HomeMy WebLinkAboutHill - 123 Queen Ann Dock Repair SubmittalAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
Commercial Residential X
PERMIT TYPE: Repairs to Existing/Unsafe Cock
,PROPQSEDJ1V1ENT L0CATiON,4
Address: 123 Queen Ann Ct., Ft, Pierce, FL 34949
Property Tax ID #: 1414-701-0202-000-2
Site Plan Name:
Project Name:
Lot No.J
Block No. 20
COi11TR
DET/11LD DESCRiPTIDN OF.I.Wolc
Replace existing deck boards, cross members, stringers, and associated hardware with new as required on existing 55'X 510" Dock.
No Additlions or Modifications, only replacement of associated materials to match existing to preserve integrity and safety
No piling replacement. See attached drawing
CaNSTRUCTION INORNIATIQN;
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: Sq. Ft. of First Floor:
Cost of Construction: $ 4000 Utilities: —Sewer _Septic Building Height:
p1NNEt/LES SEE
Namejames K. Hill
Address: 123 Queen Ann Ct.
City: Ft. Pierce State:
Zip Code: 34949 Fax:
Phone No, 757-646-0476
E -Mail; twosheets35@gmaii.com
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
co
Name:3ames K. Hill
Company:Owner Builder
Address: 123 Queen Ann Ct,
City: Ft. Pierce State: FL
Zip Code: 34949 Fax:
Phone N0757-646-0476
E -Mail twosheets35@gmaii.com
State or County License
If value of construction Is $2500 or more, a RECORDED Notice of Commencement is required..
if value of HVAC Is $7,540 or more, a RECORDED Notice of Commencement is required,
NGINEER:
Name:
LAW INFoMATION
,____„ Not Applicable
Address:
City: State:
Zip: Phone
MORTGAGE COMPANY: Not Applicable
Name:
Address:
City: State:
,Zip: Phone:
FEE SIMPLE TITLE MOLDER: Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application its hereby made to obtain a permit to do the work and installation as indicated.
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in conflict with any applicable Nome Owners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Home Owners Association and review your deed for any restrictions which may. apply,
In consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
The following building permit applications are exempt from undergoing a full concurrency review: room additions,
accessory structures, swimming pools, fences, wails, signs, screen rooms and accessory uses to another non-residential use
"VYARNING TO OWNER* YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU IMPEND TO OBTAIN FINANCING, CONSULT
a rfie err%2 M x Meer on nog A R1 M'e'Tn DRi67V RIFF RE RISC '$IRDING FOUR NOTICE OF COMMENCEMENT."
rye H" a I.Mr 4. R-. 4_§YSIIJ6Qea�ff}Vaw __
Sign ure of Contractor/License Holder
Signature of Owner/ Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF 5T. L uc-xC
COUNTY OF ST •
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this ?I _day of w K t Y 20 by
this ZI_ day of �"1 A -j 20_Z9 by
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Name of person making statement.
Name of person making statement.
Personally Known Z-__ OR Produced Identification
Personally Known f OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
wi A?.4
-
Si n t e f Notary Public -St e v rj a BELINDAA. BOYD
(Sig afore of Notary Pub c- State of Fiorida)
WIND A
Commission No. G'G' ZS .5 Z� I �= Notary Public -
Notary Public -State of flan
90yo�� Z <; �tmissian NGG 235241
t4i�Iiin0fiaio NO. S �a ' (My Cho m. Expires Oct 27, 2
Commission
M Comm. Ex it
GG 235291 ttia
s fact 27, 2022 Bonded through National Notary A;
Bonded through Nat
onat Notary Assn.
REVIEWS
FRONT
COUNTER
ZONI
REVIEW
REVIEW
REVIEW
EGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. /7/7.9