HomeMy WebLinkAboutBuilding Permit ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED l n
Date: Permit Number: 1 �l J� • (��
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 APPLICATION FOR: Boat lift
PROPOSED IMPROVEMENT LOCATION:
Address: 127 QUEENS RD, FT PIERCE, FL 34949
Legal Description: QUEENS COVE-UNIT 1 -BLK 19 LOT L(OR 3247-83)
Property Tax ID#: 1414-701-0193-000-5 Lot No.19
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
INSTALL BOAT LIFT P USe6 I i4+-
CONSTRU'CTIO:N I:NFORMATION':,
Additional work to be nertormed under this permit—c ec a appy:
HVAC Gas Tank Gas Piping _Shutters ❑Windows/Doors
0
11 Electric 0 Plumbing []Sprinklers Generator F] Roof Roof pitch
Total Sq. Ft of Construction: Sq.
of First Floor:
Cost of Construction:$ �oZCC'� , (7 Utilities: LJ Sewer Septic Building Height:
OWN ER/LESSEE: CONTRACTOR:
NameJAMES CORRIDAN Name: JOYS YANCY
Address:127 QUEENS RD Company: SUMMERLIN'S MARINE CONSTRUCTION, LLC
City: FT PIERCE State:FL Address: 200 NACO RD, SUITE C
Zip Code: 34949 Fax:NIA City: FT PIERCE State:FL
Phone No.518-505-5045 Zip Code: 34946 Fax: 772-464-7470
E-Mail:J•CORRIDAN@YAHOO.COM Phone No. 772-464-6090
Fill in fee simple Title Holder on next page(if different E-Mail: SUMMERLINSMARINECONSTRUCTION@GMAIL.COM
from the Owner listed above) State or County License: 24217
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN.LAW INFORMATION:
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: HI-TIDE BOAT LIFT Name:
Ad d ress:4950 SELVITz RD Address:
City: FT PIERCE State: FL City: State:
Zip: 34981 Phone: 772-461A660 Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
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 thepermit 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 on the jobsite
before the first inspection. If you intend to obtain financing, consult with len er or an attorney before
commencing work or recording our Notice of Commencement.
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Signa Gr of Owner/Lessee/Contractor as Agent for Owner Sign e f ontra or/Lie a Hold
STATE OF FL FDA P-UO 406r STATE ,F LORIDA
COUNTY OF S�nee,�..�-�-1 COUNTY' F ULM.
The forgoing instrument was acknowledged before me The for oing instrument was acknowledged before me
this 2 S day of M C� 20 Lby this ��day of 20 Lq by
1 JOY S YANCY
(Name of person acknowledging) (Name of person acknowledging)
A_�Q
-- `
(Sign "re of Notary,Public-State of.F4arid (Signature of otary Public-State of Florida)
Personally Known OR Produced Identification D L Personally Known x OR Produced Identification
Type of Identification Produced_ .IQ14C>L Type of Identification Produced
Commission No. I L 2,A O (Sea19HN D MARIANI Commissio NO. FF9129 Xh
61111"%�HESTER
NOTARY PUBLIC,STATE OF NE YORK MY COMMISSION#FF912939
SCHENECTADY COUN EXPIRES ust.25 2019
Revised 07/15/2014 COMMISSION EXPIRES DEC.24,20 w N°7I39>l01D3. u s.rvioeaom
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS