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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIPONALL:APPLIO BLE INFO MUST BE COMPLETED'FOR APPLICATION TOW ACCEPTED Date: � - Permit Num e . fipa3iqlorul it An- -.. v,. CONNtiOS.: AUG 02 21]18. B.Iui.iding _Permit�.Applrcat.io Planning at d.Deve' lopmentServices Permitting g Department Building. an Code Regulation Division . 1 St. Lucie Cunt FL 2.300 Virginl1i��a Avenue, Fort Pierce FL 34982 yr - Phone: (7-12) 462-1553.:Fax::(772) 462-1578: CO0imerd-U.. :Resi.di ltlBl X PERMIT �P.PLICATION. FOR:. Dock/Seawall _ j- . PROPOS D IMPROVEMENT LOCATION: Address:. 3917 SHORESIDE:DR, FT -PIERCE, FL-34949 Legal,Descri ption-TARPON FLATS SUBDIVISION (PB 69-27) LOT 6:(OR,3942-2070) PropertyTa 1D#:--1:423-566-0009-000-4 Lot.No:6 Site Plan Nate. Block:No. Project Narr .Setback Front Back: �. Right Side: Left Side.:- DETAILED' DESCRIPTION' OF WORK: ' INSTALL I SOCK:& BOAT LIFT C ... ... .... CONSTRUICTION INFORMATION: —Additional— �HVAC Electric Total Scl -Ft . Costiof Cons ork to- e performed:under this permit— check a I_J Gas Tank Gas Piping. 0 n Plumbing. Sprinklers. g f Construction: _ S• .- ruction: $ _ I 1 ,O�Q . �u Utilities:l. app y:_ . — Shutters — Generator- Ft. of First Floor; Sewer :Septic � Windows/Doors . �. RoofRoof pitch Building Height: OWNER/ SSEE: F( CONTRACTOR`. - aleTHOM.P� ;Add ress:?06 `City; VERO. Zip Code:. '3 P .'City:.... !Phone=No:77P-696-2009 i... . E-Mail.TJULI@OUTLOOK.COM Fill in fee silllple 1froin'the OvJ & MARIE JULIANO Name:-JOY_SYANCY .' Co.mparly:.SUMMERLIN'S MARINE'CONSTRUCTION WINDWARD WAY �ACH '. .. - .. State: ` 963. -Fax: N/A : Address: 200 NACO:RD, STE C. FT PIERCE.. - .. FL State: Zip Code: 34946 Fax::77-2=464-7470 - Phone No. 772=464-6090 Title Holder on next page -(:if different er listed: above):: -'E-Mail:: SUMMERLINSMARINECONSTRUCTION@GMAIL.COM. State or:County License:: ?4217 Value Or con'structlon js:SZWU or -more, a RECURDED-Notice of Commencement is. required. - SUPPLEMENTAL CONSTRUCTION LIEWLAW IINFORMATCON: DESIGNE Name: BO qPTCHINSON Address: #05 City: FT PIE Zip: 34946 /ENGINEER: _ Not Applicable MORTGAGE COMPANY: _ Not Applicable Name: HI -TIDE BOAT LIFTS N INDIAN RIVER DR Address: 4050 SELVITZ RD SCE State: FL Phone772-267-1399 City: FT PIERCE State: FL Zip: 34981 Phone:772461-4660 FEE SIMPLIE Name: Address: City: Zip: TITLE HOLDER: _ Not Applicable BONDING COMPANY: Not Applicable Name: Address: City: Phone: I Zip: Phone: OWNER/ ONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated. I certify that o work or installation has commenced prior to the issuance of a permit. St. Lucie Cou tyy makes no representation that is granting a permit will authorize the permit holder to build the subject structure which is in colnflict 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 considerat Ion of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work in accordancill with the approved plans, the Florida Building Codes and St. Lucie County Amendments. The followirif building permit applications are exempt from undergoing a full concurrency review: room additions, accessory str ctures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use WARNING O OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for improvem nts to your property. A Notice of Commencement must be recorded and posted on the jobsite before the �irst inspection. If you intend to obtain financing, consult with lender or an attorney before corpmeincirIg work or recording our Notice of Commencement. IN �1 r as Agent for Owner I Signature bf Co STATE OFIFLORIDA STATE OF FLORIDA COUNTY PF S G L. I C_, -Q, COUNTY OF The forgoing instrument was acknowledged before me this of MOJCb1 ,20�by -Thv n S an o Na a of person making statement Personally I nown OR Produced Identification Type of Ide tification Produced FL -L-)L✓ (Signature ¢T Naary Public- S afA"• ridap��%G01 to "9$1 MY COMMISSION # FF Commission No. (SQ§ibIRES August 25, REVIEWS I FRONT ZONING SUPERVISOR COUNTER I REVIEW REVIEW RECEIVED DATE COMPLETE Rev. 8/2/17 nse Hol The forgoing instrument w s acknowledgbefore me this day of m 20 by S S,l L2 D C I Nam6 of persorl making stat ment Personally Known x OR Produced Identification Type of Identification Produced re of Notary' Public- ISslon NO. FF912939 MI=14MISSION # FF91 '-:+;s..�,,•` EXPIRES August 25, 20 VEGETATION I SEA TURTLE I MANGROVE REVIEW REVIEW REVIEW