HomeMy WebLinkAboutBUILDING PERMIT APPLICATION,i
ALL APPLICABLE INFO (MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED C
Date: �1� Permit Number:
W. Building Permit Application �-
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Other
PROPOSED IMPROVEMENT LOCATION: ;,:' '"'
Address: 773 SE HIDDEN RIVER DR, PORT ST LUCIE, FL 34946
Legal Description: HIDDEN RIVER ESTATES BLK 1 LOT 21 (OR 3085; 3103-151)
Property Tax ID #: 3427-701-0022-000-2
Site Plan Name:
Project Name:
Setbacks Front Back:
Right Side: Left Side:
Lot No.21
Block No. 1
DETAILED DESCRIPTION: OF WORK: I j
IINSTALL RIP RAP WALL
CONSTRUCTION INFORMATION:,jt
Itiona wor to e e orme under this permit— check a apply:
1IHVAC 13 Gas Tank ❑Gas Piping _Shutters Q Windows/Doors
Electric 0 Plumbing Sprinklers 11 Generator F]Roof Roof pitch
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction: $ 20,000.00 Utilities: 0 Sewer Septic Building Height:
OWNER'/LESSEE: ��
CQNTRACTOR I i s
Name DEBRA RHODIG & LYNDA FOSTER
Name: JOYS YANCY
Address:773 SE HIDDEN RIVER DR
Company: SUMMERLIN'S MARINE CONSTRUCTION, LLC
Address: 200 NACO RD, SUITE C
City: PORT ST LUCIE State: FL
Zip Code:; 34983 Fax: N/A
City: FT PIERCE State: FL
Phone No'.772-519-2896 OR 772-607-1210
Zip Code: 34946 Fax: 772-464-7470
phone No. 772-464-6090
E-Mail: SUMMERLINSMARINECONSTRUCTION@GMAIL.COM
E-Mai
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
State or County License: 24217
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL'CONSTRUCTION LIEN LAW IN'FO`RMATION
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DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY:
_ Not Applicable
Name, BO HUTCHINSON
Name
Add re'ss: 806 DELAWARE AVE
Address:
City: FT PIERCE State: FL
City:
State:
Zip:3as5o Phonen2-26�-,399
Zip:
Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
BONDING COMPANY:
Not Applicable
Name'
Name:
Add ress:200 NACO RD, SUITE C
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 jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencing work or recording your Notice of Commencement.
as Agent for Owner
STATE OF FLORIDA
COUNTY OF 4 • L.L/ r,
The forgoing instrument was acknowledgecl before me
this I day of ML4) -F _ , 2oLk by
Lflo d r,__ IL 0 S44_,--
Name of person making statement
Personally Known OR Produced Identification V11
Type of Identification
Produced �(_ �-
(Signature l(f Notary Pi fats �`
.F W I SIGN # FF912939
' yEXPI ugust 25, 2019
Commission No.r nofl
REVIEWS I COUNTER I REVI W S REVIEWOR FRONT ONING
Rev. 8/2/1
of
STATE OF FLORIDA
COUNTY OF --
Holder
rn
The forgoing instru,�� 1Lent was acknowledged before me01
this day of J(AA) P 2jLk by U.U. h
Name of person making stat ent I rQn
Personally Known x OR Produced IdentificationLU
N
Type of Identification a
Produced 0 x
I � W
(Signature oVNotary Public- State of Florida )
Commission No. FF912939 (Seal)
VEGETATION I SEATURTLE
REVIEW REVIEW
MANGROVE
REVIEW