HomeMy WebLinkAbout Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 12/712020 Permit Number:
ST.L1CIE
Building Permit Application
Planning and Development5ervices
Building and Code Regulation Division Commercial Residential x
2300 Virginia Avenue, Fort Pierce FL34982
Phone: (772) 4624553 Fax: (772) 462457E
PERMITAPPLICATION FOR: installation Of Seawall
FROPOSI D 11171PRO�lEMENTnCTION, 4
G
Address; 1880 W Midway Rd. Fort Pierce, FL 34982
Property Tax ID #: 3403502-008B-000-7 Lot No,
Site Plan Name: Block No.
Project Name:
Installation of Seawall
New Electrical Meter Second Electrical
Additional work to be
performed under
this permit —check all
that apply:
_,Mechanical
_Gas Tank
_Gas Piping
_Shutters _Windows/Doors _Pond
Electric
_Plumbing
_Sprinklers
_Generator _Roof Pitch
Total Sq. Ft of Construction:
Sq.
Ft, of First floor:
Cost of Construction: $55,160
Utilities:
_Sewer _Septic Building Height:
OWt�EttI,LEqSEE�''������.��QNTR/�'��0��.�'��Ff.
Name LAL(Kl S k,nc<_
Name: Staphan,Zlppl
/
Address:Mu Q MN fiWNU ItiU
Company:South Florida Building, Inc. dba BDI Marine Contractors
City: { tx r' S Cx State: F L
Zip Code: �DLV� S Fax:
Phone No. O ASS
Address:11718 SE Federal Hwy #222
City; Hobe Sound State;FL
Zip Code: 33455 Fax:
Phone N0561-6124300
E-Mail: Gl
f\ Sct e C a(T) 1 CA ty1
Fill in fee simpieTitle Holder on next page (if different
from the Owner listed above)
E-Mailellzabeth@bdimadneandslte.com
State or County LicenseCGC1528016
If value of construction Is 2500 or more, a RECORDED Notice of commencement Is required,
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
SLJPPL�M�1jIT,AL COfS`Tf2UGTIONT I ENI A��IU
pESIGNER/ENGINEER: Not Applicable
MORTGAGE COMPANY: _Not Applicable
Name:
Name:
Address:
Address:
City: State;
Zip: Phone:
City: State;
Zip: Phone
FEE SIMPLE TITLE HOLDER: Not Applicable
BONDING COMPANY: Not Applicable
Name:
Name:
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 nolt-residential use
WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in paying twice for
improvements to your property. A Notice of Commencement must be recorded in the public records of St.
Lucie County and posted on the Jobsite before the first inspection. If you intend to obtain financing, consult
with lender Oran attorney b/e�fore commencingwork or recordin our Notice of Commencement.
oel
Signature of Contractor/License o er
Signatufe of Owner/Wee/Contractor as Agent for ner
STATE OF FLORIDA
COUNTY OF Si LuQ
STATE OF FLOPIPA
COUNTYOF ' 1MaAC.b\
S5prn to (or affirmed) and subscribed before me of
Physical Pregence or`Online Notarization
This ^Vy7 day of Vrr AJ .2020 by
Swprn to (or affirmed) and subscribed before me of
J Physical Presence or. Online Notarization
this 4 day of Uctmlz�,r 2020 by
it �M�n a L l' .Ali nC
L-ft%'4rt2VQ\ b ep\
Name of person making atement.
Personally Known OR Produced Identificatlon
Name ofperso aldng statementou
Personally Known OR Produced Identification ✓
Type of Identl cat n
rod d 5112 -Sq %2)- ( -
Type of Identification
Produce
(Signature of Notary Publlc- St
Commission No.
ofjFloyida
SS `�•,
Se
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RENEE PHILLIP
Notary Pu61ic, Slale of
1) commission, GG 17
My comm. expires h1ar.
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REVIEWS
FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEATURTLE
REVIEW
MANGROVE
REVIEW
DATE
RECEIVED
DATE
COMPLETED
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