HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO`MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: • 9 / Permit Number: ®%_ 197 .
ED
Z. O V
s
Building Permit Application APR ®� 201�
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
PROPOSED IMPROVIrMENT LOCATION:
Address: 469 SE NARANJA AVE
Legal Description:
RIVER PARK-UNIT 4 BLK 32 ELY PART OF LOT 3(BEING 63.52 FT ONNLY LI AND 82.5 FT ON SLY LI)AND ALL LOT 41
Property Tax ID#:'3419-530-0004-000-1 Lot No.4
Site Plan Name:_ Block No..32
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED.DESCRIPTION OF WORK:
_INSTALL A BOAT LIFT. (WORK HAS BEEN COMPLETED AND WE ARE REQUESTING
AFTER-THE'FACT AUTHORIZATION)
ELECTRIC TO BE PERFORMED UNDER SEPARATE PERMIT APPROVAL
CONSTRUCTION INFORMATION:
Additional workto e performed under t ispermit—checka [napply:
ElHVAC Gas Tank Gas Piping _Shutters Q Windows/Doors
Electric ❑ Plumbing Sprinklers El Generator D Roof
Total Sq. Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ r�(�� Utilities:CnSewer.ElSeptic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name BRENDA HOLL.AND ..Name:
Address:469 SE NARANJA AVE Company: TREASURE COAST BARGE INC
City:"PORT ST LUCIE State:FL Address: 1200 SE CUTOFF ROAD
Zip Code: 34983 Fax: City: STUART State:FL
Phone No.954-789-2419 Zip Code: 34994 Fax: (772)221-1611
E-Mail: Phone No. (772)201-9777
Fill in fee simple Title.Holder on next page(if different E-Mail: J ERNE R@BELLSOUTH.NET
from the Owner listed above) State or County License: 20077
If value of construction.is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: x Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: sEEUFrsPECs Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: x Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
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.
4"Z' Le
v -
c
Signaturd of OWnlerl Agent/ essee Sign re of Contractor/License older
STATE OF FLORIDA � '�� STATE OF FLORIDA )
COUNTY OF COUNTY OF
The fo instr ent s acknowledged ore me The fofgo nstrum t was ack wledged before me
this day of 20 1 by this /�day of 1 20 1�Vy
(Na f person acknowledge g (Name person acknowledging)
c
( gn ur of Notary Pub c-S e of Florid (Signature of Notary Public- e o orida)
Pe onally Known OR Produced Identification Personally Known _ OR P duced Identification
Type of Identificatirci d ced Type of Identification Pro ced
Notary Publi f Florida Commission No.
Commission No. is Cristo �p 6 Notary ublic late of Florida
My Commission FF 079827 7+. Lucia Cristoforo
cr Exi � <
of n Expires 12/29/2017
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE 1
INITIALS