HomeMy WebLinkAboutPOWERS RETAINING WALL PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
ST. LuCIE
WL
Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
a:Iaulkli_1aWaG rIOUNXk3l
Address: 91.1 JACKSON WAY, FT PIERCE, FL 34949
Residential X
Property Tax ID #: 1423-802-0023-000-1 Lot No.21
Site Plan Name: Block No.
Project Name:
®ETAS€Lf� eESCRIPTTC►N OF V1l0RK:
i'e-10 Ce, G � Ll�
New Electrical Meter Second Electrical Meter
CON5TRUCTION iNF0RMAT1Q . , . - -
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: $ L1 CK3r Utilities: —Sewer _Septic Building Height:
bwimt / SSEE. - - I CONMACTOR - - - — -
NameALBERT & STEPHANY POWERS
Address:132 MUNSONVILLE RD
City: GLOVERSVILLE State: qy
Zip Code: 12078 Fax: �f
Phone No.518-337-1532
E-Mail: SPOWERS12@NYCAP.RR.COM
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-Mail SUM MERLINSMARI NECONSTRUCTION@GMAIL.COM
State or County License a
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: Gi' mo-rk r r1-e Q-X-t`n C,
_
Name:
Address:
Address: 530C o De GLt»af P V -Q- J
City: State:
City: -?I C--R— State:
Zip: SCE Phone -1-7;2 - ai n 7 , i3
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 attorney before commencing work or recording our Notice of Commencement.
Signatu - o er/ Lessee/Contractor as Agent for Owner Sign u e of Contr ctor License Holde
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF -'�:3 + L COUNTY OF
Sworn to (or affirmed) and subscribed before me of Sworn to (or affirmed) and subscribed before me of
x Physical Presence or Online Notarization x Physical Presence or Online Notarization
this 28 day of APRIL . 2021 by this 28 day of APRIL 2020 by
St
f-1_ 4 1( JL(11 t'D(Aj-10 JOY SYANCY
Name of pe on making �tatement. Name of person making statement.
Personally Known OR Produced Identification x Personally Known x OR Produced Identification
Type of Identification Type of Identification
Produced Produced
� 1 ublic State of Florida
(Signature otary Pub �y5L�;NQt;ary
8S."n GG 330259 (Signature Notary Public- S rlf8/25/2023
Notary Public State of Flori
Commission NO. G0330259 GG310259 In r P Hester
Commission NO. mission GG 330259
'+1, Expires 08/25/2023
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
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