HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
e: �-�- 1 Permit Number:
Da I ��ANN�i�
I
BY
St. Lucie County
RECEIVED
Building Permit Application
AUG 2 2 2098
Pla i,ning and Development Services
B umg and Code Regulation Division
i
ST. Lucie County, memittin0
-
230 Virginia Avenue, Fort Pierce FL 34982
Ph he: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
X
PER II IT APPLICATION FOR: Dock/Seawall
PRO ' OSED IMPROVEMENT LOCATION:
Addr ss: rcdC %i' JCQ CoC��`f-7 Ff-. �� e c., , Fc-. S(49 C7
Lot E, Ftl�ck 4; Queens Cove Unit One, Accoriding to the Plat thereof, as recorded in Plat Book
Legai escriptiur,: -- __.._�._..__.. _--
11, P 'ge 12B-12C of the Public Records of St Lucie County, Florida
Prope Ity Tax ID #: 1414-701-0033-000-6
Lot No. E
Site PI ,I n Name: Peter J King Jr and Barbara King
Block No. 4
Projec il� Name: Peter J King Jr and Barbara King
Setba ,ks Front N/A Back: N/A Right Side: N/A Left Side: N/A
ILED,DES.CRIPTION;OF WORK
�lG '�e incw Seawall U f� (�" n+ I�S exI l shrts �l. hr" '�SelcL;r-.oc(c *r<-P OCIL �ArfsDl
oc/cuUofr r nt ar Tu(G-A.'T<ptau,
&L
.CO,NS RUCTION INFORMATION:
iti i a workto fi
r orme un er t Rs permit - check a apply:
[14AC GasTank []Gas Piping _ Shutters Q Windows/Doors
E I ctric Plumbing O Sprinklers Generator Roof Roof pitch
Total Sa'.�I Ft of Construction: 296 Sq. Ft. of First Floor:_ N/A___
Cost of i"ionstruction: $ 79,000 Utilities: Sewer 0Septic Building Height:
,OWN�R/LESSEE:
CONTRACTOR:
Name PeterJKing Jrand Barbara King
Address ,1119 Queen Frederika Court
Name: Lr-i L. 3c{na,Jr
Company: Custom Built Marine Construction Inc
City: Ft fierce State: F�
Zip Cod '' 34949 Fax:
Phone N 1603-493-1722
Address: 31�(7�M(1,0nd
City: State, FL
Zip Code: 34946 Fax:
Phone No. 772-333-2383
E-Mail: 'I
Fill in fe IIsimple,Title Holder on next page ( if different
from the, l wner listed above)
E-Mail:
State or County License: CGC1521194
If value of;construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL
CONSTRUCTION LIEN LAW INFORMATION:
DE
_ Not Applicable
MORTGAGE COMPANY: Not Applicable
11IGNER/ENGINEER:
N a m
1
e: Croushore Marine Engineering Inc
Name:
100 Andros Road
Spring State: FL
Address:
Ad ,,I re$$:
City:Palm
City: State:
Zip J'J33461
Phone561-951-6036
Zip: Phone:
FE SIMPLE TITLE HOLDER: Not Applicable
BONDING COMPANY: Not Applicable
Na j,, e:
Ad ress:
Cit �•
Name:
Address:
City:
Zip: Phone:
Zip: Phone:
OW ,ER/
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. Lu ie
which is
struct "re.
In con 11ideration
in acc irdance
County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
The fo lowing
access ll
WAR
impr
befor
building permit applications are exempt from undergoing a full concurrency review: room additions,
ry structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
ING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for
vements to your property. A Notice of Commencement must be recorded and posted on the jobsite
the first inspection. If you intend to obtain financing, consult with lender or an attorney before
com
encing work or recording our Notice of Commencement.
SignAur
f wn essee/Contractor as Ag t or Owner
Signature of Contractor/ tense Holder
STA
COUNTY
jE F FL A
OF , ! y
STATE OF FLORID
COUNTY OF G('Cl e-
The f
this
Ir �ing instryTent was acknowledged before me
day of 20by
The for oing instrument was acknowledged before me
this day of %�45 "— 20 ��by
J lC n ��er6e�c (L�'n
���J� ' L. 6Sc�� a , J1
Perso,i
Name of pe ssop making statement
ally Known OR Produced Identification
Name of person making statement
Personally Known '�<r OR Produced Identification
Type
Prod
f Identification
ced
Type of Identification
Produced
u
(Si
a of Notary Public- State of Florida)
(S r� u of Notary Public- State of Florida
Commission
No. o JENNII101EEN DAVIS
MY COMMISSION # GG239974
EXPIRES: July 19, 2022
i
°"� �F EILEEN DAVIS
Commission No. 2 ► 2 JE
MY O SSION # GG239974
"oF+�o"� EXPIRES'. July 19, 2022
REVI
WS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
I
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEI
'I
',ED
) 1
DATE 11
COMPLETED
Rev. 8/2
17