HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE CO ETED FOR APPLICATION TO B'E ACCEPTEE ,II
Date: Permit Number: 0 `i 9,
Building Permit Applicatio
Planning and Development Services APR 22 2020
Building and code. Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982 ST. Lucie County, Permitting
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMITTYPE:BOAT LIFT & DOCK
PROPOSED IMPROVEMENT LOCATION:
Address: 10851 S OCEAN DR, LOT 107, JENSEN BEACH, FL 34957
Property Tax ID #: 4511-810-0114-000-0
Site Plan Name:
Project Name:
DETAILED DESCRIPTION OF WORK:
INSTALL DOCK AND BOAT LIFT (ELECTRIC BY OTHERS)
Lot No. 107
Block No.
�CONSTRUCTION';INFORM'ATION:
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: Sq. Ft. of First Floor:
Cost of Construction: $ 6J LI i AL15 , bt� Utilities: —Sewer —Septic
Windows/Doors
_ Roof Pitch
Building Height:
'OWNER/LESSEE'
-CONTRACTOR:; i.','�^i;�l
NameDEBRA JOSEPH
Name:JOY S YANCY
Address:10851 S OCEAN DR. LOT 107
Company:SUMMERLIN'S MARINE CONSTRUCTION
City: JENSEN BEACH State: _
Zip Code: 34957 Fax:
Phone No.480-707-2880
Address:200 NACO RD, #C
City: FT. PIERCE State: FL
Zip Code: 34946 Fax: 771-464-7470
Phone N0772-464-6090
E-Mail: DEBI.JOSEPH@YAHOO.COM
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mall SUMMERLINSMARINECONSTRUCTION@GMAIL.COM
State or County License24217
,> >&aUU U, rtrore, a ncwnucu Nonce Or commencement Is required.
If value of HVAC is $7,500 or more, a RECORDEDNotice of Commencement is required.
u a
SUPPLEMENTAL CONSTR N LIEN LAW l0bRIVIRTICk,
DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: Not Applicable
N a me: BENCHMARK ENGINEERING
N a me: HI -TIDE LIFTS
Ad d ress: 906 DELAWARE AVE
Address: 4050 SELVITZ RD
City: FT PIERCE State: FL
City: FTPIERCE State: FL
Zip: 34946 Phone 772-267-1399
Zip:. M981 Phone: 772491A660
FEE SIMPLE TITLE HOLDER: _ Not Applicable
BONDING COMPANY: _Not Applicable
Name:
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
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 that
or and covenants 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 will, in all respects, perform thework
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 IMPRO EMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED ON THE 4PB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR ANATTORNEYBEFORE RECORDING YOUR NOTICE OF OMMENCEMENT:'
( V
I /_�� -
r/ /Contractor a. nt for Owner
Signature of 0 t..Arl
f Contract, r/U ense H er
SignrS7F
STATE OF FL
STA FLORIDA
COUNTY OFSTLUCIE
COUNTY OFSTLUCIE
The f9{gging mstrumegt was acknowledged me
Iday
The for ing instru enf was acknowledge efore me
oday VP�
this of 2rJ .n20/ag`�Uby
this + of 20 by
/�/i�
/l� ^
0�bm �To s'�/II
JOYS VAHCY
Name of person making statement. I
Name of person making statement.
Personally Known OR Produced Identification x
Personally Known x OR Produced Identification
0
c
Type of Identificgt o�
Produced 11
Type of Identification
Produced ` �y
o
a'Q
Si nature Nota u t 8,,yypp��� tzteo on a
( g rY Inger PHe ter
GG 330259
(Signature 61 Notary Public- State of Florida)
,Won
Commission No. Cr , 0&40"23
Commission No. &C, 3 3b Q's (Sea[ e
rt�d
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev.