HomeMy WebLinkAboutBuilding Permit Application AID APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED ��
Date: ��C Permit Number•
Asp
RECEIVED
O
9 � ° D5 K J V"" Buit in Permit
rmit Application MAR 0 4 2022
Planning and Development Services St.Lucie County
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Building and Code Regulation Division Commercial Residentialp er tting
2300 Virginia Avenue,fort Pierce FL 34982
Phone:(772)462-1553 Fax:(772)462-1578 CBDG Funding
PERMIT APPLICATION FOR:
.PROPOSED IMPROVEMENT LOCATION:
Address: 7211 Elyse Circle
Property Tax ID#: 3416-801-0031-000-1 Lot No. 11
Site Plan Name: Crinnian Block No. C .
Project Name: Crinnian Dock.Lift
DETAILED DESCRIPTION,OF WORK: .
Construct Dock Install Lift.
New Electrical Meter Second Electrical Meter (Affidavit required)
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit—check all that apply:
`Mechanical _Gas Tank _Gas Piping _shutters _Windows/Doors Pond
_Electric —Plumbing Sprinklers —Generator Roof Pitch
Total Sq.Ft of Construction: Sq.Ft.of First Floor:
Cost of Construction:$ 16,300.00. Utilities: _Sewer _Septic Building Height:
OWNERAESSEE: CONTRACTOR:
Name Matthew Crinnian Name: Dennis Respol
Address: 7211 Elyse Circle Company: Hammerhead Marine Construction
City: Port St.Lucie State: FL Address: 2633 SW Tanforan Blvd
Zip Code: 34952 Fax: City: Port St-Lucie State: FL
Phone No.417-529-2710 E- Zip Code: 34987 Fax:
Mail:mcrinni@gmaii.com Phone No 772-528-2976
Fill in fee simple Title Holder on next page(if different E-Mail HammerheadMarine@att.net
from the Owner listed above) State or County License
if value of construction is 2500 or more,a RECORDED Notice of Commencement is required.
If value of HAVC is$7,500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Paul Welch Name:
Address: 1984 SE Biltmore Street Address:
City: Port St Lucie State: FL City: _ State:
Zip: 34984 Phone (772) 785-9888 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 conflicts with any applicable Homeowners Association rules,bylaws or and covenants that may restrict or prohibit such
structure.Please consult with your,Homeowners 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
Fith
vements to our property.A Notice of Commencement must be recorded in the public records of St.
e ou nc po ted on the jobsite before the first inspection. If you intend to obtain financing,consult
I er or an a orne bOgre commencing work or recording our Notice of Commencement,
11--t, 4<1 _X
Sig t of Contracto -or- wner Bui �asappicae
STA E OF FLORIDA
COU TY OF St Lucie
Sworn,t (or affirmed)and subscribed before me of _cx Physical Presence or. Online Notarization
this 3 day of March .20 22 by
Dennis Respol
Name of person making statement,
Personally Known x OR Produced Identification
�Type2lntification Produced
(Si of Nota
Commission N '� Notary Pyptio�tata of Florida
My Common RH 088749
dip w6 Upires 02M/2o2s
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev 10/12/21
i