HomeMy WebLinkAboutBuilding permit appAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 5/18/2020 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:
PROPOSED IMPROVEMENT LOCATION:
Address: 211 Olive Ave, Port St Lucie, FL 34952
Property Tax ID #: 3419-510-0272-000-8
Site Plan Name:
Project Name: Parnell Piling Installation
DETAILED DESCRIPTION OF WORK:
Install (4) 9" x 25' Marine Grade pilings
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: $ 2,000
Sq. Ft. of First Floor: _
Utilities: —Sewer —Septic
Lot No. 41
Block No. 19
Windows/Doors
— Roof Pitch
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Alex Parnell
Name: Ron DeGrazia
Address: 221 Olive Ave
Company: CORE Marine Contractors, Inc
City: Port St Lucie State: _
Zip Code: 34952 Fax:
Phone No. 601-410-8904
Address: PO Box 643711
City: Vero Beach State: FL
Zip Code: 32964 Fax: 888-858-1492
Phone No 772-234-4228
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail admin@coremci.com
State or County License CGCA26812
va�uc vwnxI uLuvn a ?cwv or more, a KtLUKLJtu Notice oT commencement is required.
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
MORTGAGE COMPANY: _ Not Applicable
Name:
Name:
Address:
Address:
City: State:
City: State:
Zip: Phone
Zip: Phone:
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 bylaws
rules, 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
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
Sign ture of O r essee/Contractor as Agent for Owner
Signature 8XC tractor/License Flolder
STATE OF FLORIDA
STATE OF FLORIDJ...
COUNTY OF JANI&A
COUNTY OF
The forgoing instru ent was acknowledged before me
this day of _ 20�by
The forgoing instrument was acknowledged before me
this y�ay of 1A.4 20_20 by
Name of person making statement.
Name of person making statement.
Personally Known OR Produced Identification
-7`—
Personally Known OR Produced Identification
Type of Identification
Type of Identification
Produced P%i4.4
Produced
0_1 0
(Signature of N T €- MaitV RohNoRdR Of Florida
(Signature of JotaryPublic- State of Florida )
=�' o Commission # GG 300094
or °P' My Comm. Expire Ab )8, 2023
Commission No. gh Nation t�Stt ry Assn.
Commission No. a� P0, .a-% BREXSVAP I HOSKINS
�, _ Notary Public •State of Florida
or Commission # GG 300094
r�;•: y omm. xpi
esFeb 18, 023
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