HomeMy WebLinkAboutPermit and Sub Permit applicationAll APPLICABLE INFO MUST BE COMPETED FOR PPU ATfON TO BE ACCEPTED
Date:
Building P
Planliffig Or d DftWopm nt $ervkes
Building and Code Regulotion Division Commercial Residential X
00 Vfrgin ia Am uFort Pierce F[ 34982
Phone; 77 4 -15 Fax: 77 ) 4 -1S78
Permit Number.
PERMIT APPLICATION FOR:Boat lift In
stallation
PROPOSED IMPROVEMENT LOCATION:
Address: 7653 Pelican Pointe Dr
Property Tax ID #: 3 22- -00 - -
Site Plan Name: : Pelican Pointe Slip
Project Name: Pelican Pointe SLi
Ms
DE`` ID DESCRIPTION OF WORK:.:
Install 13K boatlift
New Electrical ical Dieter �_- — ^� Second Electrical [Meter
:CONSTRUCTION INFORMATION:
.'
Additional work to be performed under this permit —check all that apply:
Mechanical
Electric
Gas Tank
Plumbing
. Gas Piping
.Sprinklers
Shutters
Generator
Lot No.
Block No.
Windows/Doors �Pond
Pccf Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: Utilitie : � Sewer � Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
aw eP li an Pointe West HOA Incame.D nald Duncan
ddr ss:1 45 Pala Bah Lakes BLVD Ste 1200 cow :Southeast General Contra tin D
city. Walt Pal�nBeach FL State: ddress:33� SE Fiver Vista Dr-
ip Code: 33402 Fax: C4* Port St Lucia ;FL
tat.
Phone No. Zip Code: 34952 Fax:
- fai . Phone N0772-634-6961
Fill In fee simple Title Folder con next page J If different E-mailcopelandjoyc@gmaii.com
from the owner listed above) State or County License.CGCI 504325
If %MIN ■AM r+rft.r essm ■w&in... is ' %enn �- � � � _ aye waft
t. INWw"r %aa 1~11aaa W%1%Mtn I La & ! ill 1[][FJIUp d nC L.V I LACLI 1 MKS OTCommemement is re"ked.
ff glue of HAVC is $7,5W or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION.
DESIGN ER/ENGINEER:- X Not Applicable MORTGAGECOMPANY: x Not Applicable
Name: lame:
Address: dress:
city: State: City; taste:
Zip: Phone Zip: �. _... .. Phone:
FEE SIMPLE TITLE HOLDER: X Not Applicable BONDING Name: Name: COMPANY, A lot Applicable
Address: Address:
city: City
Zip. ......_. _.,. , Phone: Z11P, Phone:
OWNER/ CONTRACTOR AF I SIT: 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.
t. Lucie, oun .makes no representation that is granting a e~.rm will authorizethefcor
ermit holder to build the subject structure
which �� �n conflict with an applicable
whi structure. i Prase consult any
Horne Owners ► sodation rules, bylaws or ancovenants that may restrict or prohibit such
y rye Owners Association and review your deed any restrictions which may apply.
In considerationof 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 R cor Notice of Commencement may result in ain th a for
improvements to our r �
A Notice of Commencement encemen must b 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 leader or a tmb f commencing work or r dni�
rIt-
of Commencement.
Signs tre
of weer Lessee/Coat or as A for Owner Signature of Contractor License Holder
STATE of FLORIDASTATEFLORIDA
COUNTY OU Ty of TIN
Sworn to (or affirmed) and subscribed tare me of
Physical Presence or Online Notarization
Fh--is-'2,5 day of 2070 by
Personally Known Produced ducc# Identification
Type of Identification +
rode r
Of
Commission No.
REVIEWS
DATE
RECEIVED
DATE
M P LETE D
Sworn to (or affirmed) and subscribed before me of
Ph seal Presence o i� Online Notarization
this day of , 2020 by
Name of person making statement, - - -
Personally mown -)C OR Produced Idea ifi
t tion
Type of Identification -
Pred uced _ A !
:a` Pu tai iga�e*s� � F (5igtur No
P - t
tu[y COMM'G 937752 Joy Christine Ca;eland
4 a1�a Commission No. My cwn�,-ss�43��sx
-� Aires OVtl 4
FRONT ZONING SUPERVISOR PLANS VEGETATION 5EATllRTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
FEINT
ISSUE DATE
PLANNING &DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PE TIT
SUB -CONTRACTOR AGREEMENT
Comfort Control Services IncMayne Zimmerman
(Company Name/Individual Naive)
the Electrical
(Type ofTrade)
have agreed to b
Sub -contractor for Southeast Generat Contracting & Development Corp
For the project located at 7653 Pelican Pointe Dr
( Project Street Address or Property Tax E I �# }
PrimaryContractor)
It is understood that., if there is any charge of'status regarding out participation with the above mentioned
project, the Building and Code Regulation Division ion of St. Lucie County will be advised pursuant to the
ling of a Change of Sub -contractor notice.
CO.NTR-4LCTOR SIGNATURE Qualifier) ��---
r onald Duncan
PRINT NAME
UNTV CERTfFICATI N NUMBER
State of Florida, Count of M)OT1
The foregoing instrument was
VA ,0z',b
-Aho is persuually kno"
as 1F1gc,
rturef Notary Public
Print I
signed before me th' dayof
)q�' bm .
)r has produced a
_"OTA M P
C
-del SUB-CID.TA-ACTOR SIGNATURE � ualifer).
Wayne Zimmerman
n
PRI 'r NAME
COUNTV CERTIFICATION NUMBS
T
State of Florida, County of
The foreguing histrumenl was signed before me this day of
M81_ , 2 (12. hYM Wr_ Zh0,0A";,
w he ir% personally known Y—or has produced a -
Print Name of Notary Public
T T It Public Staffs of F#o' _ -
t� o�atrd �iota�r Pub Skate 01 �Wda
Joy Ala ,�. rr►
' �iw� 377
y E� F Xpi Fes 0511512024
mow
STAMP
Revised 11 1 1 r 0 1