HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll AaP
Date
Z
BLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
01, Lucie county ,
Building Permit Application
Planning and. Development.Services
Suikfingand"CbdeRegulation Division Commercial Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: Dock and Boat lift
PROPOSED,IWRO\`/EMENT,,LOCATION ,
iAddress:101 AQUA RA DR
Properly Tax ID #: 4511-815-0015-000-1 Lot No.1
Site Plan Name: Aqua Ra Block No. 5
Project Name: Scott Florence
f DETAILED DESCRIPTION OF WORK:`
(1).remove an existing 256 sq. ft. dock; (2) install a 531 sq. ft. dock; and, (3) install a boatlift.
New Electrical Meter Second Electrical Meter
CONSTRUCTION I:NFORMATI.ON:
-additional work to be performed under this permit- check all that apply:
_Mechanical Gas Tank _ Gas Piping _ Shutters _ Windows/Doors Pond
lectric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction: 531 Sq. Ft. of First Floor: na
Cost of Construction: $ _2n1(0t _J Utilities: —Sewer _ Septic Building Height:
}OWNER%LESSEE ,:t;
CONTRACTOR:'
Name Dennis Scott Florence
Name:Donald Duncan
..Address:101 Aqua Ra DR
Company?almera Construction Group Inc
City: Jensen Beach , FL State: _
Address:3094 SW Seaboard Ave
Zip Code: 34957 Fax:
City: Palm City State:FL
Phone No.(518) 948-0166
Zip Code: 34990 Fax:
E-Mail:dennisscott5734@gmail.com
Phone N0772-634-6961
Fill in fee simple Title Holder on next page ( if different
E-Mailjoy@palmeraconstruction.com
from the Owner listed above)
State or County LicenseCGC1530542
If value of construction is 2SOO or more, a RECORDED Notice of Commencement is required.
If value of HAVC is $7,S00 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONS7R LIEN LAW INFOxRl1%IATION k y
DESIGNER/ENGINEER:
Not Applicable
MORTGAGE COMPANY:
of Applicable
Name: PAULWELCH
Name: ry
Address:1984 SW BILTMORE
Address:
City: PORTSTLUCIE
State: FL
City:
State:
Zip:3a984 Phone:772-785-9888
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
Applicable
BONDING COMPANY:
Not Applicable
e2QNot
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 vour Notice of Commencement.
Signature of Owner/ Agent/ Lessee
NcaJ YorIL
STATE OF Ft@RM
COUNTY OF 'zsra'k-caea
The forgoing instrument was acknowledged before me
this Z) I_ day of 3..41.0 26. by
JN,CnYW QA Vk0VVA_0_
(Name of person ac nowle ging )
C"Qj a CAA-4-VIC6 QJ
(Signature of Notary Public- State of Florida )
Personally Known OR Produced Identification X
Type of Identification Produced '�1t5r. , tx vcrs U
CANDACE A RANDALL
=ComrAlgamlilublic; State of New Yd$#tal)
NO.01,RA6381778
Revised 07/s1�n E1C�ires Oct
Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY -OF
The forgoing instrument was acknowledged before me
this t-- day of y , 264 by
�(A b 1,i
(Name of person acknowledging)
(Si&r atuN of Notary Public- State of Fbrida )
Personally Known OR Produced Identification
Type of Identifica on oduced
(Seal)
Notary Public stdre of'Ftwido
Joy Christine Copeland w
Expit" 01105r.
l
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