HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONi
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: '
BY
BuilAVIOAiN�Application
Planning and Development Services 1 1�i�
Building and Code Regulation Division )uN
2300 Virginia Avenue, Fort Pierce FL 34982 tin9 Department
Phone: (772) 462-1553 Fax: (772) 462-1578 ; Commercial X Res identiwt_ wcle Cou
PERMIT APPLICATION FOR: Boat lift If I
Address: 12600 HARBOUR RIDGE BLVD PALM CIjTY FL 34990
Legal Description: HARBOUR RIDGE PLAT NO 1
Property Tax ID - - -
Site Plan Name: BOAT LIFT SLIP 53
Project Name: CLEMENTS BOAT LIFT SLIP 53
Setbacks Front Back:
1AND 3 (6.$4 AC) (OR 714-219: 1361-1126)
Right Side: Left Side:
FURNISH AND INSTALL 1 PC. 12,000 LB CAPACITY BOAT LIFT
I
I
1]HVAC
❑ Electric
0 Plumbing
Generator
� rM 1140.
Block No.
QWindows/Doors
ElRoof Roof pitch
Total Sq. Ft of Construction: 5 . Ft. of First Floor:
13,000.00
Cost of Construction: $ Utilities: 0 Sewer []Septic Building Height:
Name HARBOUR RIDGE POA
Address: 12600 NW HARBOUR RIDGE BLVD
City: PALM CITY State: FL
Zip Code: 34990 Fax: N/A
Phone No. 772-233-1595
E-Mail: N/A
Fill in fee simple Title Holder on next page ( if;different
from the Owner listed above)
Name: ROBERT WILLIAMS
Company: WILCO CONSTRUCTION INC
Address: 10751 ORANGE AVE
City: FORT PIERCE State: FL
Zip Code: 34945 Fax: 772-460-6929
Phone No. 772-460-6928
E-Mail: WILCOINC@BELLSOUTH.NET
State or County License: SCC131151026 29115
If value of construction is 82500 or more. a RECORDED Notice of Commencement is reauired.
SUPPLEMENTAL CQNSTRUCTION LlE U LAIN iNFOR°MATION
DESIGNER/ENGINEER: _ Not Applicable
Name:
MORTGAGE COMPANY: X Not Applicable
Name:
Address:
Address:
City: State:)
Zip: Phone:
i
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable
Name:
BONDING COMPANY: _Not Applicable
Name:
Address:
Address:
City:
City:
Zip: Phone: I
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, signIs, 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 vour Notice of Commencement.
of
ctor as Agent
STATE OF FLORIDA ,, ; n
COUNTY OF
The forgoing instrument was acknowledged before me
this day of f 20 LZby
lMilidm1
(Name of person acknowledging)
i
(Signature of Notary Public- State of Florida )
Personally Known •V/OR Produced Identification
Type of lclentif•Wlrlp
Commission
Revised 07/15/2014
9 s
Signature of Contractor/License Holder
STATE OF FLORIDA �
COUNTY OF Uu-
The forgoing instr ment was acknowledged before me IF this day o Ufa— 20 F by
(Name of person ackno ledging )
(Signature of Notary Public- State of Florida )
Personally Known �OR Produced Identification
Type of Identification Produced
DAWN ri 1Lvrt- GERALD
COMMISSION 11M2348 <;sYPC . DAWN
;PIRES:Dece r17,20 1 Commission No. -MYCOMMi @RGG162348
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ad Thnt Nubry publ� UnderwrK b�= _EXPIRES: December 1T, 2021
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