HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE
�INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 16 - -8 Permit Number: 1 I D
SCANNED
BY
St. Lucie Count%
Building Permit
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial
OCT 2 4 2019
Lucie Co—un emitting
Residential x
PERMIT TYPE: Dock (Without electric)
^PRQP05ED j„ PROVEMENT LOCAGiON 134 Gommonwoolth
Address: 134 Commonwealth Ct
Property Tax ID #: 1414-701-0130-000/6
Site Plan Name: 134 Commonwealth Ct Dock Plan
Project Name: 134 Commonwealth Ct Dock Plan
Construction of wood piling dock
Additional work to be performed under this permit — check all that apply:
Mechanical _Gas Tank _Gas Piping _Shutters
_ Electric _ Plumbing _ Sprinklers _ Generator
Total Sq. Ft of Construction: 765
Cost of Construction: $ $17,500
Sq. Ft. of First Floor:
Utilities: _Sewer _Septic
Lot No. J
Block No. 14
-Windows/Doors
_ Roof Pitch
Building Height:
' CfWNER%� ES£E,' Jr
CONTRACTOR
... .. +,. ....m s
Name Mark Smiley
Name: Owner/Builder
Address:624 Kingfish Rd
Company:
City: North Palm Beach State: _
Zip Code: 33408 Fax:
Phone No.561-596-0562
Address:
_
City: State: —
Zip Code: Fax:
Phone No
E-Mail: msmiley@smiley-associates.com
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail
State or County License
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
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St1PPLEME ,: rAL CONSt : UR10N L1EIV tA1 V INFORMAM
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DESIGNER/ENGINEER: _ Not Applicable
Name: Smiley & Associates, Inc.
MORTGAGE COMPANY: X Not Applicable
Name:
Address: 1928 Commerce Lane, Suite 2
Address:
City: Jupiter State: FL
Zip: 33458 Phone561-596-0562
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name: Mark Smiley
BONDING COMPANY: _Not Applicable
Name:
Address: 624 Kinglish Road
Address:
City: North Palm Beach
City:
Zip: 33458 Phone:561-596-0562
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 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 JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
Signature of Owner Lessee/Contract as Agent for Owner
STATE OF FLORIDA,
Signature of Contractor/License Holder
STATE OF FLORI
COUNTY OF —A"e /
COUNTY OF G M Q�.
The for oing instrument was acknowledgedpefore me
The forgoing instrument was knowledged before me
this day of AyGLy7— . 20 by
this 'L; day of 20ja by
Name of persori making stat ment.
Name of person making sta ment.
t
Personally Known OR Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
(Signature of t
(Signature of Notary Public- State of Florida )
OR7 c Notary Public State of
Floridaeal�
R �'
Commission N Oeborah J Love J!
Commission No. (Seal)
I �< My Commission GGG o82 34
dF A° Expires 0512512021
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