HomeMy WebLinkAboutBuilding Permit Application I
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
1-24-2018
Date: Permit Number:
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Building Permit Application
I Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential; X
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PERMIT APPLICATION FOR: Concrete
PROPOSED IMPROVEMENT LOCATION: til
I Address: 10851 S Ocean Dr. Lot#162 Jensen Beach, FL 34957
Legal Description: WINDMILL VILLAGE BY-THE-SEA CONDOMINIUM NO 1 UNIT 162 AND.PRO-RATA SHARE IN
COMMON ELEMENTS(OR 4082-2421)
Property Tax ID#:
4511-810-0169-000-0 Lot No.162
Site Plan Name: Block No.
Project Name: i
Setbacks Front Back: Right Side: Left Side:
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DETAILED DESCRIPTION OF WORK:
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RV lot concrete slab extension. Concrete will extend out to a total width of 22 feet.,Will be using 452
sq. ft of wire mesh along with 5.59 yards of 3500 PSI concrete for a 4 inch deep concrete slab.
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CONSTRUCTION INFORMATION:
Additional worlkto be nertormed under this permit—check a appy:
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HVAC Gas Tank []Gas Piping _Shutters a Windows/Doors
Electric Plumbing Sprinklers Generator Roof Roof pitch
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Total Sq.Ft of Construction: 452 Sq.Ft.of First Floor:
Cost of Construction:$2000. Utilities:11_Sewer Septic Building Height:
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.OWNER/LESSEE: CONTRACTOR: I 11IJ
Name Wesley Schwier Name:
Address:10851 S Ocean Dr. Lot#162 Company:
City: Jensen Beach State:FL Address:
Zip Code: 34957 Fax: City: State:
Phone No.772-485-4505 Zip Code: i Fax:
E-Mail:Kancity58@yahoo.com Phone No. i !
Fill in fee simple Title Holder on next page(if different E-Mail:
from the Owner listed above) State or County License:
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required. i
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SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: -Not Applicable
Name:Wesley schwier Name:
Address:10851 S Ocean Dr.Lot#162 Jensen Beach,FL34957 Address: 10851 S Ocean Or.Lot#162
City; Jensen Beach State: FL City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
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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.
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St.Lucie County makes no representation that is granting a permit will authorize thepermit holderito 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:cOom 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 our Notice of Commencement. '
Signature of Owner/Lessee/Contractor as Agent for Owner Signature of ContractoVLicense Holder
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STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF„ COUNTY OF
The going instrulhent was acknowledged before me The forgoing instrument was acknowledged before me
this By of 20by this day of i ,20_ by
Namemaking statement Name of person making statement
Personally Known t OR Produced Identification Personally Known i Ok Produced Identification
Type of Identification / _/ Type of Identification
Produced Z/� /_� Produced I
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(Signature of otary Public-State of Florida) 0� (Signature of Notary Public-State of Florida)
� lBt�q,� ANGELA
Commission-N o-R Commission No. Seal
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Notary Public-State of Florida
"1 commission#FF 234730
1.1 rnm e a 2 19{
OF f�°�� Benda;r::Eg National he aryAmr..
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REVIEWS NT=:Z �-3_,ZONIN �-SUPEAVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17
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