HomeMy WebLinkAboutDENNIS QUESTA PERMIT APPAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
P a
Permit Number:
Building Permit Application
Planning and Development Services
Building and Cade Regulation Division Commercial Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:INSTALL DOCK AND BOATLIFT
PROPOSED IMPROVEMENT LOCATION:
Address: 465 SE, VERADA AVE. PORT ST. LUCIE, FL. 34983
X.
Property Tax ID #: 3419-530-052-000-2 Lot No.
Site Plan Name: Block No.
Project Name: CUESTA RESD.
DETAILED DESCRIPTION OF WORK:
INSTALL NEW 68 LNF DOCK AND INSTALL NEW 4 POLE 24K LIFT
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit —check all that apply:
_Mechanical _ Gas Tank —Gas Piping _ Shutters
_ Electric _ Plumbing _ Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $ 35,500.00
_ Generator
Sq. Ft. of First Floor:
Windows/Doors _ Pond
Roof Pitch
Utilities: _ Sewer _ Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
NameDENNIS CUESTA
Name:MICHAEL GUIDICE
Address:465 SE VERADA AVE
Company: TREASURE COAST BARGE, INC.
City: PORT ST. LUCIE, FL State: _
Address:1200 SE. DIXIE CUTOFF RD.
Zip Code: 34983 Fax:
City: STUART State: FL
Phone No.
Zip Code: 34994 Fax:
E-Mail:
Phone No(772) 220-3625
Fill in fee simple Title Holder on next page (if different
E-Mail ALBERTCORS01 972@GMAIL.COM
from the Owner listed above)
State or County License20077
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.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name:
Name:
Address:
Address:
City: State:
City: State:
Zip: Phone
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 non-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 or an attnmf_ 6 fore commencing work or recording vour Notice of Commencement.
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-gnature of Owner/ Lessee/Contractor as Agent for Owner
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Signature of Contractor -tense Holder
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iAysical Presence or Online Notarization
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of person making statement.
Name of person making statement.
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Personally Known ✓ OR Produced Identificatio
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Signature of Notary Public- State of Florida }
(Signature of Notary Public- State of Florida }
Commission No. (Seal)
Commission No. 86P (Seal)
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