HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit
Building Permit Ap
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
�ulca Li�,.s 71 ,
MAY 2 & 2020
Permitting Department
St. Lucie County, FL
Residential X
PERMIT TYPE: 'p-ab.a0. l
PROPOSED IMPROVEMENT LOCATION:
Address: 5163 N HIGHWAY A1A, FT PIERCE, FL 34949 E; 1 '5 01 P
Property Tax ID #: 1411-708-0013-000-2
Site Plan Name:
Project Name:
DETAILED DESCRIPTION OF WORK:
SC'(t1uQ ►� rna� r>I encLrlC� r�-Ioa�rS
I CONSTRUCTION INFORMATION:
{CXWV E143 ' C- Lot No.
Block No.
Additional work to be performed under this permit —check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters _ Windows/Doors
Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 34948.00
Sq. Ft. of First Floor:
Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name OCEAN HARBOUR NORTH 319 LLC
Address:, C— 2 i Of rnr r � I I
City:, SS ab+h PL .Vero QPay'State: FL
B
Zip Code: 3aq L_o C) Fax:
Phone No. —1 _7a - 6 la Q - LIS a (_o
Name: JOY S YANCY
Company*SUMMERLIN'S MARINE CONSTRUCTION, LLC
Address:200 NACO RD #C
City: FT PIERCE State: FL
Zip Code: 34946 Fax: 772464-7470
Phone No772464-6090
E-Mail:HAYESPB@AOL.COM
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail SUMMERLINSMARINECONSTRUCTION@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:
DESIGNER/ENGINEER: _ Not Applicable
Name: ML ENGINEERING, INC
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:2030 37TH AVE
City: VERO BEACH State: FL
Zip:32960 Phone
Address:
City: State:
Zip: Phone:
FEE SIMPLE TITLEHOLDER: _ Not Applicable
Name:
Address:
BONDING COMPANY: _Not Applicable
Name:
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 or antl 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
WITH YOUR LENDER 6R AN ATIMNEY BEFORE RECORDING YOUR NOTICEAF COMMENCEMENT."
M, PAZ7
$ignatu of Owner Lessee/ ntractor as Agent for Owner
of Co tracto !cerise Hold r
SignVCOF
STATE OF FLORIDA
STA FLORIDA.
+
COUNTY OF STLUCIE
COUNTY OF 7 . U-t Gl ---
The forgoing instr ent was acknowledged befor
The forgoing instrument was acknowledged before
this a0day of�20'@Oby
thisqtL) dayofMQL� 2C&_0 by
a m
o
� �
o
PETER HAYES
JOY S YANCY
Name of person making statement.
Name of person making statement.
a c�
`��
�Y(�N
19 yim, �O
NUT
Personally Known OR Produced Identific
ie a
Personally Known x OR Produced Identificati
!N
Type of Identifica ' na'o
Type of Identification
a a EB
Produced QL
r��'N
z�Cr7'w
Produced
g=U�g
zC7�rou�1
aT
�1
- / Y
'2
(Signature Notary Public- State of Florida)
�.
(Signature o otary Public- State of Florida)
Commission No. GG33Bu9 (Seal)
Commission No. GG330259 (Seal)
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.2/7/19
All 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, Fart Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT TYPE: SIDEWALK
Address:'
ref e rC,-e
Property Tax ID #: � �. ' ��� op00 -oc�o - 0 Lot No.
Site Plan Name: Block No.
Project Name:
REPLACE SIDEWALK
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: $ 34948.00
Sq. Ft. of First Floor:
—Windows/Doors
Roof Pitch
Utilities: _Sewer _Septic Building Height:
t 3, a= ' rya , wiz A
ra
bWAlRI4E55f E {X..
CijNTRaG R s ' X. gk
+xn"' x.
NameOCEAN HARBOUR NORTH 319 LLC
Address:. C'j0 tjj_Q'(_rn
City:, g b#F, PL VCr6 G90LI1State: f L
Zip Code: .QCI L_ 0 Fax:
Phone No.
Name:JOY S YANCY
Company:SUMMERLIN'S MARINE CONSTRUCTION, LLC
Address.200 NACO RD #C
City: FT PIERCE State: FL
Zip Code: 34946 Fax: 772-464-7470
Phone N0772-464-6090
E-Mail:HAYESPB@AOL.COM
Fill in fee simple Title Holder on next page ( If different
from the Owner listed above)
E-Mail SUMMERLINSMARINECONSTRUCTION@GMAIL.COM
State or County License24217
If value of construction is $2500 or more, a RECORDED Notice of Commencement Is required.
If value of HVAC Is $7,SOD or more, a RECORDED Notice of Commencement is required.
SUPPLE MENTAVCQNSTRUCTION-LIEN
1�.'�.AvgYgF!}tb/8..+'4.iiT
LA111(If QRIVIATl01�1 � � "� � z =
N1-yi'rrG1Yl.::'S�F^r.ac4+.'F^s�.(O.K �.+Y:iY.�.9��i`J(W .i' �La.�•L:..p` .1'A�:.
DESIGNER/ENGINEER: _
Name: MI. ENGINEERING. INC
Not Applicable
MORTGAGE COMPANY:
Name:
_ Not Applicable
Address:20303rrH AVE
Address:
City: VERO BEACH
Zip: 32SCC Phone
State: FL
City:
Zip: Phone:
State:
FEE SIMPLE TITLEHOLDER: _
Name:
Not Applicable
BONDING COMPANY:
Name:
_Not Applicable
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 or an9covenants 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 1 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
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE,QF COMMENCEMENT."
Signature.of Owner% Lessee/ ntractor as Agent for Owner
ofcotracto icense Hola r
SignVCOF
STATE OF FLORIDA ��
COUNTY OF sTLUCIE
STA FLORIDA`
OF U, �—
COUNTY _ . C't
The forgoing instrument was acknowledgedpefor
The forgoing instrument was acknowledged before
this a0 day of r IT, 202uby
this day of Mcu, 21EL-0 by
m
PETER HAVES
m.
fi
JOY BYANCY
LL
Name of person making statement.
& `
Name of person making statement.
Personally Known OR Produced Identific
lw
Personally Known x OR Produced Identifcati
--2f H
Type of Identifies n
g m 13.
Type of Identification
a G >4
Produced Ili_ ILL,
Produced
9�,g
z Cl �w
zi9 $w
'47-,
$.•
/ f .f.. 1�( CIA J=.�,
�•�
(Signature 62 Notary Public- State of Florida
P
(Signature of, otary Public. State of Florida )
p
Commission No. GG3302s3 (Seal)
Commission No. GG3W2s9 (Seal)
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
I.COMPLETED
ev.