HomeMy WebLinkAboutBuilding Permit Application- -Nowi I :) t.
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED ?, 51
Date: Permit Number:
RccezvEe
SIT 11 101 E
�OI.I:N'T�Y
MAR0%W,
Building Permit Application Per ittingLuci� pavt Yent
St.
Planning and Development Services
Building and Code Regulation Division Commercial Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: BOAT LIFT
�:PP—RkOTO.OSEEo,:lmpkov5MENT,'LOCATION
Address: 8735 S Ocean DR Slip 26
Property Tax ID #: 3534-111-0005-000-5 Lot No.
Site Plan Name: Nowik Island Dunes Slip 26 Block No.
Project Name: Nowik Island Dunes Slip 26
DETAILED DESCRfPTION,OF WORK
Install 1 OK boat lift in slip 26
New Electrical Meter _ Second Electrical Meter
CONSTRUCTION. INFORMATION:
Additional work to be performed under this permit— check ail that apply:
_Mechanical _ Gas Tank —Gas Piping _ Shutters _ Windows/Doors _ Pond
X Electric ^ Plumbing _ Sprinklers _ Generator _, Roof —Pitch
Total Sq. Ft of Construction: 0
Cost of Construction: $
Sq. Ft. of First Floor: na
Utilities: _Sewer _ Septic
NameCarl Nowik
Address: 967 Pass Creek RD
city: Kerrville State: TX
Zip Code: 78028 Fax:
Phone No.860-573-4512
E-Mail:cad owik yahoo.com
Fill in fee simple Title Holder on next page (if different
from the.Owner listed above)
CONTRACTOR:,
Name:,s,
Company:
Building Height: NA
City: VErA 'C v LJ -)LC1L1:.
Zip Code:' Fax:
Phone No �—
E-Mail f
State or County LicenseCGC1253377
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: X Not Applicable
Name: LOUDON & ASSOC
Name:
Address:PO BOX 1138
Address:
City: PORT SALERNO State: FL
City: State:
Zip: 34992 Phone 772-223-0105
Zip: Phone:
FEE SIMPLE TITLEHOLDER: X Not Applicable
BONDING COMPANY: X 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 re a public records of St.
Lucie County and posted on the jobsite before the first inspection ou intend to obtai ' ancing, consult
with lender or an attorneybefore commencingwork or r o -Notice of Commence t.
J
Slgna re o ontractor/License Holder
Signature of Owner/ Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF �� U6 e—
L
COUNTY OF MARTIN
Sworn to (or affirmed) and subscribed before me of
Sworn to (or affirmed) and subscribed before me of
Y Physical Presence or Online Notarization
_X, Physical Presence or ' Online Notarization
this day of Fdjr"ary 202Y by
this+day of !39&24_ 209�by
Carl Nowik�.iS
Name of person making statement.
Name of person making statement.
Personally Known OR Produced Identification �_
Personally Known—K OR Produced Identification
Type of Identification
Type of Identification
Produced O.-a ✓CPS ),cemse
Pr d ced n _
,4
19/a/664-
(Signature of Notary
(Sig ure f Notary P c- a e I a,
yfr Notary Public State of Florida
Commission, No. � Patricia Ida bs
Notary Public State of Florida
;P Jo C ne ona-land
Commission No. My Comer �� 937752
My Com issi GG 296469
7' Expires 02l11I2023
p� Expires 01l05/202.
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