HomeMy WebLinkAboutBUILDING PERMIT APPLICATION'AlTA0*1JCABLE INFO
MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: �`a.$`y \ Permit Number:
Building Permit Appl
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce F134982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial
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RECEIVED
FEB 2 S 2019
VIcie County, Permitti
Residential X
PERMITTYPEWAT LIFT SCANNED
PROP„QSEDJNjPROVENIENTLQCATIO,�V a ,ss,£ .l{ ; " f ;'
drlrocc• 781 HIDDEN RIVER DR. PORT ST LUCIE. FL 34983
Property Tax ID If: 3427-701-0023-000-9
Site Plan Name:
Project Name:
INSTALL BOAT LIFT — XIS{i (�G e l,-_c+r i C. -
Lot No.22
Block No. 1
Additional work to be performed under this permit —check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters _ Windows/Doors
_ Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 8,000.00
Sq. Ft. of First Floor: _
Utilities: _Sewer _Septic
Building Height:
OUVNERtLE$SEE „s` << "
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CO,NTR F"CTOR li �' 3'S 3 > 5 mx t'
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NameDARSHAN C AGGARWAL
Name: JOY S YANCY
Address:781 HIDDEN RIVER DR
Company:SUMMERLIN'S MARINE CONSTRUCTION
City: PORT ST LUCIE State: _
Zip Code: 34986 Fax:772465-2029
Phone No.772-528-5500
Address:200 NACO RD, SUITE C
City: FT PIERCE State: FL
Zip Code: 34946 Fax: 772-464-7470
Phone No772-464-6090
E-MaiI:AGGARWAL@GATE.NET
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mall SUMMERLINSMARINECONSTRUCTION@GMAIL.COM
State or County License24217
„VC,u= U , „7UUfdfUfl,D?4Juu of more, a rccwnucu rvoace or Lommencement is required.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
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DESIGNER/ENGINEER: —
Not Applicable
MORTGAGE COMPANY:
Not Applicable
Name: HI -TIDE
Name:
—
Ad d ress:4M sELvnz Ro
...Address:
City: FTPIER E
State: FL
City:
State:
Zip: 34981 Phone7724614960
Zip: Phone:
FEE SIMPLE TITLE HOLDER: —
Not Applicable
BONDING COMPANY:
Not Applicable
Name:
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
O WNER1 CON i HACi OR AFFIUVIT: 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 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 MAX RESULT IN YOUR PAYING
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE Rrrnwnmr. Ynuw Mnrrra no rnmmrw'•=M�$1
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Signature of Owner/ Lessee ractor as Agent for Owner Sign tur of Contractor
STATE OF FLORIDA STA� OF FLORIDA
COUNTYOF 54, I UC I'-0— COUNTY OF
a, I I The forgoing instry[ngnt was acknowlecig before me The forgoing instrumentwas acknowledgebefore me
this day of (-Pb /'� .201� by this of of 20� by
N1 Ya r lkf\ I r--t it nlR I .-.--..___..
Name of person making statemen . Name of person making statement.
a
yr Personally Known OR Produced identification V_ Personally Known x OR Produced Identification
9� Type of Identification Type of Identification
X Produced �� p�. Produced
W
d _ (Signaturof Notary Public- State of Florida) (SignatureU Notary Public -State of Florida )
Commission No. ER 1 QQ3 (Seal) Commission No. FF912939 (Seal)
REVIEWS FRONT ZONING SUPERVISOR I PLANS I VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW I REVIEW