HomeMy WebLinkAboutBUILDING PERMIT APPLICATION-PERMIT APPLICATION TOR:.:Dock/Seawall...
l
:. - :. - _ _ - -
PROPOSED IMPROVEMENT LOCATION:
-OWNER/LESSEE.;
:., '
-CONTRACTOR: ,.I
Name PAUL.KALV.'. -
Name: JOY S YANCY.
: Cornpany SUMMERLINS MARINE -CONSTRUCTION .
Address'137:.QUEENS RD
Address::200 NACO: RD; SUITE:C
City:: FT PIERCE .. - State:FL _
.City: .FT PIERCE :. State:FL. .
Zip.Code:.34949 :..:. Fax:..... ..... �.
Phone-No:352-408-4762. ..Zip
Code::34946 . Fax;:772464-7470
E-Mail 'PAULDKALV@GMAIL.COM
Phone.No:. 772-�464-6090
E-Mail: SUMMERCINSMARiNECONSTRUCTION@QMAIL..COM.
Fill in fee simple Title Holder on next page( if different -
from the Owner listed above)
State or County .License 24217
If value -of construction is $2500-or.more; a. RECORDED Notice of Commencement, is required,
SUPPLEMENTAL CO,NSTRUCTIONv LiE'N�LAW INFORMATION' �' a
IP
DESIGNER/ENGINEER:.. '. ' . _:Not Applicable. ; .
' _ MOP, AGE. _Not Applicable
:Name: 'HI-TIDE:.:I '
Name:.BO•HUTCHINSON . . .
Address:4050SELVITZRD: - :
:Address: 2705N:INDIANRIVER DR: .'
City:'- Fr PIERCE State:.- FL ..'
'City::FT.PIERdE :.State::FL .
Zip: 34981 : - : . . . . Phorne:.7724s, 4866 . : :
Zip: 34946 :'Phone..772-267-1399
FEE SIMPLE TITLE" HOLDER:. Not.Applicable !' =
• .BONDING CONIPANYc = ". Not Applicable
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-Name:.. ' :' :.
... .. .... .... ..... .... .... ....
Name:.
Address:.... ..
:Address:
City:
City:
Zip:. " ... Phone:.
Zip:. ... Phone:....
:I certify that no work or. installation has commenced p,rior.t0
the.issuance Of.a permit. _- -• -.
St. Lucie Countyy makes. no.representation that is.granting a:permit
will authorize -the -permit holder.to build he subject structure -
which is'in.conflict with. any. applicable' -Home OwnersAssoclation
structure: Please consult -with your Home Owners'Association
rules, bylaws o� and covenants.that may restrict or.prohibit.such:- .
and review -your deed for any restrictions which may apply:
In consideration of the granting of this requested'permit; I:do
h' eby-agree_that.I will,. in all. eespects;:perform.the work.
in accordance.with the approved plans*.the Florida_Building.Godes
and St:. Lucie,Count'y'Amendments.. ,
The following. building permit applications are'exempt fro•m--u
ndergoing: a full coricurreney 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: rriayresult in -your paying twice fo.r-
improvements to your property. A Notice of :Commencement:must
be recorded grid posted -on the jobsite - =
before.the first inspection, If:you`intend,to:obtain ijinancing;consult:Withlender.'or-an:attorney:before:
commencin -work or recording our Notice -of Commencement:
L. .
S
'Signature' Contra to Licen . Holder,
Signature of Owner/lessee/Agent:
STATE OF FLORIDA
STATE OF.FLORIOA
COUNTY 0F.sT.LUCIE .. is
. COUNTY OF ST:LUCIE'
' The forgoing instrument was ackn.owledged:before:me
'The forgoing.instrument.was. acknowledged before me-
-this I Qday'of..�Li S+ :. 201 lAi Y
this'IL j.day of ' (-�U' US4- 2.0' I by
PAUL KALV
JOY S YANCY . -
(Name of person acknowledging).
(Name.ofperson acknowled In g.)
(Signature:of N ' ry Public- State of Florida ).
(signature.& otary.Public- State of Florida) .
.Personal) Known. X" a ed Identification..- - .
Personal) Known, x OR.Produced.identification-. '.
-•Type of Identificafiori: r, INGER R HIES fti; ; "
-Type of. Identification. Produced
MY COMLLMIISS16N #.FF912939
Commission No. FFs,zs '• 6PIReSi
Commission No. FF912939 ,�'1 Elt p HE§TER:
(90G
gugt25,'Zp1g'
(407) 39&0'63 ®,,,�
f,
'+(' " •+f MY COMMISSION# FF9129,
RES Au96� 25� 2018
Revised :0.7/ 15/2014:... :: toot, ae
'REVIEWS. .
FRONT.
-ZONING
SUPERVISOR
PLANS
VEGETATION.
SEA TURTLE:
MANGROVE "
COUNTER
REVIEW
REVIEW
REVIEW
EVIEW-
REVIEW
REVIEW- -
DATE
COMPLETE ..
INITIALS