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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONi ALL APPLICABLE INFO MUST BE COMPI FTED FOR APPLICATION TO BE ACCEPTED Date: _U - 1z., 12 SCANNED-- --Oprmit Number: BY LECEIVED F� St. Lucie County moo Building Permit Application N 12 2018 Planning and DevelopmentServices County, Permitting Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial x Residential PERMIT APPLICATION FOR: Boat lift r III Address: NW Mariner Court (Sourthemmost marina) Legal Description: Harbour Ridge Plat 4 Tract PA-2 Property Tax ID #: 442560300040006 Site Plan Name: Project Name: Setbacks Front Back: Right Side: Left Side: Install 1 ea. 4 piling 12000 lb. Hi -Tide boat lift in existing Slip 65 (electrical permit by others) ctnGe kxku5eer) (2�qO_ 121g2 I ��er C� Lot No. Block No. CONS'IR I©NINFORMfA�TION � R��" Additional work to orme under t—checkispermit a apply: Y. h 11HVAC ff Gas Tank ❑Gas Piping _Shutters ❑Windows/Doors 11 Electric 0 Plumbing FI Sprinklers Generator 11 Roof = Roof pitch Total Sq. Ft of Construction: Cost of Construction: $ 10585.00 S Ft. of First Floor: _ Utilities: Sewer ElSeptic Building Height: DOWNER%LESSEE��F x ,CONTRA°CT�ORxf .,b R s �� rye' Name Harbour Ridge POA Name: Maurice Petz Address:12600 NW Harbour Ridge Blvd. Company: Linden Marine Construction, Inc. City: Palm City State:FL Zip Code: 34990 Fax: Phone No. Address: 2469 SE Dixie Hwy. City: Stuart State: FL Zip Code: 34996 Fax: Phone No. 7725450012 E-Mail: Fill in fee simple Title Holder on next page (if different from the Owner listed above) E-Mail: lindenmadne@yahoo.com State or County License: sic 18466 If value of construction Is $2500 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL`CONSTRUCTION LIEN, L/11NxINFORMQTION , '' DESIGNER/ENGINEER: _ Not Applicable , MORTGAGE COMPANY: _ Not Applicable N a me: Roger Baber Name Address: 4050 saihn Rd. Address: City: FtPiem State: FL City: State: Zip:34981 Phone8005440735 Zip: Phone: FEE SIMPLE TITLE HOLDER: _ Not Applicable BONDING COMPANY: Not Applicable Name: 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. 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 b 'rst inspection. If you intend to obtain fin ng, cons with lender or an attorney before omme i work or recording our Notice of Com encement. Sig t re of Ow r/ Lessee/Contractor as Agent for Owner A ure tractor/License Holder STATE OF FL R" _ STATE OF FLOTY COUNTY OF / mac ¢ COUNTY OF 5% LU U - The forgoing instrument eras acknowledgedfefore me Zday The forgoing instrument was acknowledg�efore me this of 20�6 by this �a day of3Jlu'6 20 by MUIV �cle �4--z Name of perso making statement Personally Known = OR Produced Identification _azRk Name of person making statement Personally Known �_X—OR Produced Identification Type of Identification Type of Identification Produced Produced (Si ota Public- State of Florida) (Si atu of Notary Public -State of Florida ) JAMIEPUG" S I) CommissioOWWEed Commission o.�/'j\ IEPUGH (Sea #GG040� (PIflES: NOV 14, 202D MY('OMMISSION#GG047204 r9r NOV 14, through ]st State Insurance "fin EXPIRES: 2020 REVIEWS FRONT ZONING SUPERVISOR PLANS MANGROVE VEGETATION SEA TURTLE COUNTER REVIEW REVIEW RE EW REVIEW REVIEW REVIEW DATE Q 6 RECEIVED 1 (0 07 DATE r/ COMPLETED /U Q Rev.8/2/17 1