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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONr All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED ,,ll //---�� Date: Permit Number: V Va-7 SCANNED BY St. Lucie County RFr r, Building Permit ApplicaX.i(AfP., �O Planning and Development Services s� ��rigg 1p1B Building and Code Regulation Division P00 2300 Virginia Avenue, Fort Pierce FL 34982 C°4'y�j�7C Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential _ PERMITTYPE: BOatlift PROPOSED IMPROVEMENT LOCATION: Address: 1136 Nettles Blvd Jensen Beach Florida Property Tax ID #: 4502-501-1323-00D-8 Lot No.1136 Site Plan Name: Block No. Project Name: Baluja Boatlift I, DETAILED DESCRIPTION OF WORK: Installation of a 10,000 # Neptune Elevator boatlift on two support piling CONSTRUCTION INFORMATION: Additional work to be performed under this permit —check all that apply: _Mechanical _Gas Tank _Gas Piping _Shutters _ Electric _ Plumbing _Sprinklers Total Sq. Ft of Construction: Cost of Construction: $ $ 10,000.00 _ Generator Sq. Ft. of First Floor: Windows/Doors' Roof Pitch Utilities: _Sewer _Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name Jorge Baluja Name:David Barker Address:1726 W 80th Street Company:Tropic Dock & Boatlift LLC. City: Hialeah, Florida State:.)=L Zip Code: 33014 Fax: Phone N0.305-807-6655 Address:1599 SW Egret Way City: Palm City State: I'll Zip Code: 34990 Fax: Phone No772-284-4055J E-Mail: Fill in fee simple Title Holder on next page (if different from the Owner listed above) E-Mail Info@tropicdockboatlift.com State or County License30060 If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. If value of HVAC is $7� or more, a RECORDED Notice of Commencement is required. a 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 JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." ev. SUPPLEMENTAL CONSTRUCTION: LIEN LAW IN MATION: GNER/ENGINEER: Name: Not Applica MOR GE COMPANY: Name: Not Applica Address: Address: City: Zip: P e State: City: Zip: Pho State: FEE SIMPLE TITLE HO Name: Not Applicable BONDING COMPANY: Name: Not Applicable Address: Address: City: City: Zip• Phone: Zip: Phone: S nature of Owner/ Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF Marlin COUNTY OF }wren The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this 2_,-----day of March . 20� by this 2� day of nnRCH . 201� by Name of person making statement. Name of person making statement. Personally Known x OR Produced Identification Personally Known x OR Produced Identification Type of Identification Type of Identification Produced a Produced (Signature of Notary Public- State of Florida) (Signature of Notar109211 y Public- State of Florida Commission No. Note SlateolFloride 1711 Commission No. N}�gypue Stateo}Florida Carol A Prey pty ComaNaelon GG 23a898 Ge�SSt'lii^rew . MN ComnUotian GG 238e3$