HomeMy WebLinkAboutBUILDING PERMIT APPLICATION (2)All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
SCANNED Permit Number:
BY
St. Lucie County
Building Permit Application
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 Residential X
PERMITTYPE: Dock
PROPOSED IMPROVEMENT LOCATION:
Address: 1908 Lynx Drive Fort Pierce FI 34949
Property Tax ID #: 1425-620-0028-000-4
Site Plan Name:
Project Name:
DETAILED DESCRIPTION OF WORK:
New construction of 796 sq ft dock with
I CONSTRUCTION INFORMATION:
Rnnt lift R arirlitinnal
Lot No.
Block No.
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 315 Pitch
Total Sq. Ft of Construction: 796
Cost of Construction: $ 26,400
Sq. Ft. of First Floor:
Utilities: _ Sewer _ Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Robert Harper- Owner
Name: Cebrone Atkins
Address: 1908 Lynx Drive
Company: Samson Marine Construction LLC
City: Ft. Pierce State: _
Zip Code: 34949 Fax:
Phone No. 321-848-3858
Address: 402 Concha Dr
city: Sebastian State: FI
Zip Code: 32958 Fax:
Phone No 772-713-7803
E-Mail: harperhideaway@gmail.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail Inquiries@samsonmarineconstrudon.co
State or County License CGC1517960
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
If value of HVAC Is $7500 or more, a RECORDED Notice of Commencement Is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name: Paul welch INC
MORTGAGE COMPANY: _ Not Applicable
N a me: Dwenmuehle Mwtgage
Address: 1994elltmore#114
Address: C0Wrete Ddve,Sulteseo
City: Port St Lucie State: FL
Zip: 34984 Phone
City: LakeZudch State: IL
Zip: 60047-e946 Phone: e00-6e9426e
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY: _Not Applicable
Name:
Address:
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. Lucle 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 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"
.Xl� 6WX. e► -
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA
Sr• LN��E
STATE OF
COUNTY
COUNTY OF
COUNTYOFORIDA
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The for oing instrumment was acknowledged before me
The forgoing instrument was acknowledged before me
this_IlLritdayof Noldv�6GtZ 20L by
this�dayofAlnver.—Ar 201aby
3�tTNDiF 1\• oYO
C-ebrony I{l�klrlS
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 Identification
Produced Fir oR t-ice." sS
Produced
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(Signature of Notary Public- St to of lorida j
(Signature of Notarlj yF- Stile£ y ",i e3pa
NOTARYPUBUC
Commission No. Gr. Z3 SZ
mission No. TEOFPI.(Wt
BELINDA R. BOYD
I:pryt10GG1725Mota
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