HomeMy WebLinkAboutBuilding Permit Application1?
ALL APPLICABLE INFO MUST BE COMPLETED FORA 7
Date: 0 on111U111111_ - -win -7,
Building Perk
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
TO BE ACCEPTED
Permit Number: 1111- d VA 1
it Application RECEIVED
NOV 07 2011
Commercial
Department
County, FL
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the ens' d line '4XC_,k
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FROPOSEDill
'IM'PROVEM.ENT,LQCATION F „...;.
Address: IbVDLVU . UCl ul)J X-uu
Legal Description: Nettles Island And Inc, A condo Section II Parcel 1235
Property Tax ID #: 4502-501-1422-000-2
Site Plan Name:
Project Name: Murphy
Setbacks Front Back:
DETAILED'DESCRIPTION QF WORK
Right Side: Left Side:
Replacing part of damaged dock with cross members and stringers.
Lot No.
Block No.
CONSTRUCTION INFORMATION
t
�.. a .. Additional work to a `e orme un
er t is permit- check
a
apply:
1JHVAC
13
Gas Tank
❑Gas Piping
_
Shutters
Q Windows/Doors
Electric ElPlumbing
❑ Sprinklers
Generator
Roof Roof pitch
Total Sq. Ft of Construction:
S� Ftj. of First Floor:
Cost of Construction: $ 3600.00
Utilities: L_I
Sewer
O
Septic
Building Height:
01NNER%LESSEE q
;CONTRACTOR
h$
Name P".' . l 1 MUr�J
Name:
Address:
Company: Mr Hustle Inc
City: '• State: F�
Address:
_.
Zip Code: Fax:
City: State: FL
Phone Nc; - " _ _ _
34995 772-220-7624
Zip Code: Fax:
__
E-Mail: bmurphyz@bellsouth.net
Phone No. 772-220-7624
Fill in fee simple Title Holder on next page (if different
E-Mail: mrhustleinc@aol.com
State or County License: CBC 1253388
from the Owner listed above)
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
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DESIGNER/ENGINEER: Not Applicable
MORTGAGE COMPANY:
Not Applicable
Name: Paul welch Engineering
Name:
Ad d ress: 19" SW BltMoreSt # 114
Address:
City: Port smucie State: FL
City:
State:
Zip: 34984 Phone 772-78s-9ee8
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 thepermitholder to build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or an 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
WAR ING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for
impro ents.to your property. A.Notice of Commencement must be recorded and posted on the jobsite
before th first inspection. If you intend to obtain financing, consult with lender or an attorney before
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Signature of wn Lessee/Contractor as Agent for Owner
Signature of Contractor/Lic s Ho er
STATE OF FLOR DA
STATE OF FLORIDA,��1
COUNTYOF
COUNTY OF_OCJ UK�- I
The forgoing instrument was acknowledged before me
was acknowledgbefore me
The forgoing insMffio�2t
this day of - �T P % . 20� by
this" day of20 b
GfiM�� �
1� n
— Name of of person making statement
Name of perso m g statement
Personally Known OR Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
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(Signat e f Nota, P -'
( ignature of No P NSON
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MYCOMMISSI # 127571
HOLLY BURGESS
P�paY PUg �,
Commission No. In ' = IRES J 4,2019
Commission No.. •�'� `��: Notary Pu(Seagtate of Norlda
sNPg.T`c�ti BondeditwNo�Pt"cUt>deiutets
: • Commission # FF 211412
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P = My Comm. Expires Mar IS. 2019
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OFF — I
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW-_-_-- --
REVIEW
REVIEW
DATE
RECEIVED
I I
O 6
DATE
COMPLETED
Rev. 8/2/17