HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED nn
Date: Permit Number: � �o I '®� l''')
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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: Dock/Seawall
PROPOSED.IMPROVEMENT LOCATION:
Address: 211 MARINA DR, FT PIERCE, FL 34949
Legal Description: CORAL COVE BEACH-SEC ONE-BLK 5 LOT 35(OR 3910-434)
Property Tax ID#: 1425-701-0148-000-9 Lot No.35
Site Plan Name: Block No. 5
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DER i ° {
SC IPTION OFWORK:
DOCK EXTENSION & BOAT LIFT - CX i S+i n O� e-1-p-c- -r i C
CONSTRUCTION INFORMATION:
Additional work toe e orme under this permit—c ec a appy:
HVAC f Gas Tank ❑Gas Piping _Shutters ❑Windows/Doors
11 Electric El Plumbing Sprinklers 0 Generator Roof Roof pitch
Total Sq. Ft of Construction: SFt.of First Floor:
Cost of Construction:$ 11 I�� o c) Utilities:i Sewer Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name CHARLES SCHILTZ Name: JOYS YANCY
Address:1526 WYN COVE DR Company: SUMMERLIN'S MARINE CONSTRUCTION
City: VERO BEACH State:FL Address: 200 NACO RD,SUITE C
Zip Code: 32963 Fax: City: FT PIERCE State:FL
Phone No.954-295-6780 Zip Code: 34946 Fax: 772-464-7470
E-Mail: N A 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.
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SUPPLEMENTAL CONSTRUCTION LIEN'LAW INIFORMATIQN
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: BOHUTCHINSON Name: HI-TIDE SALES
Address:2705 N INDIAN RIVER DR Address: 4050 SELVITZ RD
City: FT PIERCE State: FL City: FTPIERCE State: FL
Zip: 34948 Phone: 772-287-1399 Zip: 34981 Phone: 772-481-4880
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 lender or an attorney before
commencing work or EecordAng your Notice of Commencement.
(�6, � VNI ctV s
Signature of Owner/Lessee/Contractor 6s Agent for Owner Sig rCOF
of Co tract r/License Hold
STATE OF FLORIDA STAT FLORIDA
COUNTY OF-LU.,. COUNTY OFsTW.-
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this day of 20 Lby this 25 day of 20 L(L_by
JOY S YANCY
(Name of person acknowledging) (Name of person acknowledging)
P
(Signature of Wary Public-State of Florida) (Signature of Notary Public-State of Florida)
Personally Known OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Produced 'EL 1L Type of Identification Produced
Commission No. FF912939
MRS.__ - m fission NO. FF912939 i ;��r��^.4s� CyIP( p HESTER
R .''o ®IN®SR p lISS 5 MY COMMISSION#FF912939
MYCOMMIS$ION#F 912939 -
EXFURES August 95 2039
L(407)
EXPIRES Au�st2Revised 07/15/2014 ��.". 2399-0'5339eo:s3 rloranria
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE Q,
INITIALS
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