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