HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICA LE IN UST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: \ LX—�`
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) 46 11 2-1578 Commercial X Res I idential
PERMIT APPLICATION FOR: Other
CONTRACTOR:
PROPOSED IMPROVEMENT {
Name VENTURE THREE INC
Address: 10701 S. Ocean Dr., Jensen Beach, FL 34957
Legal Description: Venture Out - Section C Tract One (OR 270-1408)
Property Tax ID #: 451180500000105
Site Plan Name: Venture Three Common Area Sidewalk
Project Name: Venture Three Common Area Sidewalk
Setbacks Front Back: Right Side
DETAILED DESCRIPTIO N,bF WORK:
Left Side:
Lot No.
Block No.
Remove existing sidewalk and repla a in same footprint( 6.5' W x 384'+/!) ( 2,496. sq ft +/- )
aPs I CLrem.. �'� d X .5'\A1 X 3'W'+1
� to S
- L�
1050. Lit x &I w rle rm.sh
CONSTRUCTION INFORMATION:
Additional work toe e orme under tispermit—checka appy:
HVAC E] Gas Tank []Gas Piping _ Shutters a Windows/Doors
0 Electric 0 Plumbing Sprinklers Generator ❑ Roof Roof pitch
Total Sq. Ft of Construction: 2,496 +/-
Cost of Construction: $ 20,000.00
S Ft. of First Floor:
i
Utilities: _Sewer [:]Sep' ti Building Height:
:.,OWNER/LESSEE:
CONTRACTOR:
�.
Name VENTURE THREE INC
Name: R. WILLIAMS
Address: 10701 S. OCEAN DR.
Company: WILCO CONSTRUCTION INC
City: JENSEN BEACH State: FL
Address: 10751 ORANGE AVE
Zip Code: 34957 Fax:
City: FORT PIERCE I State: FL
Phone No. 772-229-2333
Zip Code: 34945 Fax: 772-460-6929
E -Mail: MANAGERV-3@EARTHLI N K. NET
Phone No. 772-460-6928
Fill in fee simple Title Holdee'on next page (if different
E -Mail: WILCOINC@BELSOUTH.NET
State or County License:
i I
from the Owner listed above)
If value of construction is $2500 or more, a RECORDED Notice of Commencement is
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name: DANIEL PAUL RETHERFORD
Address: 1402 HARTMAN RD
MORTGAGE COMPANY
Name:
Address:
City:
Zip: Pho e
_ Not Applicable
I
I
.City: FORTPIERCE State: FL
Zip: 34947 Phone: 772-224-9826
State:
REVIEWS
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY, Not Applicable
Name:
Address:
Address:
City: I
city:
Zip: Phone:
Zip: Phone:
I
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 resects, perform the work
in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amend i ents.
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 your Notice of Commencement.
J�
Signature of Owner/Lessee/Contractor as Agent for Owner
STATE OF FLORIDA -
COUNTY OF , I
l �
The forgoing instrume t was acknowledge before me
this lay of 20 by
Ri�e� Dyio
(Name of person acknowledging)
(Signature of Notary Public- State of Florida )
Personally Known t/ OR Produced Identification
Type of Identification Produced
Commission No.
Revised 07/15/2014
(Seal)
DAWN FIIZGERALD
EXPIRES: December 17, 2017
Eonded Tirol Notary Public Undarrrriters
re of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF
The f r oing instru ent was acknowledged before me
thisday of 20 _a by
I I
it It'
(Name of personocknowledging )
(Signature of Notary Public
Personally Known L,�.
Type of Identification Produ
Commission No.
hate of Florida )
R Produced Identification
=d
(Seal)
?qw ^i .'•, DAWN FITZGERALD
rr
77529
EXPIRES: December 17, 2017.
Bonded Thru Notary Public Underwriters
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW'
REVIEW
REVIEW
DATE
COMPLETE
INITIALS