HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:.,:)
• RECEIVED
Building Permit Application
Planning and Development Services N O V 3 ® 2021
Building and Code Regulation Division St. Lucie County
2300 Virginia Avenue, Fort Pierce FL 34982 Permitting
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PERMIT APPLICATION FOR: Boat lift
PROPOSED'INI�PROVEMENT LOCATION:
Address: 5167 N HIGHWAYAIA
Legal Description: SEE ATTACHED FOR LEGAL DESCRIPTION
Property Tax ID #- 1410-501-0016-010-8 Lot No.
Site Plan Name: OCEAN HARBOUR MARINA SLIP# 47 GIFFEAR Block No.
Project Name: OCEAN HARBOUR MARINA SLIP# 47 GIFFEAR
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCR(PTION"OF WORK
FURNISH AND INSTALL 1 PC. NEW BOAT LIFT W/ITH SUPPORT PILES
CONSTRUCTION INFORMATION
Additional work to be erformed under tispermit—check aapply:
❑HVAC Gas Tank❑Gas Piping _ Shutters ❑ Windows/Doors
❑Electric ❑ Plumbing []Sprinklers ❑Generator ❑ Roof Roof pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 11,600.00
Sq.
of First Floor: _
Utilities: L _1Sewer ❑Septic
Building Height:
DW_N:ER/LESSEE:.BiLL GIFFEAR'
CONTRACTOR: ;; "'.
Name GIFFEAR, BILL & SANDY
Name: ROBERT WILLIAMS
Address:,gD-i Cronde, 131M.
Company: WILCO CONSTRUCTION INC
City: C�onbmo State: L\17
Address: 10751 ORANGE AVE
City: FORT PIERCE State: FL
Zip Code: &?0?_'9 Fax: LA
Phone No.1951P
Zip Code: 34945 Fax: 772-460-6929
E-Mail: t4A
Phone No. 772-460-6928
E-Mail: WILCOINC@BELLSOUTH.NET
Fill in fee simple Title Holder on next page (if different
State or County License: SCC131151026 29115
from the Owner listed above)
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
CONSTRU SUPPLEMENTAL
,
CTION LIEN LAW INFORMATfONh
DESIGNER/ENGINEER:
_ Not Applicable
MORTGAGE COMPANY: X
Not Applicable
Name:
Name:
Address:
Address:
City:
Zip: Phone:
State:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
X Not Applicable
BONDING COMPANY: _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 vour Notice of Commencement.
s
Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
COUNTY OF ORIDA c C / J COUNTY OF STATE OF FLORIDA ,'+
The ferooing instrurrigntyvas acknowledge efore me
this day of 20 aLby
Pam- W, I �1 cum
(Name of person .acknowledging )
(Signature of Notary Public- State of Florida )
Personally Known OR Produced Identification
Type of identification Produced
Commission No.
Bonded URI
Revised 07/1
0 HH 167455
ber 17, 2025
The forgoing instrument was acknowledged before me
this day of )' 20D by
(Name of person acknowledging)
(Signature of Notary Public- State of Florida )
Personally Known OR Produced Identification
Type of Identification Produced
Commi DAMVNFITZGERALD (S
W COMMISSION # HH 18745;
A. .off: EXPIRES: December 17, 2025
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