HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONL L APPLICABLE INFO MUST BE COMPLETED FOR APPLICATIONi TO BE ACCEPTED
Date: Permit Number:
SCANNED
St Lucie Couniv
Building Plermit Application
Planning and Development Services FED 2 0 2018
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
i
PERMIT APPLICATION FOR:
Dock/Seawall
PROPOSED IMPROVEMENT LOCATION ,
Address: 3119 S Indian River Drive, Port St Lucie, FL 34982
Legal Description: 3119 South Indian River Drive Lot 1
Property Tax ID #: 2426-122-0005-000-4
Site Plan Name: '
Project Name: Nell Dock
Setbacks Front Back:-
DETAILED DESCRIPTI
Construct New Dock
i
Right:Side: _ Left Side:
Lot No. I
Block No.
CONSTRUCTION IN,FO
Aciclitional work to be performed unciertnis permit—, CheCkaii
0HVAC 0Gas
apply:
in
❑Windows
Gas
in
Pipi,
Shutters
Doors
13 Electric El Plumbing
E]Sprinklers
E]Generator
Roof Roof pitch
Total Sq. Ft of Construction:
Sq- Ft. of First Floor:
35,000.00
Utilities: 0 Sewer Eleptic
Cost of Construction. e,
Building Height:
3
OWNER/LESSEE
CONTRACTOR: 1A
Name Brian Neil
Name: ),24 K_
Company:. LD Contracting
Address: 3119 N Indian River Drive
City: Port St Lucie State:FL
Address—, J6-?J SOJ_Q,�,
Zip Code: 34982 Fax:
city: State:FL
Phone No.
Zip Code: 34987 Fax:.
E-Mail:
Phone No. (772) 260-3880
Fill in fee simple Title Holder on next page (if different
E-Mail: ldeontractinginc@gmaii.com
from the Owner listed above)
State or County License: CBC059269
I] value ut runnruiaion is NA3uu or more, a Ktt;UKUk:U Notice or commencement is required.
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
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 X
PERMIT APPLICATION FOR: Dock/Seawall ❑
PROPOSED IMPROVEMENT LOCATION:
Address: 3119 S Indian River Drive, Port St Lucie, FL 34982
Legal Description: 3119 South Indian River Drive Lot 1
Property Tax ID #: 2426-122-0005-000-4 Lot No.1
Site Plan Name: Block No.
Project Name: Neil Dock
Setbacks Front Back: Right, Side: Left Side:
J bETAILED DESCRIPTION OF WORK:
Construct New Dock Install Boat Lift
CONSTRUCTION INFORMATION:
Additional work to be nertormed under this permit - check
�HVAC Gas Tank ❑Gas Piping
alln apply:
_Shutters
Q Windows/Doors
Electric 0 Plumbing
❑Sprinklers
11 Generator
Roof Roof pitch
Total Sq. Ft of Construction:
S Ft. of First Floor:
ElSeptic
Cost of Construction: $ 35,000.00
UtilitiesInSewer
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Brian Neil
Name:
Company: LD Contracting
Address: 3119 N Indian River Drive
City: Port St Lucie State:FL
Address:
Zip Code: 34982 Fax:
City: State: FL
Phone No.
Zip Code: 34987 Fax:
E-Mail:
Phone No. (772) 260-3880
Fill in fee simple Title Holder on next page (if different
E-Mail: Idcontractinginc@gmail.com
from the Owner listed above)
State or County License: CBC059269
IT vaiue or construction is �izbuu or more, a RECURDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name: Paui weigh
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
Address: 1984 SW Biltmore Street
City: Port St Lucie State: FL
Zip: 34984 P h o n e (772) 785-9888
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable,
Name:
Address:
City:
BONDING COMPANY: Not Applicable
Name:
Address:
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.
i
St. Lucie County makes no representation that is granting alpermit 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
commencine-workor recording? vour Notice of Commencement.
ef-
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORID
•-
COUNTY OF FA
COUNTY COUNTY OF f
f(/-2.,
The for ing instrume t was acknowledged efore me
The for ing instruMgn
; was acknowledged before me
this ay of "� / 20f �by
this ay of
20by
]Name of pers making statement
Name of per orymaking statement
Perso ly Known ✓ OR Produced Identification
Personally Known V
OR Produced Identification
Type of Identification
Type of Identification
Produced -Produced
REGINA
(Si re ofNoe i LBERG
gg��aa
ignatu of Notary P�
'd�A�'16fISSION # GG071548
It >IbdMMISSION
# GG071548
34391.70-2
A;�,�''=XPIRES Fe)ruary 09, 2021
Commission No. tXPIRES F4&aal� 09, 2021
Commission No,
(Seal)
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
a �a•
COMPLETED
tev. 8/2/17