HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL,PPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED /�
Da e: Permit Number:linq
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Building Permit Application 4�Q ���
PIG,ning and Development Services
Bui ling and Code Regulation Division
23() Virginia Avenue, Fort Pierce FL 34982
Ph ne: (772) 462-1553 Fax: (772) 462-1578 Commercial
III
Residential X
PE
�MIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
P13QPOSED
I'fVIPROUEMENT\LOCATION
a
238 Bimini Drive, Ft Pierce, FL 34949
Description: Coral Cove Beach - Section One, Blk 3, Lot 5
Prop�1 rty Tax ID #: 1425-701-0045-000-7 Lot No.5
Chris Workman Residence 3
Site ,Ian Name: Block No.
Proj ill t Name: Chris Workman Residence
Seth cks Front 4 Back: J`i Right Side: Left Side:
DE AILED DESCRIPTION\O�`WORK \\ -
v a A
Instal new owner supplied Lift. Set 4 mew 9" x 25' Lift Piles, wrapped in black plastic.
"CON1S`TRUCTION
(N,FORM'ATIO,N
tiona work to be erformed under
HVAC Gas Tank
this permit— checkcheCk
❑Gas Piping
all apply:
Shutters
Windows/Doors
hlectric Plumbing
Sprinklers
Generator
Roof Roof pitch
TotalSq.
Ft of Construction:
S . Ft. of First Floor:
Cosbof
'N
Construction: $ 2,250.00
Utilities.
Septic
Building Height:
O.,
w
AVER/LESS'EE F
CONTRACTOR n
NamelIlI
Adid
City:
Zip
Pho rl"'le
E-M,
Fill in'
fro
Chris Workman
Name: Robert L Begano, Jr
ss:238 Bimini Drive
Company: Custom Built MarineConstructionInc
FT Pierce State:FL
bode: 34949 Fax:
No. NSA
Address: 3119 Hammond Rd
City: Ft Pierce State: FL
Zip Code: 34946 Fax:
Phone No. 772-333-2383
Ill: N/A
fee simple Title Holder on next page ( if different
!the Owner listed above)
E-Mail: idavis@custombuiltmarine.com
State or County License: CGC1507592
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
ii
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
I
DESIGNER/ENGINEER:
Na
_ Not Applicable
e- Croushore Marine Engineering Inc
MORTGAGE COMPANY: _ Not Applicable
Name:
ress:100Andros Road
Address:
City: State:
Ad
Cltj%I
Palm Springs State: FL
Zip:
33461 P h o n e 561-951-6036
Zip: Phone:
FEE
(SIMPLE TITLE HOLDER: _ Not Applicable
BONDING COMPANY: _Not Applicable
Na
Ad
City%:
Zip
e:
Name:
Address:
dress:
City:
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. Labe
which
structure.
In consideration
in acdordance
County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
his 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 f
acces
WAF,,NING
imp5ovements
before
allowing building permit applications are exempt from undergoing a full concurrency review: room additions,
ory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for
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
corm,,encing
work or recording our Notice of Commencement.
I
Signature
of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/Lice older
STAI
CO
TE OF FLORIDA
OF
STATE OF FLORIDA
COUNTY 0FStLucie
�INTY
The
this
forgoing instrument was acknowledged before me
day of . 20_ by
The f ing instryment was cknowledged before me
thisPday of sp 20 /S-by
e v16,4 L-Tuqc,,o, Jr
Name of person making statement
Name of person making statement
Per,
Typlle-
Produced
onally Known OR Produced Identification
of Identification
Personally Known x OR Produced Identification
Type of Identification
Produced
i
(Si "nature
of Notary Public- State of Florida)
(Signa Notary Public- State o I i
mission No. (Seal)
JENNI E, E,ILEEN DAVISCo
Co mission No. cc239974 N#G ,239974
MY CO 2022° EXPIRES: July 19.
;OF
R
VIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATIE
RECEIVED
JDAr
COMPLETED
1 E
Rev. 9/2/17