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HomeMy WebLinkAboutBuilding Permit1_ J ALL APPLICABLEp INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED ©� Date:�C_I Permit Number: now, / h L CI-i,.=-L w :tea .r.r Building Permit Application AUG 0 9 29V Planning and Development Services Building and Code Regulation Division PERIAITTING, 2300 Virginia Avenue, Fort Pierce FL 34982 St. Lucie County, FL Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential x Address: 8403 SE Indian River Drive, Fort Pierce, FL 34982 Legal Description: Property Tax ID #: Q Q Lot No. Site Plan Name: Block No. Project Name: Setbacks Front Back: Right Side: Left Side: Construct a 4'x290' dock with a 10'x16' terminal platform and a 10'x10' land side platform. E1HVAC u Gas Tank ❑Gas Piping ❑ Electric ❑ Plumbing Sprinklers Total Sq. Ft of Construction: Cost of Construction: $ Generator Windows/Doors Roof Roof pitch S Ft. of First Floor: u goo Utilities:Cn Sewer 0 Septic Building Height: '1UIR%1:5{�>'r s SNTFaC1�OR pS'P3 y z k Name Dale and Ann Rise Name: Douglas Leighton Address: 8403 SE Indian River Drive Company: Malibu Construction, Inc Address: 132 NE Lobster Road City: Fort Pierce State: FL Zip Code: 34982 Fax: City: Port St. Lucie State: FL Phone No. 772-332-8106 Zip Code: 34983 Fax: E-Mail: annrisegcomcast.net Phone No. 772-528-4236 Fill in fee simple Title Holder on next page ( if different E-Mail: Jimleightongcomcast.net State or County License: CGC1512571 from the Owner listed above) if value of construction is $2500 or more, a RECORDED Notice of Commencement is required. SUPPLEI EXTAL'CON�5TRUCT[(3N LIEN�lA1N��NF9RMAT[Ql NwnH.>x,i t`re....:_su,.,..%.,».' _ ,x,,. '1&` DESIGN®E-R, /ENGINEER: x Not Applicable MORTGAGE COMPANY: x— Not Applicable Name:-;.5aA91 4 M As��.dTES i9e�.�� �e�u Name: Addr ss:11g84. scv &L 5, !;o,Tc *-114 Address: City: State: City ?op-m ST. CvC)C State: Zip: *034-1181- Phone: b 7-72_- -28s- gRaf3 Zip: Phone: FEE SIMPLE TITLE HOLDER: x Not Applicable BONDING COMPANY: x 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 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 ying twice for improvements to your property. A Notice of Commencement must be reco ed and po , ed on the jobsite before the first inspection. If you intend to obtain financing, consult wit eytder a itorney before commencina work or recordine vour Notice of Commencement. as Agent for Owner STATE OF FLORIDAr STATE OF FLORIDA COUNTY OF COUNTY OF 5� 2. The for . g instrument was acl nowledged before me The forgoing instrument was acknowledged before me thi$ - /' day of 20 [(,by this day of ko� o g 20 �� by (Name of person acknowledging) (Name of person acknowledging) SONIA E. MIR (Sig4AVeW Yqotary Public- State of Florida) (Signature of Notary ¢ublicState of FI %�s:w WV �oven6w Personally Known ✓/ OR Produced Identification Personally Known I/�- OR Produced Identification Type of Identificatio Type of Identification Produced RY P ,,, e' ,�(Q MARIA E. BAKSH Commission No. Notary • State of Florida Commission No. F Fcl Q (¢S 1 (Seal) Commission N GG 013949 Revised 07/1 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE � �q COMPLETE L INITIALS