HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
RFCUVFD
Building Permit Application
Planning and DevelopmentServices ]A% 17 1011
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982 Permitting Department
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residerieltat"T county
I PERMIT APPLICATION FOR: Boat lift F;1 III
Address: 2534 HARBOUR COVE DR SLIP
SCANNED
Legal Description: CORAL COVE BEACH SECTION 1, SLIP PV
Property Tax ID U: 1425-701-0064-000-6
Site Plan Name:
Project Name:
Setbacks Front Back: Right Side: Left Side:
Lot No. 18
Block No. 2
14 1
A
INSTALL BOAT LIFT TO COMMON DOCK SLIP 0
ASSOCIATED ELECTRIC WILL BE CONNECTED TO EXISTING DOCK POWER OR DEDICATED
CIRCUIT AS NEEDED ISI PlIphQ-Sw_ S
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errormed under this permit— cneCK
all
apply:
1JHVA
MGasTank []Gas Piping
Mutters F-]Windows/Doors
I] Electric
El Plumbing E]Sprinklers
11 Generator 0 Roof = Roof pitch
Total Sq. Ft of Construction: —
Cost of Construction:$ 12,000.00
Sq. Ft. of First Floor:
Utilities:Sewer OSeptic Building Height:
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Name HARBOUR COVE PROPERTY OWNERS ASSOCIATION
Name: JOYSYANCY
Address: 2534AARBOUR COVE DR
Company: SUMMERLIN'S MARINE CONSTRUCTION, LLC
City: FT PIERCE State: FL
Zip Code: 34949 Fax,
Phone No. 772466-7194
Address: 200 NACO RD, SUITE C
City: FT PIERCE State:FL
Zip Code: 34946 Fax: 772-464-7470
Phone No. 772-464-6090
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 Value of construction is ,iZ5UU or more, a HKOHILMIL) Notice of Commencement is required.
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DESIGNER/ENGINEER: —
Not Applicable
MORTGAGE COMPANY:
Not Applicable
Name: HI -TIDE BOAT SALES
Name:
—
Add ress: aaso sews RD
Address:
City: F IERCE
State: FL
City:
State:
Zip: sane, PhoneTn4oi4 sa
Zip: Phone:
_
FEE SIMPLE TITLE HOLDER: —
Not Applicable
BONDING COMPANY:
Applicable
Name:
Name:
_Not
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
UW NER/ 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 Count
yy makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which Is in contllct 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 concurrenry 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 recordine vour Notice of Commenrement_
lgnatUFe Of Qwne[/, a see/Contra as Agent for Owner
-Pk;w— x..,._. �STATE
SignayeContit or/L'cen a Holder
OF FLOR,IOA y �(l�
COUNTY
STAA
OF ��77 C
COUThe
forgoing instrument was acknowledged before me
OJay
The for Ding instrument was acknowledge before me
this �( of / ?o . 2q i� by
this day of �l'M2t. GU' �, 20� N by
Pt e_1 GrC✓
1 '' _6-t //
JOY S YANCY
Name of person aking stateme
Name of person making statement
Personally Known I/OR Produced Identification _
.Personally Known x OR Produced Identification
Type of Identification
Type of Identification
duced
Produced
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p nn I
s r�,CtPh . 6, h i f o ku
41S
nature Notary Public- State of Florida)
(Signature of ' tary Public- State of Florida )
Gb
mission No. FFRIoi`Z.09 (Seal)
Commission No. FF912939 (Seal)
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In
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VIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
RI
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
E
AA
EIVED
E
K-OMPLETED
Rev.8/2/17