HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
RECEIVED
DEC 0 61019
Building Permit Application Permittingpe attment
St. Lucie Cou my
Commercial Residential x
PERMITTYPEDOCK _
PROPOSED IMPROVEMENT LOCATION:581 BEACH AVE; PORT, ST LUCIE ;FL'349521
,
Address: 581 BEACH AVE, PORT ST LUCIE, FL 34952
Property Tax ID M. 3419-510-0231-000-9 Lot No.16
Site Plan Name: Block No. 18
Project Name:
'DETAILED DESCRIPTION OF WORK:ii
INSTALL DOCK.
NO boC4 I'1F+ ct+ khi s i i171�
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: Sq. Ft. of First Floor: _
Cost of Construction:$ r11150.Dt'� Utilities: _Sewer _Septic
Windows/Doors
Roof Pitch
Building Height:
OWNER/LESSEE: " 1".'
CONTRACTOR':' ,.
NameHERBERT & KATHLEEN YANCY
Name: JOY S YANCY
Address: — Sal e[iC Vp
Company:SUMMERLIN'S MARINE CONSTRUCTION
City:'"T'-"=R"' or %, L to Gi -�- State: j
Zip Code: 3L495 349 �Fax:
Phone No.772-519-6398
Address:200 NACO RD, SUITE C
City: FT PIERCE State: FL
Zip Code: 34946 Fax: 772-464-7470
phone N0772-464-6090
E-Mail: HEYKSY@BELLSOUTH.NET
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 $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW,INFORMATION:
;
f A
DESIGNER/ENGINEER: _ Not Applicable
N ame: BO HUTCHINSON
Apj.Y: _
Na me: HI.TIDE BOAT LIFTS
Not Applicable
Add ress:2795 N INDIAN RIVER DR
Address: 4050 SELVITZ RD
City: FTPIERCE State: FL
Zip: 34946 Phone772-267.1399
City: FT PIERCE
Zip: 34981 Phone:7724614660
State: FL
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY: _Not
Name:
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 conlYict 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
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
lajfv_— o
0�
JkTre;of1b ferfi Lressee/Contractor as Age or Owe
Signatu o Contr ct r/License Id f
n . r
STATE OF FLO IDA
STAT F FLORIDA
COUNTY OF STLUCIE
COUNTY OF STLUCIE
nstrument was acknowledg before me
The for oing Instrument was acknowledged before me
of NO✓ 20 by
this 2dayof ND 20L by
+kcJ6I>°tA C
ToN S Nate,c.aon
making statement.
Name of perso making tatement.
Ila
own x OR Produced Identification
Personally Known x OR Produced Identification
ification
Type of Identification
Produced
S'g atu of Nbtary Public- State of Florida)
(Signature of Qtary Public- State of Florida )
Commission No. GG330259 (Seal)
Commission No. GG330259 (Seal)
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
Io
DATE
COMPLETED