HomeMy WebLinkAboutLAMB SIGNED PERMIT APPLICATION change of contractorAll 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: DOCK
PROPOSED IMPROVEMENT LOCATION:
Address: 450 SE NARANJA AVE, PORT ST LUCIE
Property Tax ID #: 3419-530-0009-000-6 Lot No.9
Site Plan Name: Block No. 32
Project Name:
DETAILED DESCRIPTION OF WORK:
REPLACE EXISTING DOCK AND EXISTING 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: $ 24,872.00
Sq. Ft. of First Floor:
Utilities: —Sewer _Septic
Windows/Doors
Roof Pitch
Building Height:
OWNER/LESSEE:
CONTRACTOR:
NameCHRISTOPHER LAMB
Name:JOY S YANCY
Address:450 SE NARANJA AVE
Company:SUMMERLIN'S MARINE CONSTRUCTION, LLC
City: PORT ST LUCIE State: _
Zip Code: 34983 Fax:
Phone No.772-528-9025
Address:200 NACO RD, SUITE C
City: FT PIERCE State: FL
Zip Code: 34946 Fax: 772-464-7470
Phone No772-464-6090
E-Mail:KSANDOW@FELIXASSOCIATES.NET
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-MailSUMMERLINSMARINECONSTRUCTION@GMAIL.COM
State or County License24217
i
I
If value of construction is 5Z500 or more, a KELUKUEU Notice oT Lommencement is requires.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: — Not Applicable
Name: DANIEL RETHERFORD
Address: 1402 HARTMAN RD
City; FT PIERCE
Zip:34947 Phone
FEE SIMPLE TITLE HOLDER:
Name:
Address:
Citv-
Zip: Phone:_
State: F'
Not Applicable
MORTGAGE COMPANY:
Name:
Address:
Citv:
Zip; Phone:
— Not Applicable
State:
BONDING COMPANY: Not Applicable
Name:_
Address:
City:_
Zip:
Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to ao the worK ano IF ud LIU[I d�, II IUtt-CLCV.
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
.,__ . m ..I . w--r. n uvv QrrnDr DFrnRnllur. YnIl NOTICE OF -COMMENCEMENT."
"l l n 1 VUK I<.KLwic�c v.c ». » .........� . .. ----
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Fit,
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signat re of Co ract r/Li ense Holder
STATE OF FLORIDA
STAT OF FLORIDA
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COUNTY OF +-Ae—' "'
COUNTY OF
The forgoing instrument was acknowledged before me
The for oing instrument was acknowledged before me
this t ` day of 120 by
this day of iCt L \ 20_Uby
co
JOY S YANCY
a
Name of person making statement.
Name of person making statement.
o
Personally Known ✓ OR Produced Identification
Personally Known x OR Produced Identificatio,
Type of Identification
Type of Identification
a a E o
Produced
Produced
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2 C�2 a
RUSSELL COMBS
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Notary Public -State of Florida
///✓/1/ (/ yn / lk yr�
(Signature of Notary Pu ie�9 t or m. Expires May 5, 2021
(Signature of N6-ary Public- State of Florida)
S
P`
-'Y3°F ` Bon etl thr ugh National Notary Assn
Commission No.
Commission No. GG330259 (Seal)
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Rev. 2/7/19