HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:Permit Number:
�oC, RECEIVED
Building Permit Application
Planning and Development Services N O V 0 5 2018
Building and Code Regulation Division 5T. �ucle County, Permitting
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential x
PERMIT APPLICATION FOR: Boat lift
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PROPOSED IMPROVEMENT. LOCATION; BY
Address: 10701 S. Ocean Dr., Lot 839, Jensen Beach, FL 34957 St Lucie County
Legal Description: Venture Out at Indian River Inc. Lot 839 (OR 3752-786)
Property Tax ID #: 451161000400009
Site Plan Name:
Project Name:
Setbacks Front Back:
DETAILED DESCRIPTION OF WORK:,.
Right Side:
Left Side:
Install 1 ea. 12k HiTide Gear Drive Boat Lift on existing pilings
Lot No. 839
Block No.
CONSTRUCTION INFORMATION:
Add itiona I work to e e orme under this permit —check a apply:
E1HVAC El Gas Tank Gas Piping _ Shutters Q Windows/Doors
ZElectric 0 Plumbing []Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 10137.00
Sq. Ft. of First Floor: _
Utilities: 0Sewer 0Septic
Building Height:
OWNEkAESSEE:
CONTRACTOR:
NamePeterVelker
Name: Maurice Petz
Address:65 Matinecock Ave.
Company: Linden Marine Construction, Inc.
Address: 2469 SE Dixie Hwy.
City: East Islip State: NY
Zip Code: 11730 Fax:
City: Stuart State: FL
Phone No.6318045943
Zip Code: 34996 Fax:—
E-Mail: velkknows@yahoo.com
Phone No. 7725450012
E-Mail: lindenmarine@yahoo.com
Fill in fee simple Title Holder on next page (if different
State or County License: slc 18466
from the Owner listed above)
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: Roger Baber, PE
Name:
Address: 4050 Seivitz Rd.
Address:
City. Ft. Pierce State: FL
City: State:
Zip: 34981 Phone 9005440735
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 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
�ommencin work or recording our Notice of Commencement.
Signature of wn r/ Lesse /Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF !? f' �..w Git COUNTY OF ' Lye
The forgoing instru ent was acknowledge before nae
this _(a _ day of AQV��= 20 by
Maurice Pet
Name of person making statement
Personally Known x OR Produced Identification
Type of Identification
Produced
�p
(Sign re of of fwIi;Iie 5tat;a.cf Florida)
JAMIE PUGH
Commission No. �h WCOMMISMR'46047204
EXPIRES: NOV 14, 2020
Banded through .1st 51ate Insumneo
The forgoing instru ent was acknowledge before me
this 4—day of : X by
Maurice Petz
Name of person making statement
Personally Known x OR Produced Identification
Type of Identification
Produced
9p
(Signature of Acitary Public- State of Florida )
Commission No.
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED j L
k7li K
DATE
COMPLETED
Rev. O/ L/ 1 /