HomeMy WebLinkAboutBuilding Permit Application ALAPPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: LA o1�J %I Permit Number:
RECEI"^D APR 252017
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: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT LOCATION
Address: 25 Soverign Way, Fort Pierce FL 34949
Legal Description: Queens Cove, Unit 2, Blk 22, Lot g (OR 1701-1700)
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Property Tax ID#: t`�I�'�1 �'C � Lot No.G 11
Site Plan Name: Block No. 22
Project Name: Hughes
Setbacks Front Back: Right Side: Left Side:
DETAILED'DESCRIPTION,OF`WORK.
Installing seawall in front of existing seawall. Installing a Hurricane Cat 5 Cradle Boat Lift (20,000
LB). Installing a Personal Water Craft Lift.
Construct a 3'W x 301 Marginal Dock.
=(* ::CTIONM
_INFORATION
Additionalwork to be pertormed under this per check a apply:
❑HVAC L_I Gas Tank Gas Piping _Shutters Windows/Doors
F1 ,_. P g Q
Electric ❑ Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: " S . Ft.of First Floor:
Cost of Construction:$ 26,000.00 Utilities:cn Sewer[]Septic Building Height:
OWNER%LESSEE =CONTRACTOR
..,,..
Name Billy Hughes Name: Wanda Corigliano j
Address: 25 Soverign Way Company: Mr Hustle Inc
City: Fort Pierce State:FL Address: PO BOX 2372
Zip Code: 34949 iFax: City: Stuart State:FL
Phone No.772-530-0253 Zip Code: 34990 Fax: 772-220-6032
E-Mail:Skiftkaye@yahoo.com Phone No. 772-220-7624
Fill in fee simple Title Holder on next page(if different E-Mail: mrhustleinc@bellsouth.net
from the Owner listed above) State or County License: CBC 1253388
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: Paul Welch Name:
Address: Address:
City: Port St Lucie State: FL City: State:
Zip: 34984 Phone: 772-785-9888 Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
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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 jobsitel
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencing work or recording our Notice of Commencement.
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_Signature of Owner/Les e / gent Signature of Contractor/Li se Holder
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STATE OF F STATE OF FLORID n-
COUNTY OF` A::) r— - COUNTY OF
The forgoing instrument was acknowledged before me The forgoing instMr,
nt was acknowledged before me
this fig day of _,0Q)0 20 l�by this��day of 20 a by
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(Name f pe son acki ow dging) (Name of person acknowlecl '
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(Sign)hture of Notary Public-State of`4orida)C C0rQ �C&__ (Signatu o otary Publi State of Florida)
Personally Known OR Prod �eO i Personally Known_)0 OR Produced Identification I
Type of Identification Produced F Type of Identification Produced
Commission No. ealA S� y Commission No
""""�� HOLLY BURGESS
GEORGIA d�1�RY PV9,.
;ter°. .`�; Notary Public-State of Florida
S.s .•e Commission#FF 211412
Revised 07/15/2014 C AtjBl,<<' ��'lFOFF�°PO,` My Comm.Expires Mar 18,2019 j
,9 �'''�������" Bonded through National Notary Assn.
REVIEWS FRONT ZONING '���1PERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW'
DATE
COMPLETE
INITIALS i
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