HomeMy WebLinkAboutSHARGO PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
- - - 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: Boat lift 0
PROPOSED IMPROVEMENT LOCATION. `
Address: 2534 HARBOUR COVE DR SLIP Q
Legal Description: CORAL COVE BEACH SECTION 1, SLIP
Property Tax ID #: 1425-701-0064-000-6 Lot No.18_
Site Plan Name: _ Block No. 2
Project Name:
Setbacks Front Back: Right Side: Left Side:
[DETAILED DESCRIPTION OF WCFRK, -- - - - ---
INSTALL BOAT LIFT TO COMMON DOCK SLIP _ w
ASSOCIATED ELECTRIC WILL BE CONNECTED TO EXISTING DOCK POWER OR DEDICATED
CIRCUIT AS NEEDED
CONSTRUCTION INFORMATION
Additional wor to a Deitormed un er t Is permit — c
1JHVAC Gas Tank ❑Gas Piping
Electric 0 Plumbing Sprinklers
Shutters a Windows/Doors
FIGenerator Roof C] Roof pitch
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction: $ 12,000.00 Utilities:] Sewer OSeptic
Name HARBOUR COVE PROPERTY OWNERS ASSOCIATION
Address: 2534 HARBOUR COVE DR
City: FT PIERCE State: FL
Zip Code: 34949 Fax:
Phone No. 772-466-7194
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
CONTRACTOR:
Name: .JOY S YANCY
Building Height:
Company: SUMMERLIN'S MARINE CONSTRUCTION, LLC
Address: 200 NACO RD, SUITE C
City: FT PIERCE State: FL
Zip Code: 34946 Fax: 772-464-7470
Phone No. 772-464-6090
E-Mail: SUMMERLINSMARINECONSTRUCTION@GMAIL.COM
State or County License: 24217
If value of construction is $2500 or more, a RECORDED Notice o�encement is required.
SUPPLEMENTAL CONSTRUC17GN LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not App
Name: HIJIDE BOAT SALES
Add ress: 4050 SELVITZ RD
City: FTPIERCE
Zip: 3498I Phone772.461-4660
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone:—
State: FL
- Not Applicable
MORTGAGE COMPANY:
Name:
Address:
City:
Zip: Phone:.
Not Applicable
BONDING COMPANY: _Not Applicable
Address:
City:
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 your paying twice for
improvements to your property. A Notice of Commencement must be recorded 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.
�7
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature f ontractor/Lic se Holder
STATE OF FLORI
STATE F LORIDA
COUNTY OF 1 •Ll! G% -e—
COUN F STW
The forgoing instrument was acknowledged before me
this day of V°
The fm-eoing instru ent was acknowledged before me
_Lf by
this 8181 day of L�4 --e_ 20D-1 by
CJ f n S T f_vjay'l-
JOY S YANCY
Name of pers making statement
Name of person making statement
Personally Known OR Produced Identification
Personally Known x OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
(Signature of 1v tart' P' ofJ51:05ioat)lic State of Florida
.�jtq Gi er P Hye�s�fer
(Signature of N r. ry Public- State of Florida )
ff�
Commission No. l3� L`� � . 0 Jen 3 330259
Commission No. FFs,zs39 State Florida
- u. ; xpire 5/
Notary , of
Ginger P H ster
My Commission GG 330259
'+r Expires 08/25/2023
�,
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Rev.8/2/17