HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAPPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
te:\���� Permit Number: �_
.. -
RECEIVED
Building Permit Application
'anning and Development Services O C T 16 2018
wilding and Code Regulation Division
300 Virginia Avenue, Fort Pierce FL 34982 ST. Lucie County, Permitting
hone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential x
kRMIT APPLICATION FOR: Boat lift
SCANNED
PROPOSED IMPROVEMENT LOCATION:,.
St ude Co
A1Legal
dress: 11711 S. Indian River Dr., Jensen Beach, FL 34957
Description: 32 36 41 beg at int of ind riv and s li of govt lot 2, run w to a pt 350 ft w of w li of ind rive dr., then run nwly
1 k.08 ft, th run a to water's edge, th sly to pob less rd with rip rts
Property Tax ID #: 353241300050006 Lot No.
Site Plan Name: Block No.
Project Name:
SeItbacks Front Back: Right'$ide: . .:�A_Left Side:
DETAILED DESCRIPTION OF WORK: ,
Ins�all 1 ea. 4 piling HiTide Boat Llft on an existin dock
�
I
CONSTRUCTION INFORMATION:
Additionalworktotienertormed under this permit —check all apply:
E1HVAC Gas Tank ❑Gas Piping In _ Shutters Q Windows/Doors
ElElectric 0 Plumbing ❑Sprinklers E Generator Roof Roof pitch
I Sq. Ft of Construction: _
of Construction: $ 8650.00
S Ft. of First Floor: _
Utilities:Sewer Septic
Building Height:
OWNER/LESSEE;
CONTRACTOR:
NatLtleChristopher Koehler
Address:11711 S. Indian River Dr.
City: Jensen Beach State:FIL
Name: Maurice Petz
Company: Linden Marine Construction, Inc.
Address: 2469 SE Dixie Hwy.
Zi Code: 34957 Fax:
City: Stuart State: FL
Phone No. '1'1 a- y�o 1- 131'3
Zip Code: Fax:
E-Mail:
Phone No. 7723490727
E-Mail: lindenmarine@yahoo.com
Fill to fee simple Title Holder on next page (if different
from the Owner listed above)
State or County License: sic 18466
if value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
`SUPPLIEMENTAL CONSTRUCTION l_IEN'L4VU INFORNhATION
DESIGNER/ENGINEER: Not Applicable
MORTGAGE COMPANY: Not Applicable
Na m e: Roger Baber
Name:
Address : 4050 Selvitz Rd.
Address:
City: State:
Zip: Phone:
City: Ft. Pierce State: FL
Zip: 34981 Phone8005440735
FEE SIMPLE TITLE HOLDER: — Not Applicable
Name:
BONDING COMPANY: Not Applicable
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.
I
St.1 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 recordine vour Notice of Commencement.
Signatur of Owner/ Lessee/Contractor as Agent for Owner
Signature of Cont or/License Holder
STATE OF FL��tIDA,
STATE OF FLORIDA
COUNTY OFy✓Il ✓1
COUNTY OF �-hv•
The forgoing instrument was acknowledged before me
t6 day of , 20_ by
The forgoing instrument was acknowledged before me
this day of 20_ by
Moll V)
Name of per;pqn making statement
Personally Known OR Produced identification
Type of Identification
Plroduced
i
Name of person making statement
Personally Known >�,_ OR Produced Identification
Type of Identification
Produced
(gna e o
No.
U_ ���� D�
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tR".17R"NJAMIE PiHMy COMMISSIONrr
a7204
ES: NOV 14; 202P
Bonded through,1st State Insurance
ary Public- State of Florida)
(Si atu e 7o.
Commission ,�.� �al)
PCommission
, ;� COMMISSION #GG047204
���� a EXPIRES: NOV 14', 2020`
Bonded throw h 1st State Insurance
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
MANGROVE
SEA TURTLE
COUNTER
REVIEW
REVIEW
R
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE1
COMPLETED
1012; /
tech. 8/2/17