HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONa
All APPLICABLE -INFO MUST -BE COMPLETED FOR APPLICATION TO BE.ACCEPTED.-
Dater Permit Number:
2�o.Luc.D�" ` . ll i.. i. RECEIVED
O
p - I �. . SFP 2 9
2021.
:. :. Blu g it Application:
P.
Planning and Development Services. Permitting Department
Lucie County
Building and code Reguldt►on'Division Commercial ResidentiaO.
.2300 Virginia Avenue; Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772).462-1578
PERM:(T APPLICATION.FOR:BOATLIFT INSTALL.AND FINGER. EXTENSION
;P ` ED:'I,MPROVEMENT.LOCATION:
LOW
12192 RIVERBEND TRACE PORT ST. LUCIE, FL. 34984 r
Address:..
....... ........ 1.... f
PropertV Tax ID #.::.4422-502-0004-0.00-7. COW, ti`l..4, � �Lot No:.
—r
' BAY ST. LUCIE
Site PIan:Name: Block No.
Project Name:
TARABA LIFT:: .
DETAI,LED'.D- EkRIPTION CI WORK ,
INSTALL:BOATLIFT AND FINGER EXTENSION, AT:COMMUNITY DOCK
New Electrical Meter Second:Electrical Meter
Fc-ON'STRU'CT'I'QN"INF'ORMAT[Olq':-"'''.,
Additional work; to be performed ;under this permit —check:al1:that apply:
Mechanical Gas Tank _ Gas Piping _Shutters Windows _ Pond
.........
_Electric. . . .. _Plumbing:.' _Sprinklers _Generator Roof Pitch
Total Sq::Ft of Construction: Sq. Ft. of First.Floor-.
10,000;00 :Building'
Cost of Construction:.$ Utilities:. _Sewer Septic. Height:
:OWNER/LESSEE!
� CONTRACTOR:
Neme�CHRISTOPHER TARABA.
.
Address:12192'RIVERBEND TRACE
City:. PORT ST LUCIE State:-_
Zip:Code:-34984 Fax:
Phone No. :.
Name:MICHAEL GUIDICE
-
C6.mpany:TREASURE. COAST BARGE, INC.
Address:1200.SE:-DIXIE CUTOFF RD. •
City: PORT:ST. LUCIE State: FL-
. .. .
Zi Code:34994 Fax:
Phone No(772 )..220-3625
E-Mail: ...
Fill in fee simple Title Holderon next page (if different
:from the Owner, listed above)
E-Ma!iTREASURECOASTBARGE@YAHOO.COM .
State or County License'20077
If value, of construction is 2500.or more, a RECORDED Notice of Commencement is required.
If value, of:HAVC is $7,500 or more, a;RECORDED Notice: of Commencement is required.
,SUP,PL't' ''ENTAL CONSTRUCTION LIEN LAW INFORMATION
DESIGNER/ENGINEER: _ Not Applicable
Name:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone
Address:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
BONDING COMPANY: Not Applicable
Name:
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 paying twice for
improvements to your property. A Notice of Commencement must be recorded in the public records of St.
Lucie County and posted on the jobsite before the first inspection. If you intend to obtain financing, consult
with lender or an attornev before commencine work or recording vour Notice of Commencement.
of gowner/ Lessee/Contractor as
STATE OF FLO
COUNTY OF
Sworn �to (or affirmed) and subscribed before me
1/Yflysicai Presence or Online Notariza
this _6� day of 5Cg'Z 2029- by
Name of person making statement.
re of Contractor/License Holder
STATE OF FLOR
A � COUNTY OF�
Lsi 4:!n�
Personally Known OR Produced Identification1�y,�
Type of Identification W;_O �
Produced GO-ce-a fn
(Signatufe of Nstary-Publfc-State of Florida )
Commission No. <O3 (Seal)
REVIEWS I FRONT ZONING
COUNTER REVIEW
DATE
RECEIVED
DATE
COMPLETED
Sworn o (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
this _ J day of ��.�dJ`e / e� , 202f� by
G
ame of person making statement.
rsonally Known OR Produced Identification
Type of Identification
Produced I
(Signature of Notary Public- State of Florida )
Commission No. ' (Seal)
SUPERVISOR I PLANS I VEGETATION SEATURTLE I MANGROVE
REVIEW I REVIEW I RE I REVIEW REVIEW
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