HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONr. .
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: / 0' /% % % SCABN�NED Permit Number:
lie
St. Lucie'County
Building Permit Application RECEIVED
Planning and Development Services OCT 1 1 2017
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial_ Residential
PERMIT APPLICATION FOR: Boat lift f=1 ill
PROPOSED IMPROVEMENT LOCATION: III Address: Harbour Ridge, unaddressed NW Mariner Court (southern most marina), Palm City, FL 34990
Legal Description: Harbour Ridge -Plat 4-Tract PA-2 (1.66 ac) (or 920-161)
Property Tax ID #: •w<uououvu vuuo
Site Plan Name: Harbour Ridge Marina (southernmost marina)
Project Name:
Setbacks Front Back: Right Side:
Left Side:
Lot No.
Block No.
DETAILED DESCRIPTION OF WORK: Ill
Install 1 ea. 4 piling 24000 lb. HiTide Gear Drive Boat Lift (Slip 17)
CONSTRUCTION_ INFORMATION:
itiona wor to a erorme under tis permit- Check all apply:
11HVAC Gas Tank E]GasPiping In Shutters Windows/Doors
11 Electric Plumbing []Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction: $ 2-1 1 (DCUO + CO Utilities:[]Sewer Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Harbour Ridge POA
Name: R. Williams
Address:12600 NW Harbour Ridge Blvd.
Company: Wiloo Construction, Inc.
City: Palm City State: FL
Zip Code: 34990 - - -Fax:
Phone No.7722331595
Address: 10751 Orange Ave.
City: Ft. Pierce State:FL
Zip Code:34945 Fax:7724606929
Phone No. 7724606928
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail: wilcoinc@bellsouth.net
State or County License: SCC 131151026
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SU.PPLEMENTALCONSTRUCTION,LIEN LAW:INFORMATION:
DESIGNER/ENGINEER:
Name:
_ Not Applicable
MORTGAGE COMPANY:
Name:
_ Not Applicable
Address:
Address:
City:
Zip: Phone
State:
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER:
Name:
_ Not Applicable
BONDING COMPANY:
Name:
_Not Applicable
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. 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 jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencine work or recording vour Notice of Commencement. _--,
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLO ID,�1
STATE OF FLORIDALtU
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COUNTY OFT
COUNTYOF
The forgoing instrLVnent was acknowledged before me
thisnn,�day of �� 20 f-by
The f r ping instru ent was acknowledged before me
this day of 1/ 1 i 20// by
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Name of perso making statement
Name of perso aking statement
Personally Known,LOR Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced /] n
(Sig�at re o
Public- State of Florida)
(Signature of Notary Pu Itc- State of Florida )
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Commission o
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ti,�ier'•,� DAWN G
Commission No. P,IY COMMI F077529
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�,,_ r;4? EXPIRES: December 17, 2017
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REVIEWS
FRONT—
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17 , JAMIE PUGH
�'o MY COMMISSION#GG047204
EXPIRES: NOV 14, 2020
9 w� Bonded through 1st State Insurance