HomeMy WebLinkAboutSANCHEZ PERMIT APPLICATION"APPLICABLE INFO MUST BE COMPLETED FOR APPUCATION TO BE ACCEPTED
Date:
Permit Number:
CJ�O � V�L7
0
Building Permit Application
Planning and Development services
Building and Code Regulation Division Commercial Residential X
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FORBOAT LIFT
PROPOSED IMPROVEMENT LOCATION: OCEAN HARBOUR NORTH MARINA SLIP 34
Address: 5167 N HIGHWAY A1A, HUTCHINSON ISLAND, FL 34949
Property Tax ID #: 141M01-0016-010.8
Site Plan Name:
Project Name:
DETAiIE{? DESCRIPTION OF WORK: -
INSTALL BOAT LIFT TO SLIP 34
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATtON:
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: $ 9,379.00
OWNER/LESSEE:
_ Generator
Lot No.2 & 6
Block No.
-Windows/Doors _ Pond
Sq. Ft. of First Floor:
_ Roof Pitch
Utilities: —Sewer -Septic Building Height:
Name OCEAN HARBOUR MARINA ASSN INC
Address:835 20TH PL
City: VERO BEACH State: _
Zip Code: 32960 Fax:
Phone No.�
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Name:JOY S YANCY
Company: SUMMERLIN'S MARINE CONSTRUCTION, LLC
Address:200 NACO RD. C
City: FT PIERCE State -FL
Zip Code: 34946 Fax: 772-464-7470
Phone N0772-464-6090
E-MailSUMMERLINSMARINECONSTRUCTION@GMAIL.COM
State or County Ucense24217
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:
PJ--TIDE BOAT LIFT BALES
Address.-Zs,,
City: FrPMRM
Zip, NMI State p
Phonem-n+Aeo
FEE SIMPLE TITLE HOLDER:
Address:
City:
Zip: --. Phone:
Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:
Zip; Phone:
BONDING COMPANY:
Address:
Zip:
_,Not Applicable
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 grantinga permit will authorize the permit holder to build the subject structure
which is in conflict with anj applicable Home Owers association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult w th 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 1 will, In all respects, perform the work
in accordance with the approved plans, the Florida Building Codes and St. Lude County Amendments.
The following building permit applications are exempt from undergoing a full concurrency review: roam 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
VvithL lender or an attorne before commencing work or recording Your Notice of Commencement.
i — -
R,
Signature of Owner/ Lessee/Contractor as Agent for Owner Signatur o n ctor/Lac Holder
STATE OF FLORIDA STATE FLORIDA
COUNTY OF COUNTY OF S�- ,�� � S=9-.
Swor (or affirmed) and subscribed before me of Sworn to (or affirmed) and subscribed before me of
Ph sisal Pre a or Online Notarization x ysi�i Pres Bice or Online Notarization
this ay of 2020 by this day of r 2020 by
Name ofjiprson making statement.
Pers ally Kn wn ! ' OR Produced identification
Type f Identi oati�n�
Commission
REVIEWS FRONT I ZONING
COUNTER REVIEW
RECEIVED
Notary Punic - State
Commission a GG
Bwmdgot#
JOY S YAWY
Name of person making statement,
Personally Known x OR Produced Identification
f Identification
](O$Jg
:ed
ture of Notary . biic- StatP of Florida ) JaiseH.d JaBul
epuoid Jo ale;g 0114nd AJB;o
Commission No. caste
SUPERVISOR I PLANS I VEGETATION SEATURTLE MANGROVE
REVIEW REVIEW I REVIEW I REVIEW REVIEW