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HomeMy WebLinkAboutSUAREZ SIGNED PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: Building Permit Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X PERMIT TYPE: LI FT & DOCK PROPOSED IMPROVEMENT LOCATION: A,i,drecc. 115 QUEENS RD, HUTCHINSON ISLAND, FL 34949 Property Tax ID #: 1423-602-0005-000-5 Site Plan Name: Project Name: DETAILED DESCRIPTION OF WORK: REPLACE DOCK AND LIFT CONSTRUCTION INFORMATION: Additional work to be performed under this permit – check all that apply: Mechanical Gas Tank _ Gas Piping _ Shutters Electric _ Plumbing _ Sprinklers _ Generator Total Sq. Ft of Construction: Cost of Construction: $ Sq. Ft. of First Floor: Utilities: —Sewer _Septic Lot No.5 Block No. 25 Windows/Doors Roof Pitch Building Height: OWNER/LESSEE: CONTRACTOR: Name CASEY & MARILYN SUAREZ Name: JOY S YANCY Address: 115 QUEENS RD Company:SUMMERLIN'S MARINE CONSTRUCTION, LLC City: FT. PIERCE State: _ Zip Code: 34949 Fax: 863-606-5239 Phone No. 954-444-7338 Address:200 NACO RD, SUITE C City: FT. PIERCE State: FL Zip Code: 34946 Fax: 772-464-7470 Phone No772-464-6090 E-Mail:CASANDMAR@AOL.COM Fill in fee simple Title Holder on next page ( if different from the Owner listed above) E-MailSUMMERLINSMARINECONSTRUCTION@GMAIL.COM State or County License24217 If value of construction is $2500 or more, a RECORDED Notice of Commencement is requires. If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: s c �� l DESIGNER/ENGINEER: 1 LC _ Not Applicable Name: BENCHMARK ENGINEERING Name: HI -TIDE BOAT LIFTS . Lii }_ Not Applicable Address: 806 DELAWARE AVE Address: 4050 SELVITZ RD Sign, to e of. ontragto /License H Ider City: FT PIERCE l State: FL Zip: 34950 Phone 772-267-1399 City: FT PIERCE State: FL Zip: 34981 Phone:772-464. 4L4� FEE SIMPLE TITLE HOLDER: _ Not Applicable Name: BONDING COMPANY: Name: Not Applicable Address: Address: The forgoing instrument was a knowledged before me day of CL-,Q�i.� 20� �1by City: City: CCr !jam \ a r e t Zip: Phone: Zip: Phone: Name of person making statement. 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 FAI RE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMEN O YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JO 1 EFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT W - W. 119% . r.n1nni ATrnDNFv RFFORF RFrnRDINIL YOUR NOTICE OF COMMENCEMENT." Rev. 2/7/19 air Signature of Owner/ essee Contractor as Agent for Owner Sign, to e of. ontragto /License H Ider STAKE OF FLORIDA STATE OF FLORIDA COUNTY OF STLUCIE COUNTY OF STLuaE The for oing instr lent was cknowledged Before me i � The forgoing instrument was a knowledged before me day of CL-,Q�i.� 20� �1by this / day of CL�C� 20 by this IF CCr !jam \ a r e t JOY S YANCY Name of persQd making statement. Name of person making statement. Personally Known OR Produced Identification V/ Personally Known x OR Produced Identification Type of Identification L Type of Identification Produced r L D Produced (Signature of ary )State of Florida Inger Notary PUDIII; State I (Signature ofAotary Public- State f �) Ginger P Hester Pte P Hester My Com�r�I,s,sio� GG 330259 Commission No. CG ss Expires0 m23 My Commission GG 330 +� res 08/25/2023 Commission No. cG33o2ss �+OF Segffii REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev. 2/7/19