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HomeMy WebLinkAboutBuilding Permit Application:. 2 l' ` ! 1w ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED r., Date: '�' Permit Number:r( 1� L is- Building Permit Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential AUG 0 8 201? PERLrt i71tJG St. Lucie County, FL X PERMIT APPLICATION FOR: Dock t., .,. ... ___�... __ � .. .�.. •F. __n r.`�.. ,_. _�. s_.�., ..�,.a{ .3�,. .� �r si ,. � ::..�i_ �_aY� ,4, r, .f. Address: 260 MARINA DR, FORT PIERCE, FL 34949 Legal Description: CORAL COVE BEACH- SECTION ONE - BLK 5 LOT 12 (OR 3822-2918) Property Tax ID #: 1425-701-0125-000-2 Site Plan Name: FRIEDRICH Project Name: FRIEDRICH -DOCK Setbacks Front Back: RECONFIGURE EXISTING DOCK Right Side: Left Side: Lot No.12 Block No. 5 Haaitionai worKto De ertormea unaertnis permit —cnecK all Gnat apply: 11HVAC Gas Tank Gas Piping II —II Shutters a Windows/Doors 11 Electric 0 Plumbing O Sprinklers E Generator 0 Roof Roof pitch Total Sq. Ft of Construction: _ - 7' O'G S . Ft. of First Floor: _ Cost of Construction: $ o)-i.3 �� Utilities: Sewer Septic Building Height: CONTRACTOR Name RICHARD FRIEDRICH Name: Company: — Address:140 BLUE GROTTO DRIVE City- FORT PIERCE State: FL Address: Zip Code: 34945 Fax. N/A City:. Stater Phone No. 772-370-6580 Zip Code:. - _ Fax: E-Mail: RFRIEDRICH1987@OUTLOOK.COM Phone No._. _ Fill in fee simple Title Holder on next page (if different E-Mail:._ — _ from the Owner listed above) State or County License: If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAIN INFORMATION: DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: Not Applicable Name: l eli d _ Name: Address: I Address: __LLAQZ City: State: _F L_ City: State: Zip: Phone: 'I`TZ— 22H — OR2LD Zip: Phone: FEE SIMPLE TITLE HOLDER: _ Not Applicable BONDING COMPANY: Not Applicable Name: 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 recording your Notice of Commencement. Signature of Owner/Lessee/Contractor as Agent for Owner Signature STATE OF FLORIDA STATE OF FLORIDA COUNTY OF CtLU. J COUNTY OF The f r oing instru ent was acknowledged efore me this day of 20 Uby i2,c 6( �r ied r��h (Name of person acknowledging) (Signature of Notary Public- State of Florida ) Personally Known OR Type of Identification Produces Commission No. Revised 07/15/2014 cation 4q GEflND MY C6 ION N FF 077529 EXPIRES: December 17, 2017. The forgoing instrument was this day of (Name of person Holder - (now edged before me 20 by (Signature of Notary Pu fic- State of Florida ) Personally Known OR Produced Identification Type of Identificatio Produced Commission No. (Seal) 1­7©E w- (D[2)9 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE l INITIALS