HomeMy WebLinkAboutBUILDING PERMIT APPLICATION-7777=
ALL PLICABLE INFO MUST BE COMPLETED FOR -APOLtCATION-TO_BE�A�,CCEPTED
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Da Permit Number: CAN ED
BY
St. LUde County RECEIVED
Building Permit Applicaticin JUL 17 2018
Planling and Development Services
Build' d Cod Regulation Division ST. Lucie County, Per��
1 (11 V
ttin
2300 Virginia Avenue, Fort Pierce FL 34982
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Pho;e- (772) 462-1553 Fax: (772) 462-1578 Commercial Residential x
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PER �.'
IT APPLICATION FOR: Boat lift av
PRO�,',,OSE'D,jMPR_0V_EM_ ENT LOCATION
Legal
12132 Riverbend Rd., Port St. Lucie, FL
: Bay St. Lucie Lot 16 (subj to esmt to C and SFFCD)
Prope4l y Tax ID #. 442250200190005 16
Lot No.
Site P I" I n Name: Block No.
Projec. ',Name:
I
Setba�j s Front Back: Right Side: Left Side:
[DET4iLED DESCRIPTION. OF,WOR,K:',.,,,
Install ea, 24000 lb. HiTide boat lift and 1 ea. 9000 lb. boat lift on an existing, dQ9k),,,,-a4�_A
)eNc� Ll
Install Ili
Perm t vk,�ty� K5
I"CONS",,T�'RUC-T,l`ON-INFOR'MATiON':
Additiqoal work to be- nerforme under this permit — check a app
OHS AC Gas Tank E]Gas Piping Mutters Windows/Doors
—]Sprinklers Generator Roof pitch
E Ltric El Plumbing F E]Roof
Total Sq Ft of Construction: Sq. Ft. of First Floor:
l� 1,
Cost of onstruction: $ 24000.00 Utilities: 0 Sewer E]Septic Building Height:
IIII
0 N0"R/1_8'SEE.,
CONTRACTOR:
NamA',bert willarnson
Name: Maurice Petz
Add resl�j 12132 SW Riverbend Rd.
Company: Linden Marine Construction, Inc.
City: Pout Lucie State:FL
Address: 2469 SE Dixie Hwy.
Zip Cod1g: 34984 Fax:
City: Stuart State: FL
1111
Phone N,
Zip Code: 34996 Fax:
am 4 E Vi. _I
,III
Phone No. 7723490727
Fill in fe simple Title Holder on next page (if different
E-Mail: lindenmarine@yahoo.com
from Owner listed above)
thel
State or County License: 18466
if value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
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SUPIEtPLEIUIENTAL CONS RUCTION LIEN
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LAW INFOR{MATI0,U �, y g,*
w �ta75:1w . w C7ti s, 9i3. J"i r
.i."f�e'. �
DES ,�'GNER ENGINEER: _ Not Applicable
/MORTGAGE
_
COMPANY: Not Applicable
: Roger Baber
N a rrtlesS
Name:
Add : 405o Selvitz Rd.
Address:
City: State:
Cityt. Plena State: F�
Zip:981 Phone800-544-0735
I!
Zip: Phone:
FEE'SIMPLE TITLE HOLDER: Not Applicable
BONDING COMPANY: Not Applicable
_
'd
NamIe:
Name:
Add ess:
Address:
City:11
City:
Zip: Phone:
Zip: III Phone:
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OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
I certif%i that no work or installation has commenced prior to the issuance of a permit.
St. Lucile County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which i� 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 consll; eration 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
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WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for
impro,Yements 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
Comm,' ncing work or recording our Notice of Commencement.
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Signatii re of Owner/ Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STAT, OF FLORIDA , STATE OF FLOPIp r
COUNTY OF�AtAp COUNTY OF 4o'�-tr
The fp going instrument was acknowledged before me
this day of ZMd N 201L by
AA� a u y- i ce
1 Name of perso making statement
Perso , Ily Known OR Produced Identification
Type o, Identification
The forgoing instrument was acknowledg before me
this _JA_ day of - 20 by
19AAA1Ay`kt,e_ 1W+'1_
Name of persop making statement
Personally Known OR Produced Identification
Type of Identifica
Produced
(Sig reef P)tary Public- Stat�AgfE�g&a ) (Stur No u i -
I, o MY COMMISSION #GG047204 JAMIE PUGH
( MY COMMISSION #GG0472q� al) Commi sion No S:NOV14(W Commissio
Bonded through,lst State Insurance REJ .—v 14, 2020
Bonded through 1st State Insurance
REVI S FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW/ REVIEW REVIEW REVIEW REVIEW
RECEIVED 71-+f14
I DATE ICI 1�. _ (�
Rev. 8/2/17