HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: \a.\I\0� \`l Permit Number: VWk- AQ.
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
Building Permit Application DEC 10 °91.19
ST. Lucie County, Permitting
Commercial Residential x
PERMITTYPE:DOCK AND BOAT LIFTS
PROPOSED IMPROVEMENT LOCATI0N:117 QUEEN ELIZABETH'CT,
Address: 117 QUEEN ELIZABETH CT, FT PIERCE, FL34949
Property Tax ID #: 1414-701-0070-000-7 Lot No. H
Site Plan Name: Block No. 8
Project Name:
DETAILED DESCRIPTION OF WORK:,
REPLACE EXISTING DOCK AND INSTALL. BOAT LIFTS
CONSTRUCTION INFORMATION: lI h jil'il�fji
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: $ LJ I , Ob O O Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE: �I
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CONTRACTOR-. '4'11
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NameGREG ISBELL
Name: JOY S YANCY
Address:117 QUEEN ELIZABETH CT
Company:SUMMERLIN'S MARINE CONSTRUCTION, LLC
City: FT PIERCE State: _
Zip Code: 34949 Fax:N/A
Phone No.561-662-4256
Address:200 NACO RD, SUITE C
City: FT PIERCE State -FL.
Zip Code: 34946 Fax: 772-464-7470
Phone N0772-464-6090
E-Mail:GREGCATTLEMENSMARKET@GMAIL.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 $7,500 or more, a RECORDED Notice of- Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAWIINFORMATION '
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DESIGN IE1R/ENGINEER:l!11� �
Name:9I-T,d-e L�Dct-,
_ Not Applicable
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NameteorNIY*&Ai1l&Prif1A
ANY:
_ Not Applicable
Address: OS i�Z.
RGI
Address: 90(4 �Irt,,fx
Ay-e,
City: i e1C�
Zip: 3 Phone `lea.
State: ��
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City: FA- I F! rr
Zip: Z�D
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Phone:
State: _ L
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FEE SIMPLE TITLE HOLDER:
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 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 Oy TH SITE BEAR BEFORE RECORDING YOURONOTICE OF COMMENCEMENT.6 INTEND TO OBTAIN CONSULT
D FIRST INSPECTION. IF
WITH YO L ERER OR AN-
_ /
oftc
i nature o O� "/ Levee/Contractor as Agent for Owner
SI tur of Con acto /Li ense Hold
STATE OF FLORIDA
STA F FLORIDA
COUNTY OF S E . l Lu r.i a
COUNTY OF S+ LU C.i -e-
The forgoing instrument was acknowledge efore me
The forgoing instrument was acknowledge before me
this day of 17 P C_ by
this day of Dt= r _ zol by
(,raIq �sb-eI1
SCN S-
Name of rson making statement.
Name of person making st tement.
o
Personally Known ✓ OR Produced Identification
Personally Known Z OR Produced Identification
of Identification
Type of identification
g
+yo uced
Produced
a
-- (.
- i
atura3f Notary Public-. State of Florida)
(Signature otary Public- State of Florida
14
ission No. CmC ,3`3 0-;259 (Seal)
Commission No. SG- 330 9�S9 (Seal)
IR 0
99
E
IEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DA
IVED
DATE
COMPLETED
Rev. 21 i/ 19