HomeMy WebLinkAboutBUILDING PERMIT APPLICATION�. ... ..... .... .. .
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ALL:APPLICABLE INFO MUST -BE COMPLETED-FORIAPPLICAT.ION TO:BE ACCEPTED .
Date: Permit Number:
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1"N RECENT . .
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' B.uilding
Planning and. Development Services .. .. c,� r;�F,i; _)eParM1
Building and. Code Regulation -Division . ° ` ;t41- G
pec e
2300 Virginia Avenue, Fort Pierce FL 34982 St ��c� . .
Phone: (.772) 462-1553 :Fax: (772) 462-1578. COI711'1'lerGlal Residential X
PER �MIT:AP:PLICATION FOR: Boaf lift.El
1.
PROPOSED IMPROVEMENT LOCATION;
Address:. 120 QUEEN BESS:CT, FT PIERCE; FL 34946 .
-
Legal: Description: QUEENS COVE UNIT 1 BLK 96 IOT B.(OR2914 - 1531) -
Property TaX I D #: . 14:14-701-0148-000,5 : ` Lot. No: 6
Site Plan Name: I : Block.N'o. 16
Project Name: {
Setbacks 'Front Back: I. Right Side: Left'Side:.
DETAILED DESCRIPTION OF WORK:
INSTALL BOAT Li FT - ASSOCIATED E iCTRIC WILL.BE -CONNECTED TO EXISTING DOCK
POWER OR DEDICATED CIRCUIT AS NEEDED:
f....
..-.
CONSTRUCTION INFORMATION:
�i i ''�;
.i, '
Additional- work to e e orme. . -un er-t. Is permit_— check
I
E1HVAC _.Gas Tank E]Gas Piping.
a
apply:. -
Shutters
Q Windows/Doors,
-ElElectric 0 Plumbing. -
Sprinklers
-Generator. - - .
Roof Roof pitch -
Total Sq. Ft of Construction:
1
S . Ft: of First Floor:
Cost of Construction: $ .12,000.00.
Utilities::
_Sewer.
`_:Septic
Building Height: -`
OWNER/LESSEE: �i
CONTRACTOR:
I`'
Name BILL GOVERNALE _
Name:- JOYS YANCY
.Ad:dress:2478.RIVER TREE'CIR
-Company::SUMMERLIN'S MARINE CONSTRUCTION, LLC ..
City: SANFORD = State: FL .
Zip Code: 32771. Fax: -
Phone No:321-22873944 +
Address: 200 NACO-RD; SUITE C-
City:. 'FT:PIERCE: .. State::FL
:Zip Code: 34946 F772-464-7470
Phone No: 772-464-6090
-E=Mail:: SUMMERLINSMARINECONSTRUCTION@GMAIL.COM.
E-Mail: BILLG@TITANMECHANiCAL.ORG '
Fill in fee simple- Title Holder on next page -(:If different ..
-from the Owner- listed: above)
State or: Co u ntyLicense:. 24217
SUPPLE,MENTAL,CONSTRUCT.ION LI€N LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: _ Not Applicable
Name: HI- TIDE BOAT LIFT SALES Name:
Address: 4050 SELVITZ RD Address:
City: FT FIERCE State: FL City: State:
Zip: 34981 Phone 772-4614880 ; Zip: Phone:
I
FEE SIMPLE TITLE HOLDER: _ Not Applicable BONDING COMPANY: 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 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
_I. ...J: AI..+i.• r.f !'gym mcnromont
iopt
�Sigri ture'of Owner/ Lessee/Contractor as Agent for Owner
Sign , u e of C ntrac o /License Hol
STATE OF FLOfI��11pp
STA OF FLORIDA
COUNTY OF J� L GI —�-
I
COUNTY OF C
The forgoing instrument as acknowledg before me
The forgoing instru en was acknowledge before me
day 20a by
this 0-day of 20 by
this � of
Name of person making statement
r4ame of pers n making st tement
Personally Known OR Produced Identification V'�
Personally Known x OR Produced Identification
Type of Identification
Type of Identification J
Produced FL-
Produced
J-LQ IDA4
(Signature o Nota
y e- Stat �9wafad NESTER
(Signature of N . ary "—�
.• b� P HESTER
Commission No.
- di�1'3 JMI V # FF912939
Commission No. FF91 a•: = MY COMIVuMW # FF912939
PIFk2ES August 25, 2019
•. g,l • .• EXPIRES August 25, 2019
•.11.
(407 .398 0153. FtWWN0WrYS cur
t4071398 0 •'S3 FlorMaNga eMce car
I
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
EGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17