HomeMy WebLinkAboutDemo Permit AppAIIAPPTICABLE INFO MUST BE COMPLETED FOR APPTICATION TO BE ACCEPTED
Date:Permit Number:
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Building Permit Application
Plmning ond Development Services
BuJding ond Code Regulotlon Division
23,N Vlrginio Avenue, Foit Pierce FL 34982
Ptpne: (7721 462-t553 Fax: (7721 462-L57 8
Commercial Residential X
CBDG Funding
PE RMIT APPLICATION FOR:
PF,OPOSED IMPROVEM ENT LOCATION :
Add-ess: 133 N Naranja Avenue, Port St Lucie, FL
Property Tax lD #:3419-530-0200-000-5 Lot No. 74
Site plan Name: CitY of PSL Dock Btock No. 19
ProJ:ct Name:City of PSL Dock Removal
DETAILED DESCRIPTION OF WORK:
trEMO Permft for Removal of Dock.
New Electrical Meter Second Electrlcal Meter (Affldavlt required)
CONSTRUCTION I NFORMATIO N :
Addtional work to be performed under this permit - check allthat apply:
_Mechanical -
Gas Tank _ Gas Piping _ Shutters
-
Wlndows/Doors
-
Pond
_ Roof Pitch_ Electric _ Plumbing _ Sprinklers Generator
Totel Sq. Ft of Construction:Sq. Ft. of Flrst Floor:
Cos'of Construction' 5 3,000'00 Utilities: _Sewer _Septic Building Height:
tf vdue of constructlon ls 25fl1 or more, a RECORDED Notlce of Commencement ls required,
lf vJue of HAVC ls S7,5@ or more, a RECORDED Notlce of CommencemGnt ls requlred.
ov/NER/LESSEE:CONTRACTOR:
Nane City of PSL
Adcress: 1?1SW Po( St l-gg'e Jgqlgyarq
citr6 Port St Lucie state: FL
ZiPCode: 34984 Fax:
Phcne No. 1772!.34+4072 E-
Ma'l:m milla r@cityofpsl.com
Flll 'n fee slmplc Tlde Holder on next page (lf dlfferem
fron the Otnncr llsted above)
Name: Dennis Respol
Company:Hammerhead Marine Construction
Address: 2633 SW Tanforan Boulevard
City:Port St Lucie State:FL
Zip Code: 34987 Fax:
phone No '772!.92+7244
E-Mall hammerheadmarin
State or County License-1El9
5 JPPLEMENTAL CONSTRUCTION LIEN I.AW INFORMATION:
DCSIGNER/EN6INEER: x Not Applicable
[Eme:
AJdress:
C;ty:State:
ZQ:Phone
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City:
FEE SIMPLE TITLE HOLDER:_ Not Applicable
Name:
A,Jdress
co:
7ez Phone:
BOND!NG COMPANY:_Not Applicable
Name:
Address:
City:Zip: Phone:
OWNER/ CONTRACfOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
I cetify that no work or installation has commenced prior to the issuance of a permit.
St, Lucie Countv ma is rrantinc a oermit will authorize the oermit holder to build the subiect structure
whbh conflicts with rslssocia'tioh rules, bvlaws or and coienants that may restrict or or6hibit suchstrrture. Please co rs Association and leview your deed for any restrictions which may apply.
In onsideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
in acordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
The following bullding permit applications are exempt from undergoing a full concurrency review: room additions,
acc€ssory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
WARNING TO OWNER: Your fallure to Record a Notlce of Commenccment may result ln paylng twlce forfi. A Notice of Commencement must be recorded in the public records of St.
he jobsite before the first inspection. lf you intend -to obtain financing, consulton tni jobsite before the first inspection. lf you intend to consult
work or Notice of Commencement.
(or affirmed) and subscribed before me of
dayof November , 20 2L bV -[- ehysical Presence or
-
Online Notarization
Name of person making
OR Produced ldentification
Tlpe of
Commission ge. HH088749 ,q:
Not.ry Public Slrb ol Florid.
Regina Heflbe?g
My Commirdon HH ()867a9
Exprcr 02/O02025
zip:
(Seal)