HomeMy WebLinkAboutBUILDING PERMIT APPLICATION - ADDITIONAL SIGNATURESPPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED (�
Permit Number: I t o o —0d L
4
F
Building Permit Applicati
ing and Development Services S E P 2 ® 2018
ng and Code Regulation Division
Virginia Avenue, Fort Pierce FL 34982 ; D �,pa rtm e n t
e: (772) 462-1553 Fax: (772) 462-1578 Commercial
I fl(a'jL°r FL
PE
'yMIT APPLICATION FOR: To Select fromdropbox, click arrow at the end of line
�
y'y hh
POS. t. { t _.vt ' F Lt,'" b; �i Y!5'{„ i 3 R{r Ya� 4 4} 1. 'Y S'� L {. , .�6 7{.off ..•.�. YT 1 ... ,
ED UlV9i1'�LO�CK}w"�?J4r
n�iF .vA. i 1. ..P Z, 1 \ h .-.f. �i A k .?n. �i�^.7uA. i •.(*pv ..1 .4i 4, nI�N'� Qil., '6�F ?.\, } f, dt� a. �r ..
Site
Cost
238 Bimini Drive, Ft Pierce, FL 34949
Description: Coral Cove Beach - Section One, Blk 3, Lot 5 �� GIftiry
y Tax ID It: 1425-701-0045-000-7
n Name: Chris Workman Residence
Name: Chris Workman Residence
cs Front Back: Right Side: Left Side:
Lot No.5
Block No. 3
new owner supplied Lift. Set 4 mew 9" x 25' Lift Piles, wrapped in black plastic.
HVAC L-1 Gas Tank
Electric ® Plumbing
�q. Ft of Construction:
F Construction: $ 2,250.00
Nam Chris Workman
Addr.,,.238 Bimini Drive
11
City: FT Pierce
Zip ode:34949
Fax:
r tnis permit — cnecK an tnal apply:
OGas Piping _ Shutters
Sprinklers Generator
Sq. Ft. of First Floor: _
Utilities: Sewer ®Septic
State:FL
Phon,� No, N/A
E-M ii: N/A
Fill 11
irt�fee simple Title Molder on next page ( if different
from' �he owner listed above)
If value of construction is
i
I I
L] Windows/Doors
1. Roof Roof pitch
Building Height:
Name: Robert L Begano, Jr
Company: Custom Built Marine Construction Inc
Address: 3119 Hammond Rd
City: Ft Pierce State: FL
Zip Code: 34946 Fax:
Phone No. 772-333-2383
E-Mail: idavis@custombuiltmarine.com
State or County License: CGC1507592
or more, a RECORDED Notice of Commencement is required.
3:.1,Pr
4 .tit4.Y
CyI+rY}�4�.,i 4.s[�v'�tk zY{M1�.,.r ✓.1 i3'vY..T.n ETAt F�(..t� }'#t 5} ry'� 1 5t. 'Y i d
Jam• fY�R">t1. 5i� S}14AFaF �li� ����//��}�f:7'.
�'S♦.t � Nl Y�'T
,�.»X.v, e ? a �' _'? 1, _,'�... .M . _S .< �
k.{dw '(L�dY'y t .0 9 i h S k t tb
j�YJ title: tY wF V"4.�'t. ,<i' "`� fC
�rtt+�� 1 M1E *'Y l.. Jy- lS'h i7 *`..=i
,. ,� .:V,� E t ,'>✓.oNA,;n�.�,x !� rJ ,.'-...?I._�,<�, . id7.:5 t t,} ,i.,:+�-- i K r ,�-_: �.a:�'. v! v.+ r u 4.
4
®E
Nape:
SIGN ER/ENGINEER: Not Applicable
cmushoremarine Engineering Ind'
MORTGAGE COMPANY: _ Not Applicable
Name:
ress:100Andros Road
Ad
Address:
Clt ,
Zips
� • Palmspdngs State: FL
33461 Phonesel.951.6036
City: State:
Zip: Phone:
FE
SIMPLE TITLE BOLDER: _ Not Applicable
BONDING COMPANY: Not Applicable
Na,
e.
Name:
Address:
Cif
Zips
Address:
City:
Phone:
Zip: Phone:
OW ER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
ce II fy that no work or Installation has commenced prior to the issuance of a permit.
St. Lu ie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
whit, is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
strut ure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In col l sideration of the granting of this requested permit, I do hereby agree that 1 will, in all respects, perform the work
in ac"ordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
The f llowing building permit applications are exempt from undergoing a full con currency review: room additions,
acces ory 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 vements 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
rnm'�npnrino wnrk nr rprnrdino vnur Nntirp of rnmmpnrPmPnt_
Signature
of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/Lice older
SW
IYE OF FLO A I
STATE OF FLORIDA
CO,
NTY OF S-r C'"J ( C
COUNTY OFst,
The i
ing ins m nt wa� acknowledged before me
The f ing instryyrnent was cknowledge before me
thi
;i day of M�Jcr 20� by
thisrr�day of (.d '' . 20 �-by
( J G.�0f MCn
! ¢t ba4 , c"
Name of per on making statement
Name of person making statement
Per110f
nally Known OR Produced Identification
Personally Known x OR Produced Identification
Typ
Identification
Type of Identification
Proced
Produced
(Sig
a r Notary Public- State of Florida)
(Signs Notary Public- State 1 1
Corn
ission No. S'Q%'i-P
"� ` 1ENNI R LEEN DAVIS
fission No. oczassraJENNIFEREILEENB 4
COO NiFG(i239974MY.
COMMISSION # GG
Fl�o�
MY
39974,F��, EXPIRE'^S: July 19, 2022
EXPIRES: July 19,
022
REI
RONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE��
REC
IVED
DAT��
COMPLETED
Rev. 8'Y2/17
9