HomeMy WebLinkAboutBuilding Permit ApplicationALL IPPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED .
Dat : I41' ti Permit N ar `1 ld�
RECEIVE®
Building Permit Applicati 3n NOV 0 3 2017
Planning and Development Services
Building and Code Regulation Division Permitting Department
2300 Virginia Avenue, Fort Pierce FL 34982 St. Lucie County, FL
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial
PERMIT APPLICATION FOR: Boat lift
PROPOSED IMPROVEMENT LOCATION: y
Address: 3104 NW Radcliffe Way
Legal Description: RIVERBEND (PB 67-36)- LOT 20 (OR 3879-1655)
Property Tax ID #: 4425-703-0025-000-6
Site Plan Name:
Project Name: Boat Lift
Setbacks Front Back:
DETAILED DESCRIPTION OF WORK:
90001b boat lift install
Right Side: Left Side:
Lot No.
Block No.
CONSTRUCTION INFORMATION:
Additional work to be nerformed under this permit— check all apply:
11HVAC 0 Gas Tank ❑Gas Piping _ Shutters Q Windows/Doors
21 Electric ElPlumbing Sprinklers 1:1 Generator 0 Roof Roof pitch
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction: $ 14,000 Utilities: Sewer E]Septic Building Height:
OWN WLESSEE:
CONTRACTOR:
Name Linda Sinkula
Name: Robert McCreary
Address: 3104 NW Radcliffe Way
Company: Timbergate Builders Inc.
City: Palm City State: FL
Address: 4816 Conifer Ct
City: Greenacres State: FL
Zip Code: 34990 Fax:
Phone No. 772-287-6689
Zip Code: 33463 Fax:
E-Mail:
Phone No. 561-801-1102
Fill in fee simple Title Holder on next page (if different
E-Mail: syates1085@gmail.com
from the Owner listed above)
State or County License: CGCO22644
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
I
I.SUO-PLE''M'ENTAL',CONS,TkOCTIO'-NON `LIEN. LAW'INFORMATION
_ Not Appl
Name:
Address:
City: State:
Zip: Phone
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY:
Name:
Address:
City:
Zip: Phone:
_Not Applicable
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 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 recording your Notice of Commencement.
C
Sigriatbre of Owner/ Lessee/Contractor as AtQiit for Owner
STATE OF FLORIDA . I G�ffl���
COUNTY OF I
The forgoing instrument as acknowledged before me
this -5—dayof 2✓ 20-)by
Name of person making statement
Personally Known �_AR Pro
rodu�
of Notary Public- State of Florida )
Commi sioR,' ,t�CCRE
MY COMMISSION 7 FF987388
ri EXPIREC tAnr�ti n� �n�n
of
STATE OF COUNTY OF FLORIDAa
The fo�rg�ping instrument a knowledged before me
this of tt 20j;tby
Name of person making statement
ersonally Know
T ion
Pr
a-
(Sig`natdre of Notary Public- State of Florida )
Commissi I
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VEGETATION
SEA TURTLE
MANGROVE
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FRON I
LUNIN16
SUPERVISOR
PLANS
COUNTER
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DATE
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COMPLETED
Rev. 8/2/17