HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: \1 �, a, 10� N-i SCANNED Permit Number: al 1' r.11
BY
" St. Lucie County
Ill MVIETUM
NOW
Building Permit Application flff5p000) NOV 2 2 2017 I
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982 BY: •^•••^......••^•••••
Phone: (772) 462-1553 Fax:,(772) 462-1578 Commercial_ Residential
PERMIT APPLICATION FOR: Other . 90 C� - III
I PROPOSED IMPROVEMENT LOCATION: II f':, .
Address: 3880 N At A, FT PIERCE; FL 34949
Legal Description:, FT PIERCE HIBISCUS BY THE SEA CONDOMINIUM COMPRISING APART OF SECTION 23TOWNSHIP 34
RANGE 40 ALL MPD AND SHOWN IN DECLARATION OF CONDOMINIUM OR 787-2678
Property Tax ID #: 1423-805-0000-000-3 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
ADD RAMP TO EXISTING BOARDWALK
CONSTRUCTION INFORMATION:
OHVAC Gas Tank
11 Electric Plumbing
Total Sq. Ft of Construction:
Cost of Construction:.$ 6,400.00
Piping LJShutters
ors LJ Generator
S Ft. of First Floor: _
Utilities.. OSeptic
Windows/Doors
E]Roof = Roof pitch
Building Height:
OWNER/LESSEE:
CONTRACTOR: ;;'I,
! j i'
J' i •,1I'1:
1 I1. a•
NameHIBISCUS BY THE SEA CONDOMINIUM ASSOCIATION
Name: JOYS YANCY
Address:1111 SE FEDERAL HWY STE 100
Company: _SUMMERLIN'S MARINE CONSTRUCTION
City: STUART State:FL
Zip Code: 34994 Fax:
Phone No.914-646-1108
Address:*200 NACO RD, SUITE
.City: FT PIERCE State, FL
Zip Code: 34946 _ Fax: 772-464-7470
Phone No. 772-464-6090
E-Mail: EMS.EILEEN.SULLIVAN@GMAIL.COM
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail: SUMMERLINSMARINECONSTRUCTION@GMAIL.COM
State or County License: 24217
If value of construction is $2500 or.more, a RECORDED Notice of Commencement is.required.
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 lend or an attorney before
commencingwork or recordingour Notice of Commencement.
Rev.8/2/17
SUP,�P,Li�E-M�_EN�TALCONSTRli1pCTIONLIEN•L4�W;INFORMAT.�ON:
i�fl'i�'f�I
I,1` ,{
(;,1�' I >•,�.
DESIGfjLF�R/EiGIN�Gf�• Not Applicable
Name: -j,Ll `C-�
MORTGAGE COMPANY:
Name:
Not Applicable
Address:
City: C-,12 , State: �
Zip: 34 g Phone "17a •� ss-9'88�
City:
Zip: Phone:
State:
FEE SIMPLE TITLEHOLDER: _Not Applicable
Name:
BONDING COMPANY:
Name:
_Not Applicable
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
Signature of Owner/ Lessee/Contractor as Agent for Owner
'-sign Ve of ntractor/ is nse Holde
STATE OF FLORIDA
STA OF FLORIDA
COUNTY OF �___�
COUNTY OF n===-
The forgoing instrument was acknowledged before me
NOVEMBER
instrument was acknowledged efore me
The for May
this � day NOVEMEBER ZOL by
this _day Of 2()_ by
of
•
EILEEN SULLIVAN
JOYS VANCY
Name of person making statement
Name of person making statement
Personally Known x OR Produced Identification
Personally Known x
OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
(Signature of N tart' Public- State of Flori��'da)„���iii,_ • ____._
(Signature of otary F
e 141V�I14�I�SION 0 FF912939
Commission NO. FF912939 ��• ®�® t7� P H�•S�R
�a
Commission No. FF912 ��� �25, 2()19
W
S MY C M SSION M FFD72939
•., � EXPIRES August 2S,?019
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