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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: SCANNED Permit Number: BY St, Lucie County Building Permit Application I NOV 2 2 2017 Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 13y: """^^ Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial _ Residential 31 PERMIT APPLICATION FOR: Dock/Seawall r;l III Address: 5101 N HIGHWAY A1A, FT PIERCE, FL 34949 Legal Description: OCEAN RESORTS CO-OP Property Tax ID #: 1410-502-0000-000/0 Site Plan Name: Project Name: Setbacks Front Back: Right Side: Left Side: Lot No. Block No. DETAILED DESCRIPTION OF WORK: II i {' j II�• I;i „ ." I III INSTALL RETAINING WALL CONSTRUCTION INFORMATION:A00 I: Itlona wor to e e Dime under tispermit—check all apply: I1HVAC Gas Tank ❑Gas Piping _ Shutters ❑ Windows/Doors Electric Plumbing ❑Sprinklers ElGenerator Roof Roof pitch Total Sq. Ft of Construction: Pt of SgI�Ft.I of First Floor: Cost of Construction: $ 53,ao ) - 0 C) Utilities: OSeptic Building Height: OWNER/LESSEE: !j CONTRACTOR:?;•,I Name OCEAN RESORTS CO-OP, INC Name: JOYS YANCY Address: 5101 N HIGHWAY A1A Company: SUMMERLIN'S MARINE CONSTRUCTION, LLC City: FT PIERCE State: FL Zip Code: 34949 Fax:772-464-0709 Phone No. 772464-4803 Address: 200 NACO RD, SUITE C City: FT PIERCE State: FL Zip Code: 34946 Fax: T72464-7470 Phone No. 772464-6090 E-Mail: OCEANRESORTSMANAGER@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 It value of construction is SZ500 or more, a RECORDED Notice of Commencement is required. I SUPPLEMENTAL CONSTRUCTIONsLIEN LAW YNFORMATION: lii. 11 I • ! ' ' ; Name: so HUTCHINSON Address' 2705 N INOIAN RIVM DF City: F PIMCE State: Zip: umii Phonem-zer-33" MORTGAGE COMPANY: _ Not Applicable Address: City: State: Zip: Phone: FEE SIMPLE TITLEHOLDER: _ Not Applicable I BONDING COMPANY: _Not Applicable Aaaress: I Address: City: City Zip: Phone: Zip: Phone: UVurvtK/ LUN I KAL I UK 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 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 commencing work or recording vour Notice of Commenrement_ Signa 're•of-Owner/'L' sse-eJCoritractor as Agerit for Owndl SignUEof Contra -to / 'tense H er STATE OF FLORID STAF FLORIDACOUNTY OF I . L [ c r° i"L COOF ` . LCJ C'.l —Q.— The forgoing Instrument was acknowledged before me The forgoing instrurnlant was acknowledged efore me this 4dayof La��YI_ h �20�'�¢y this AIday of 0V 20by JOY 5 YANCY Name of per o making statement Name of person making statement Personally Known OR Produced Identification Personally Known x OR Produced Identification Type of Identification Type of Identification Produced Produced j � PN (Signature of No �I� IFT t tg oofAMT MI-TODD HOLCOMBfb ignature of dtary Pu Ic-, F `8VA ER P NESTER / �P Commission No. l5'lS A }, uZ CQ.%@��SSION # GG70751mmission No. Frsizs3s 5� MY C SION # FF91293 '•,3q EXPIRES May 23.2021 EXPIRES�Au9uat 25, 2079 I�O)i S96C'S]. PlwmNaa ervte.mr. REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW RE. REVIEW REVIEW REVIEW DATE j RECEIVED / / DATE COMPLETED Rev.8/2/17 /