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HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED kk Date: ?� 'C\ 1 n Permit Number: )i RECEIV"YD FEB 0 9'2017 Building Permit Applicatfbn 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: To Select from dropbox, click arrow at the end of line cIOCK r e plc g � m PROPOSED IMPROVEMENT LOCATION: i� �! Address: 919 JACKSON WAY, FT PIERCE, FL 34949 Legal Description: COASTAL COVE - UNIT 1 - LOT 25 (OR3929 - 1558) Property Tax ID #: 1423-802-0027-000-9 Site Plan Name: Project Name: Setbacks Front Back: Right Side: Left Side: Lot No.25 Block No. DETAILED DESCRIPTION OF'WORK:. I clock. r-e_.pl a c,_m du- f f-o hLkxr cc_n-iL;'darno9-Q, - Sy xc.,P_ _MQ r�i na t clock CONS.T-RUCTION.INFORMATION: i4 ; ,r Additional work to e e orme under this permit — check a apply: �HVAC E] Gas Tank Gas Piping _ Shutters Q Windows/Doors Electric El Plumbing Sprinklers E]Generator 1:1 Roof Roof pitch Total Sq. Ft of Construction: Cost of Construction: $ '7 2.o © - O C) S Ft. of First Floor: UtilitiesInSewer 0Septic Building Height: OWNER/LESSEE: '( CONTRACTOR: Name EDWIN & PAMELA WORTH Address:919 JACKSON WAY Name: JOY S YANCY Company: SUMMERLIN'S MARINE CONSTRUCTION City: FT PIERCE State:FL Zip Code: 34949 = Fax: Phone No. 772-321-7217 Address: 200 NACO RD, SUITE C City: FT PIERCE State: FL Zip Code: 34946 Fax: 772-464-7470 Phone No. 772-464-6090 E-Mail: SUMMERLINSMARINECONSTRUCTION@GMAIL.COM State or County License: 24217 E-Mail: or+h I'Up L 6D OIrNfliI. CO M Fill in fee simple Title Holder on next page ( if different from the Owner listed above) If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIENLLAW JNFORMATION;, DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: _ Not Applicable Name:�Bo "(.1+C,hi r>Sch Name: Address: arlc)S ti--lodiG-r. Q;v r Qr- Address: City: (` f . P i erc-*_ _ State: FL City: State: Zip: SLi Q41,a Phone: 1-72 13 q Q Zip: Phone: FEE SIMPLE TITLE HOLDER: Name: Address: City: Zip: Phone: _ Not Applicable BONDING COMPANY: Not Applicable Name: Address: City: 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 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 on the jobsite before the first inspection. If you intend to obtain financing, consult with lender or an attorney before commencing work or recording vour Notice of Commencement. Signature of Owner/Lessee/Contractor as Agent for Owner Signatu r Coritractou icense STATE OF FLORIDA STATE OF FLORIDA COUNTY OF STLUCIE COUNTY OF STLUCIE The for oing instrument was acknowledged before me this day of 17P1'_4_>_r \.b 2i, 20 (_by C Ci Lam; r-, ID, LA---)l, ( 4\ (Name of person acknowledging) The forgoing instrument was acknowledged before me this 13 day of DECEMBER 201_LP by JOY S YANCY (Name of person acknowledging) dOA�__ 10, Lo J) 11_� Je J'L 03-PA (Signature oKNotary Public- State of Florida ) (Signature Nftotary Public- State of Florida ) Personally Known OR Produced Identification Personally Known x OR Produced Identification Type of Identification Produced_ _ r L D-L Type of Identification Produced Commission NO. FF912 Commission No. FF91293s �yi�ltPkgr.� GI B HMI Fi andffikO HESTER MY COMMISSION # FF912939 Revised 07/ 1 EXPIRES August 25, 2019 om© REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE � II � INITIALS 1 . �r � �er�� , � (eG se F r<t2J ►' Pe.� 2 0 � 7 0 2 6 5 ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO.BE ACCEPTED Date: , �� Permit Number: 1-1 da J 0a 16 RECEIV7D FEB 0 9,2017 Building pp 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: To Select from dropbox, click arrow at the end of line doc r -9-010 C Address: 919 JACKSON WAY, FT PIERCE, FL 34949 Legal Description: COASTAL COVE - UNIT 1 - LOT 25 (OR3929 -1558) REGEIVED Property Tax ID #: 1423-802-0027-000-9 FEB 2 4 2017 Lot No.25 Site Plan Name: ENVIRONMENTAL Blgck No. Project Name: KIIESO iRCES Setbacks Front Back: Right Side: Left Side: dock cline. 4-a �il�.rri�an�,`darna9� Sy x(_P - _M0 r3; marl ca oc k' . Additional work to pe ertormea under tnis permit-: cnecK au �13 tm appiy: r HW,. Gas Tank F]Gas Piping Shutters Q Windows/Doors Electric El Plumbing Sprinklers Generator Roof Roof pitch Total Sq. Ft of Construction: r7 S . Ft. of First Floor: 0Septic Cost of Construction: $ 2© c c) � Utilities: Sewer Building Height: 01r'1lI�EtE3E =Fs ,3 rt :1 �,CiGTRI►�` '' �;'� ? ; t L?.�:3,! NameEDWIN & PAMELA WORTH Name: JOY S YANCY Address:919.JACKSON WAY Company: SUMMERLIN'S MARINE CONSTRUCTION City: FT PIERCE State:FL Address: 200 NACO RD, SUITE C City: FT PIERCE State -FL. Zip Code: 34949 Fax: Phone No.772-321-7217 Zip Code: 34946 Fax: 772464-7470 E-Mail: c ,.,Of+h 12Lo2 ii�J giryi I. C OM Phone No. 772-464-6090 Fill in fee simple Title Holder on next page ( if different E-Mail: SUMMEtLINSMARINECONSTRUCTION@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. enr �r