HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONL
ALL APPLICABLE INFO MUST BE:UiMPLETED FOR APPLICATION TO BE ACCEr cD
Date: Permit Number:
_ •__ SCANNED
Building Permit Application BY
Planning and Development Services St. Lucie Counf s ENED
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982 JAN Is 70
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
in Deparunen[
PERMIT APPLICATION FOR: Boat lift St. Lucie"
PROPOSED IMPROVEMENT LOCATION:
Address: 7655 PELICAN POINTE DR
Legal Description: PELICAN POINTE WEST(PB 40-35) LOT 2 BOAT SLIP #1
Property Tax ID #: 3522-700-0006-000-3 Lot No.2
Site Plan Name: PELICAN POINTE WEST Block No.
Project Name. GUMPPER LIFT SLIP 1
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
INSTALL A 16K BOAT LIFT WITHIN SLIP #1. BOAT LIFT TO BE PLUG IN WITH GENERATOR
POWER. NO ELECTRIC
CONSTRUCTION INFORMATION:
Aclartionalwork to orme under this permit— check a apply:
11HVAC O Gas Tank ❑Gas Piping _ Shutters Q Windows/Doors
11 Electric 0 Plumbing Sprinklers E Generator 4 Roof Roof pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ Utilities Ind Sewer Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name DAVID GUMPPER
Name: -- - ---- -= , l D
Address: 278 TIRZAH RD
Company: TREASURE COAST BARGE, INC
City: UNION DALE State:PA
Address: 1200 SE CUTOFF ROAD
City: STUART State: FL
Zip Code: 18470 Fax:
Phone No.215-262-1410
Zip Code: 34994 Fax:
E-Mail: EMGUMPPER@AOL.COM
Phone No. 772-201-9777
Fill In fee simple Title Holder on next page (if different
E-Mail: JERNER@BELLSOUTH-NET
State or County License: 20077
from the Owner listed above)
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION-
DESIGNER/ENGINEER: X Not Applicable
Name:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY: _Not Applicable
Name:
Address: - —
City:
Address:
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 andcovenantsthat 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 vour Notice of Commencement.
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S nature of Owner/ ss a/Contractor as Agent for Owner
i t re of Contr or/License Prolder
STATE OF
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Rev.8/2/17