HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 12-5-2018 Permit Number:
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Building Permit Applicatio Planning and Development Services STBuilding and Code Regulation Division
1-2300 Virginia Avenue, Fort Pierce FL 34982 X
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PERMIT APPLICATION FOR: Boat lift SrA.,e._
Address: 757 SE HIDDEN RIVER DR
Legal Description: HIDDEN RIVER ESTATES BLK 1 LOT 19 (OR 2497-1131)
Property Tax ID #: 3427-701-0020-000-8
Site Plan Name: LOCHMANDY BOATLIFT ADDITION
Project Name: LOCHMANDY BOATLIFT ADDITION
Setbacks Front Back: Right Side: 25 Left Side: 25
ADD 20OCK SECTIONS OF 50 SQ-FT EACH TO EXISTING 255 SQ-FT DOCK
INSTALL 16 K CAPACITY BOATLIFT, MANUFACTURER HURRICANE, MODEL CAT 5
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Lot No. 19
Block No. 1
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Piping _Shutters
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❑Windows/Doors
Roof
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Total Sq. Ft of Construction: 250 SQ-FT S Ft. of First Floor:
Cost of Construction: $ i (o 1 SOb Utilities:llSewer Eleptic Building Height:
Roof pitch
Name DEBORAH LOCHMANDY
Name: JOHN RUHS
Address: 757 SE HIDDEN RIVER DR
Company: J & B BOATLIFTS
City: PORT ST LUCIE State: FL
Address: 860 SQUIRE JOHN LANE
City: PALM CITY State: FL
Zip Code: 34983 Fax:
Phone No. 772-621-8299
Zip Code: 34990 Fax:
Phone No. 772-485-1362
E-Mail: klomandy@aok.com
Fill in fee simple Title Holder on next page ( if different
E-Mail: jackruhs@comcast.net
from the Owner listed above)
State or County License: CGC 1511185
If value of construction Is $2500 or more, a RECORDED Notice of Commencement is required.
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DESIGNER/ENGINEER: _
Not Applicable
MORTGAGE COMPANY:
Not Applicable
Name: ROGERBASER
Name:
_
Address: 3770 NW ROYAL OAK DR
Address:
City: JENSEN BEACH
State: FL
City:
State:
Zip: 34957 Phone 772-214d800
Zip: Phone:
FEE SIMPLE TITLEHOLDER: _
Not Applicable
BONDING COMPANY:
_Not Applicable
Name:
Name:
Address: 880 SQUIRE JOHN LANE
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 ermit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or anScovenants 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 attorney before
commencing work or recorHhtp-vour Notice of Commencement. n
.a; nVFOwner/ Lessee/Contractor as Agent for Owner
Signatur of ontractor/License Holder
STAFLO� DA
STAT FLORIDA
COUNTY OF . L O e�
COUNTY OF 6Or, ,
The forgoing instrument was acknowledge before me
The forgoing instrument was acknowledged efore me
Co p
this Q day of Dec, 20j_ by
this day of ec 20by
�ohi\ 1`l,
5ay,4\ II0VNS
Name of person making statement
Name of person making statement
Personally Known OR Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of ]den ificati
Produced L-
Produced D
(Signature of Notary blic- State of Florida)
(Signature of Not
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",•, - DEANNA E GrW4
Commission NO:�rCrd .� g
IN w+R18GNEN8 -
Commission No.
t COMM 022023
020
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EXPIRES:
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ERVISORW
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DATE
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COMPLETED
Rev. 8/2/17