HomeMy WebLinkAboutappAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:` n�`� �1�� Permit Number:010
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Building Permit Applicatign U� � �019
St. I g p,
GQ :0 cpa�y enh
Commercial Residential X
PERMIT TYPE: INSTALLING BOAT LIFT
PROPOSED IMPROVEMENT LOCATION:
Address: 120 QUEEN FREDERIKA CT, FT PIERCE, FL 34949
Property Tax ID #: 14i `i - 90 1- DMI -0Q0 — Ct
Site Plan Name:
Project Name:
Lot No.
Block No. 0
DETAILED_ DESCRIPTION OF WORK:
Ili INSTALL USED LIFT e.1 FC+f j (, {(3 h00lL
CONSTRUCTION INFORMATION: I _
Additional work to be performed under this permit- check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters
Windows/Doors
Electric _ Plumbing _ Sprinklers _ Generator _ Roof
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ o �l.lJ ' UU Utilities: —Sewer —Septic Building Height:
Pitch
OWNER/LESSEE: „ . `` ..
CONTRACTOR,' .:
1
NameJOHN EVANS
Name: JOY S YANCY
Address:120 QUEEN FREDERIKA CT
Company:SUMMERLIN'S MARINE CONSTRUCTION
City: FT PIERCE State: _
Zip Code: 34949 Fax:
Phone No.772-528-0479
E-Mail:CAPTSAMMY2@GMAIL.COM
Address:200 NACO RD
City: FT PIERCE State: FL
Zip Code: 34946 Fax: 772-464-7470
Phone No 772-464-6090
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail SUMMERLINSMARINECONSTRUCTION@GMAIL.COM
State or County License Q14 a (9
If value of construction is 52500 or more, a RECORDED Notice of Commencement is required.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
low
SUPPLEMENTAL CONSTRUCTION LIEN LAW iINFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name: - —p
Name:
Address: LI0-50 (Z
Address:
City: fry- I i 42fC—[�. State: PL
City: State:
Zip: 344 Phone -TlP, • L.P1 • t;LpL-a D
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
BONDING COMPANY: Not Applicable
Name:
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
OWNER/ 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. Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in conflict 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 consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
The following building permit applications are exempt from undergoing a full concurrency review: room additions,
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
"WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF/COMMENCEMENT."
A11111111 .1
Signatur wner/ Lessee/Contractor as Agent for Owner
Sign toe of Contract License der
STATE OF FLORIDA
COUNTY OFSTLUCIE
STA OF FLORIDA
COUNTY OF LtJC,1•-C
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
i
this 23 day of APRIL . 20_ by
this 23 day of APRIL • 20_ by
JOHN EVANS
JOY S YANCY
Name of person making statement.
Name of person making statement.
Personally Known OR Produced Identification V'
Personally Known V OR Produced Identification
Type of Identification
Produced FL- ILL
Type of Identification
Produced
,i'" GINGER P HESTE
,
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Si nature o otar Public- i ' rl OMMISSION # FF91
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'-4'-? N ,•' EXPIRES August 25, 20
Commission No. FF912939 (407)398-0153. Sea iwNotayseP&c.c00.
ature Nota Public- S `� COMMISSION # FF9
9 EXPIRES August 25. 2
W
CO mission No. FF912939 )398-0^.53 (Sea".
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SUPERVISOR
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VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
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DATE
COMPLETED
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