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BUILDING PERMIT APPLICATION
WPLIcABLE INFO. USTBE-COMPLETED FOR-APPLICATION-TO.BE-ACCEPTED Permit Number:* Ool . ..... .... SCANNED BY 'Lude Count : ... : RECEIVED i ppilkat 0 Building.Pftit'A 1,e ding and DevelopmentServides flrig-and-Cdde Reg0kition DiWsion - Virginia Avenue,. Fort PierceA 349.82 ne: (772)462-1559 Fax: (772) 4624578 -COm'merclaf PiRMIT: - APPLICATION TOR: Boatlift T ini Addressi- 2634-HARBOUR, comi.b.R SLIP_.:_33 gal:Descriptlow: CORAL CCIVE:BEACH SECTION 1, SLIP P ioperty:Tax'.ID 1425-7011-00154-000-:6.�. Lot N6.18 Ste -Plan Name: Block No.'i2 roject Name: etbacks -Front Back: Right Side: Left Side: uEYN E" SOfflmr 4' STALL BOAT LIFT -TO COMMON -DOCK -SLIP" ��I ,4,5SO.ClATED.ELECTRIC "WILL'BE CONNECTED TO EXISTING -DOCK: POWER:OR DEDICATED'_ IRCUIT AS -NEEDED. T Nj�� 0 R C !T !iv i..� 11 ACIC11ti0pal, work to be l2erformea - unaertnis permit. cnecK,-al.l M apply: .. LlHv, C Gas Tank Gas Piping :"Shutters. 0 Windows/Doors -Electric Q-131 iimbin'g --.[]:Sprinklers-.'. :..E:I:Generator T -ko.f:- -Ro.of'pitch Total Sq.:,Ft..bf 'Constructlow. Sq., Ft. of First Floor.: Cost of: Construction: $ .1.2,000'.00 Utilities: LJ Se'wet -Septic- Building, Height:. A/ i'S' "O.W"N."k �L85f_ft I ON -7 • 0. , 'T Name HARBOUR COVE PROPERTY-QWNER$:ASSOCIATION' Name: JOYS'YANCY .Address::2534 HARBOUR COVE'OR Company:SUMMERLIN'S MARINE 'CONSTRUCTION,"LLC . City! FT PIERCE' State: FL Address: 200 NA00 RD, SUITE _C Zip. Code: -.34949- Fax:. -City: FT:PIERCE e Stat . . FL Phone No. 772466-7194: : 34946. 7724647-7470. Zip C6de- Fax- Phone No. 772464-6090 E-Mbil: ..Fill 'in fee siMple:Title Holder onnext-page (-if different -E-Mail: SUMMERLINSMARIN.ECONSTRUCTION@GMAIL.COM .frornAhe Owner listed above) State or County License: 24217 it vajue oT construction is�zwu.or more, a: JAMURVILM"imatice ot commencement is required., t"Py IS�I�yJPPLENTALCdRNS9F 4 ✓ r - d '! �` . Y 3: {'. -i{. ,1. y..� � «j U�CTJO�f{ LII<�+I IA1l`IN'RMAl'ION ''.e,f DE. IGNER/ENGINEER: _'Not'Applicable :MORTGAGE COMPANY: _Not Applicabib Na e.HI•TIDE.BOAT SALES. " Name:. - - Ad �ess:4050SELVITZRD Address: tit Il F.TP.IERCE State: FL' 'City: State:_ Zip 349e1" Phone772461asso :Zip: Phone: FE,.�SIMPLE�TITLE.HOLDER Not Applicable ` . — � BONDING COMPANY: _Not Applicable Na I- e; Name ' Address: Address: Cit .... City. Phone.:` Zip: Phone: OW ER/ GONTRACTOR'AFFIDVIT' Application is hereby:made to obtain -a permit to:do the work'and_ ihstallatibn as -indicated. I ce ifythat no work or installation.has commenced prior to the issuance -of a permit. .. _ . -St: L cie-County makes ho"rep resentation thatis granting* a.permit:will authorize permit the holder to build.the-subject strure: ctu whit is -in conflict with any applicable Homeowners Association rules, bylaws or and covenants that may restrict or prohibit -such " stru .'ure: Please consult with your:Home Owners Association and review -you rdeed fo_r.anyrestrictions which may apply: In.co sideration of the granting of -this requested permit] do hereby agree -that I will; in -all respects, perform the work- in ac ordance with the approved"plans, the:Florida Building.Codes and St.:Lucie County Amendments: Thepllowing building, permit applications are exemptfrom undergoing a full .concurrency review: room additions,. acce lsory structures,:swimming:pools;.fences, walls; signs; screen rooms and accessory:uses:to another non=residential use . WA NING-TO-OWNER:-Your.failure to Record'a Notice -of :Commencement. may -result in your paying twice for - imp jovements.to your'property; A Notice of Commencement'must be'recorded: and posted.on the jobsite :bef re the:first inspection: If.you'intend,to:obtain financing, consult with lender -or. an attorney before co :'mencin .work or -recording . our Notice.of.-Commencement. i SI naturetioftl©wner�LLessee Contractor asA ent for 01Nner Si nat a of Co ractor i nse Holder g / � g . g..._ . STATE OF FLO I A� STAT F FLORIDA . :C UNTY'OF ill G(. Q, 000NTY:0117: T 'e f o_in instru a t'was:acknowled a before me .. :The forgoing. instru�m� n :was:acknowledg before me: . g g tHsdayof . 2p bV, thisdayof �1'(,t_\! 201_:by. .. �. T. 1 I' _ JOY S YANCY ._ Wme.of person making statement .. " . Name & person making statement' P "rsonally, Known OR Produced,ldentification Personally Known . x OR.Produced Identification T pe of IdentificationTVpe of Identification P oduced. EL Produced _ 1 1 :( ignature o o lit'-Siftwdi161ktI �N # FF9i2939 (Signature.' f Notary Public- i� rida E:_'101; MY yCoOMMISSION # FF91 9 t�,; iiE$�j,lJ 125.2019 FF912939 'o. (yI�ES August 25. 1 C mmissionNo. 1IJJ I��Commission.No. 139E•OIS3. n0WBtbta cane i EVI.EWS - FRONT ZONING'.. • .SUP.ERVISOR'. PLANS 'VEGETATION-SEATU.RTLE .. MANGROVE COUNTER, REVIEW, REVIEW 'REF REVIEW REVIEW . REVIEW.' D TE . RECEIVED'. '. *TE OMPL'ETED Vie :.. . Re ;! 8/2%17