw " EV" D
& &M
Building=�P�ft,plt�Applicati n
Planning and Development Services � J U N 06 2018
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982 I PermittingDepartment
Phone: (772) 462-1553 Fax: (772) 462-15781 Commercial Rd(r�$Li�► FL
PERMIT APPLICATION FOR: Dock/Seawall
PROPOSED IMPROVEMENT LOCATION:
320 SE Naran a Ave 1
Address: 1 i
1
Legal Description: Lot 34, Block 32, River Park Unit 4, according to the map or plot thereof, as recorded in Plat Book 11, at
Page(s) 9, of the Public Records of St. Lucie County Florida
Property Tax ID #: 3419-530-0034-000/0 Lot No. 34
Site Plan Name: ' Block No. 32
Project Name: Janeway Seawall Installation Project 11
Setbacks Front Back: Right, Side: Left Side:
DETAILED' DESCRIPTION OF WORK:
Requesting permit to install approx 50' of se
lift. Approval (certificate of exemption) has a
56-0351797-001,002-EE)
modify existing dock and install pilings to ins't4poat
V been granted by Florida DEP (File No.:
CONSTRUCTION INFORMATION:
Additional work to je ne orme under this permit — check a apply:
[]H L C _1 Gas Tank ❑Gas Piping _ Shutters a Windows/Doors
_ Electric ❑ Plumbing [.]Sprinklers ❑ Generator ❑ Roof Roof pitch
Ft of Construction: S I S0 1 5 . Ft.
of First Floor: _
Cost of Construction: $ D0 a Utilities:, L _J SewerF—1 Septic Building Height:
OWN ER/LESSEE:
CONTRACTOR:
Name Barry Janeway
Name: (9 LAI t p_
Company:
Address:
Address: 320 SE Naranja Ave.
City: Port St Lucie State: Fl
Zip Code: 34983 Fax:
Phone No. 772-708-9476
City: State:
Zip Code: Fax:
Phon o.
E-Mail:
E-Mail: barry.janeway@yahoo.com
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:
DESIGN /ENGINEER:
Name A,u.Q W
Addres, 102
City: (
Zip: Phone `7%2&
X Not Applicable
5t IIAT4 by
State•
MORTGAGE COMPANY: _ Not Applicable
Name:
Address: 320SENareniaAve.
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
_ Not Applicable
BONDING COMPANY: Not Applicable
Name:
Address:
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
rnmmanrina Wnrie nr frinrrlina vnur Nntir�p of CnmmPnrpmpnt"
- I�1�•*Hy
-
'=
see/Contrac
OWfYfr
Signature of Contractor/License Holder
=FLO
I
A v
STATE OF FLORIDA
COUNTY OF
z 2r* 7°
COUNTY OF
The forgoing in
ume as ack wledged before
eT ��
The forgoing instrument was acknowledged before me
this LLPP day o
20"by
T
this day of , 20_ by
Name of Person making statement
':.
Name of person making statement
Person ly Kno
n OR Produced Identification '''
Personally Known OR Produced Identification
Type of Identifica ion /
Type of Identification
Produced t
i
I
Produced
(Signature of N
ry Public- State of Florida)
&
(Signature of Notary Public- State of Florida )
Commission No.
(Seal)
Commission No. (Seal)
REVIEWS
FRONT
ZONING
SUPERVISOR
PLAN
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVI
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
S c
Rev. 8/2/17 v \\ I