HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE,ACCEPTED /'
Dater Permit'Number: Z.� O�-j"' L/
.717
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JLUC. Ora'
. ilding Permit Application'EP
S Bu
Planning and Developrnent Services. Perm)
= tting Department.
St. Lucie County ..
Building and Code Regulation Division Commercial l Residential::?(-.
2300 Virginia, Avenue; Fort Pierce FL 3.4982 :
Phone: (772), 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION:FOR:I.NSTALL:150 .SQFT MARGINAL DOCK..
PROPOSED.INI PROVEM`ENT,'LOCATIO'N
Address:: .
P06 WILLOWS AVE. PORT ST. LUCIE,:FL. 34994
Property Tax ID #.:.3419-510-0241-000-2.: Lot. Na.
.:. .
Site Plan:Name: Block No. 19
Project.Name:
SAWYER RESD. .
DETAILED'D`ESCRIPTION &`WORK
INSTALL5X30' IVIARGINAL.DOCK
New Electrical Meter Second:Electrical Meter
CONSTRUCTION fNFORMATION. "-
Additional work to be performed under this. permit —check:' I f that apply:
Mechanical _Gas Tank _Gas Piping _Shutters: _Windows,/Doors _ Pond
Electric Plumbing . _ Sprinklers _Generator _Roof Pitch
Total Sq..Ft:of Construction: Sq. Ft.'offirst:Floor:
Cost of'Construction: $ Qj500:00.: Utilities: _ Sewer _ Septic Building Height:
CONTRACTOR: ' •" _ .. •.. .. '
NameSISSY SAWYER ;
Address:606 WILLOWS AVE
Name:MICHAEL GUIDICE
Com an TREASURE COAST BARGE, INC..:,
P Y�
Address: 1200,SE: DIXIE CUTOFF. RD.
City:. PORT ST. LUCIE State:._
Zip :Code:34952 Fax:
Phone No.
City: STUART State: FL
Zip Code: Fax:
772 220=3625
Phone No( )..
E-Mail: - --
Fill in: fee simple Title Holder on,next page (if different
from the Owner listed above
E-Mail TREASURECOASTBARGE@YAHOO.COM_
State or County License 20Q77 ...
;SUPPLEMENTAL CONSTRUCTION LIEN LA'W INFORM ATION°
DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name:
Name:
Address:
Address:
City: State:
City: State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
BONDING COMPANY: Not Applicable
Name:
Name:
Address:
Address:
City:
City:
Zip: Phone:
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 paying twice for
improvements to your property. A Notice of Commencement must be recorded in the public records of St.
Lucie County and posted on the jobsit fore the first inspection. If you intend to obtain financing, consult
with lenderp�an attorney bef m ncing work or recording your ,elopCommencement.
oAs
S' atur Owner/ Le see/Contractor as "ii'Vf r 0 ner
Signature of Contractor/License Holder
STATE OF FLORIDAo
STATE OF FLORIDA
COUNTY OF '—
COUNTY OF
Swor o or affirmed and subscribed before
( )
;
Sworn to (or affirmed) and subscribed before me ofPhysical
Presence or Online Nota ii�n
D/Physical Presence or Online Notarizationthis�-
day of S__C,n 202,9 by
a o
this � day of Jr 'r�st.,.t�..� 2020 byName
of erson ma ' g statement.
Name of person making statement.
P-i;
Personally Known OR Produced Identification
Personally Known OR Produced IdentificatioType
of Identification
Type of IdentificationProduce.
Produce
(Signature of Notary Public- State of Florida)
(Signature of Notary Public- State of Florida )
LL
Commission No. (Seal)
Commission No. !9 ' 0063 (Seal)
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev.