HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO FAUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 070 Permit Number:
-- - ...- - building Permit Application RE?CRVED
Planning and Development Services JUL 0 9 2021
Building and Code Regulation Divisi6n
2300 Virginia Avenue, Fort Pierce FL 34982 Permitting Department
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residenth lLl le County
PERMIT APPLICATION FOR: Boat lift
PROPOSED IMPROVEMENT LOCATION:
Address: 31 NETTLES BLVD
Legal Description: NETTLES ISLAND INC, A CONDO -SECTION II PARCEL 31 AND PRO-RATA SHARE IN COMMON ELEMENTS (OR4247-136)
Property Tax ID #: 4502-501-0217-000-5
Site Plan Name:
Project Name: SMITH BOAT LIFT
Setbacks Front Back: _
Right Side: Left Side:
I DETAILED DESCRIPTION OF WORK:
REMOVE A PORTION OF EXISTING DOCK AND INSTALL AN ELEVATOR LIFT
Lot No. 31
Block No.
CONSTRUCTION INFORMATION:
itiona wor<to e e orme under tispermit—checkall tatapply:
F]HVAC E] Gas Tank ❑Gas Piping _ Shutters Windows/Doors
ZElectric El Plumbing ❑Sprinklers Generator Roof
Total Sq. Ft of Construction: Q S . Ft. of First Floor:
Cost of Construction: $ 1 p � � � � 0 Utilities:11Sewer Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
NameKENNETH SMITH
Name: KENNETH LIPPARD
Address:31 NETTLES BLVD
Company: LINEAR SOLUTIONS LLC
Address: 1200 DRIFTWOOD LANE
City: JENSEN BEACH State:FL
Zip Code: 34957 Fax:
Phone No.586-298-0327
City: FORT PIERCE State: FL
Zip Code: 34982 Fax:
Phone No. 772-634-2927
E-Mail:kjsgolf@comcast.net
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail: IANSEACOAST@GMAIL.CO
State or County License:
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: x Not Applicable
Name: SEE BOAT LrFTSPECS
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
BONDING COMPANY: X Not Applicable
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 Counter 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 recordine vour Notice oT Commencement.
Signature of Owner/ Agent/ Lessee Signature of k Rtracto4/LIicense Holder
STATE OF FLORIDA STATE OF FLORIDA f i
COUNTY OF COUNTY OF it
The forgoing instrument was acknowledged before me The far oing instrurrprit was acknowledged before me
this day of 20 14 by this ay of NJAAeLxt, J 20,W by
1
(Name of person acknowledging)
(Signature of Notary Public- State of Florida )
Personally Known OR Produced Identification
Type of Identification Produced
Commission No.
Revised 07/15/2014
(Seal)
Kcan&kh b } a y'd'I
(Name of person acknowledgin ) %
&b'4 . Im � lht)
(Sign ture o No(iry Public- State of Florida )
Personally Known _OR Produced Identification
Type of Identification
M�t�STR
Commission No. MYCOMMISSIQ�I���I86134
PIRES: A}in , 2022
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