HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALLAPPLICABLE INFO MUST BE COMPLLIFLU FOR APPLICATION TO BE ACCEPTED
Date. �a1�o�1� Permit Number:
RECEIVED
Building Permit Application DEL 0 6 "J';a
Planning and Development Services
Building and Code Regulation Division ST. Lucie County, Permitting
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Foundation
'PROPOSED IMPROVEMENT LOCATION: • . _ III
crenln�Cn
Address: 10701 S Ocean Drive #919, Jensen Beach, Florida 34957 BY
Legal Description:
Venture out at Indian River Inc, Lot 91.9 (OR 3465-819: 3790-1382) 6t. Lucie County
Property Tax ID #: 4511-510-0119-000-4 Lot No. 9i9
Site Plan Name: Block No.
Hoffman Foundation Repalr
Project Name J
Setbacks Front Back: Right Side: Left Side:
DETAILED` DESCRIPTIONOF WORK:
All work per Structural Drawings dated 10/10/18 prepared by Stiles Ergi;,r,i it ;
areas; Lift structure to +/- 1" to level; Install push pier; Complete Load Tests; Backfill; Remove
concrete slab; Excavate back of sheet pile wall to 1' above mud line; install marine filter fabric; Apply
;;roocint sealer; backfill; pour new 4" concrete slab; fill and seal interior trim, baseboard &ceiling
"CONSTRUCTION INFORMATION:
_ I -
Acid rtiona I work to e e orme under
tispermit—Checka
apply:
❑HVAC LiGasTank
E]GasPiping
Shutters
❑Windows/Doors
11 Electric 0 Plumbing
Sprinklers
_
Generator
Roof Roof pitch
Total Sq. Ft of Construction: 250 sq ft
S Ft. of First Floor:
29,821
Cost of Construction: $
Utilities: _Sewer OSeptic
Building Height:
OWNER/LESS'EE
CONTRACTOR:
Name OSa ie A Hortman
Name: Kenneth Hinge
Address: Ocean Drive #919
company: ayvieW Cofistfuction services LLG
City: Jensen i3eacn
State: _
Zip Code: 34957 Fax:
Phone No. 26T_z6T_87M
452(i SE
Address: al way venue
City: Stua State:_
e:
Zip CodFax:
Phone e:
E-Mail: el asorann ya oo.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail:knrA&I)ayviewconstruGtion.com
State or County License:
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
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 IOF
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.
�Z
Si na ure of Owner Lesse r ctor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA /
L
STATE OF FLORIDJk
n
COUNTY OF eie
COUNTY OF Adr!
The for sing instrument was acknowledge me
The forgoing instalment was acknowledged before me
I
this ay of 11 o 0 e m pl, 20 by
this day of UCFObea' 2019 by
�hj
Name of person�aking statement
Name of person makin st ment
Personally Known ✓ OR Produced Identification
Personally Known � OR Produced Identification
Type of Identification
Type of Identification
Proddu(ceed�
Produced
9UJIM
" VOhn
n.", R-0-'VA'
(Signature of Notary Public -State of or'd
(Signature of Notary Public- State of Florida )
Commission s" No �ry Pub is state or(g7�M7
upbe a�'l1
Commissir'$ No ery Pudk State of Flo d($ )
e
`�y, My commission GG 109353
Fxpiros 0513012021
s
Q, My Commission GG 109353
o;oO� ExPiros0M012021
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17