HomeMy WebLinkAboutBUILDING PERMIT APPLICATION}
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED ti� l
Date: — D Permit Number: y 55 `
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Building Permit Applicatio NOV 2 9 2018
Planning and Development Services
Building and Code Regulation Division ST. Lucie County, permitting
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential x
PERMIT APPLICATION FOR: Dock/Seawalln III
S!`�A AI AIRf)
Address: 804 OSPREY CT, HUTCHINSON ISLAND, FL 34949-8454 BY
Legal Description: OCEAN RESORTS COOPERATIVE SITE 344 (OR 2233-1076; 4030-2076) St Lucie County
Pi roperty Tax ID p: 1410502-0344-000-6 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTIOM•OFWORk. I. lil;I. i ' i •IL� :,' ..r_
REPLACE EXISTING DOCK
CONSTRUCTIONINFORIVIATION:
J,.
Aaanional worK to be e orme un ert Ispermit—check-all' apply;
OHVAC Gas Tank ❑Gas Piping _ Shutters I ---I Windows/Doors
Electric 0 Plumbing ❑Sprinklers Generator L Roof = Roof pitch
Total Sq. Ft of Construction:
Cost of Construction: $ q gO 00
S Ft. of First Floor: _
Utilities:Sewer 0Septic
Building Height:
OWNER/LESSEE:
A..• f
CONTRACTOR: " " ''
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Name BETHANN JONES
Name: JOYS YANCY
Address:804 OSPREY CT
Company: SUMMERLIN'S MARINE CONSTRUCTION, LLC
City: FT PIERCE State:FL
Zip Code: 34949 Fax:
Phone No.772-359-4012
Address: 200 NACO RD. SUITE C
City: FT PIERCE State: FL
Zip Code: 34946 Fax; 772-464-7470
Phone No. 772464-6090
E-Mail:
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: 24217
it vame or conscrucnon is >zouu or more, a KLILUKUEu Notice of commencement is required.
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SUPPLEMENTALCONSTRUCTION,LIEN LAWjINFOR_MATIO;N
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DESIGNER/ENGINEER: _
Not Applicable
.
MORTGAGE COMPANY:
,
_ Not Applicable
Name: eo NurcwNSON
Name:
Add ress:2r05 N INDIM RIVER DR
Address:
City: FT PIERCE
State: rU
City:
State:
Zip:34946 Phone772-267-1359
Zip: Phone:
FEE SIMPLE TITLEHOLDER: _
Not Applicable
BONDING COMPANY:
_Not Applicable
Name:
Name:
Address:200 NACO RO, 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 reviewyour 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.
Thelfollowing 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
I
WARNING TO OWNER: Your failure to Record ar 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.
FSignatfiOwn'ef/sGesse�g/Contractor as Agent for Owner
Signat 0of ntr or/License Holder
I
STATE OF FLOTFFQ
STATE OF FLORIDA
COUNTY OF .J��GCClC�
COUNTYOF---
The for ding instrument wass �ck�no�wledged efore me
this day///o���fY/l/7�Y�/// 20Vby
The for ding instrument was acknowledge before me
this�dayof NC)Y 201 by
5 T) 1 ��m 0nI
JOY S YANCY
Name of perso making statement
Name of person making statement
Personally Known V� OR Produced Identification
Personally Known x OR Produced Identification
Type of Identification
Type of Identification
Prod Ed
Produced
o
\
i I J
A
ignature of NOtary� r e U as
(Signature Notary Public
S C*Ioridaft R P HIESTER
. �'%r',=
Commission No. - �OMMC AN I GG267493
Commission No. rFsi2s3e
='i MOMISSION N FF912
;, (�
` -gyp IRES: OcbW 15, 202%
°F Bonded Thru Aarofl Notary
S August 25, 201
won aii D: w rro awaansamw.cwn
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DATE
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DATE
COMPLETED
Rev.8/2/17