HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE C_. PLETED FOR APPUCATION TO BE ACCEP
SG N EI
Permit Number:
Date: `"" 1
BY
RIM,Aol
11 PIT St.Lude�;oa* RECEIVED
• Building Permit Application JUL 3 0 2019
Planning and Development services ST. Lucie County, Permitting
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982 Residential X
Phone: (772) 462-1S53 Fax: (772) 462-1578 Commercial
PERMIT APPLICATION FOR: Boat lift -
PROPOSED IMPROVEMENT LOCATION:
Address: 8880 S OCEAN DRIVE SUITE 210
Legal Description: ISLAND DUNES OCEANSIDE CONDOMINIUM 1 UNIT 210
Property Tax ID #: 3535-602-0014-000-1 Lot No.
Site Plan Name: ROTUNDO BOATLIFT ADDITION Block No.
Project Name: ROTUNDO BOATLIFTADDITION
Setbacks Front Back: Right Side: 25 Left Side: 25
DETAILED DESCRIPTION OF WORK:
INSTALL 16 K CAPACITY BOATLIFT, MANUFACTURER HURRICANE, MODEL CAT 5
�.OTtSi �S•
"e4��� z �y 6-
CONSTRUCTION INFORMATION:
Additional work to e e orme un ert ispermit—checka apply:
11 ❑Gas In ❑ Windows/Doors
[IHVAC Gas Tank Piping Shutters
Electric 0 Plumbing ❑Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: 250 SQ-FT S Ft. of First Floor:
16000 Height:
Cost of Construction: $ UtilitiesInSewer Septic Building
OWNER/LESSEE:
CONTRACTOR:
Name ROBERT ROTUNDO
Name: JOHN RUHS
Address: 8880 S OCEAN DRIVE STE 210
Company: J & B BOATLIFTS
City, JENSEN BEACH State: FL
:
Address: , 2199 COVE RD. _
City: 'STUART State: FL
Zip Code: 34957 Fax-
Phone No. 561-704-6170
Zip Code: 34997 Fax:_ — -
E-Mail: mrotundo@yahoo.com
Phone No (772) 219-0315
Fill in fee simple Title Holder on next page (if different
E-Mail: jackruhs@comcast.net
State or County License: CGC 1511185
from the Owner listed above)
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTALCONSTRL�,-.,ON LIEN LAW INFORMATION:
DESIGNER ENGINEER: _ Not Applicable MORTGAGE COMPANY: _ Not Applicable
Name: ROGER SABER Name:
Address: 3770 NW ROYAL OAK DR Address: State:
City: JENSEN BEACH State: FL- City: - ._.
Zip: 34987 Phone 772-214-mO Zip: Phone:
FEE SIMPLE TITLE LDER: _ Not Applicable
Name: Jvivit-1
Address: 860 SQUIRE JOHN LANE
City: ,rV
Zip: ,�aA9 Phone:
Address:
City:_
Zip:
COMPANY: _Not Applicable
Phone:..--
5WNER/ 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 Ltcie Count make no
wltic Is In con Ictwit an
structure. Please consult v
e the permit holder to build the subject structure
or and wvenants that may restrict or prohibit such
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. Lude 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
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Signatur o n Le /Contractor as Agent for Owner
tractor/Ucense Holder
SignaturFFLCRIDA
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STATE OF FLORID t YAl- CA a �
STATE
COUNTY OF &Md V"A
COUNTY OF srl-. \- v v
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
\ 20 1t by
this _8'^day of it�— 20�A by
this�t day of .'S o �J
VoV rk 'VK o AunoL.a
'kelr. yr tt'4 1r.S
Name of person making statement
Name of person making statement
Personally Known OR Produced Identification V/
Personally Known OR Produced Identification
Type of Identification
Type of identification
V L-
Produced N o 7riv4- j--V ti%J ,
Produced V
(Signature of No StatLPWRANdd�GNENS
MY COM611SSION#GG022003
(Sig�of Notary Nota
ry
Ca mission No.
KEVIN LE
Notari(9ic
r
Commission No.b PIRES: Dece�tj 20z0
Mt^^ "°wv °°E"° , de w Hers
Guilford Co., North Carolina
,
My Commission Expires Jan. 4, 2024
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Rev. 8/2/17