HomeMy WebLinkAboutWheeler Dock App RevisedALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
�Qi llNTY
Permit Number:
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) 462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Dock/Seawall
PROPOSED IMPROVEMENT LOCATION:
Address: 101 EL MAR DRIVE
Legal Description:
11 3741 FROM SW COR LOT 40 BEACH CLUB COLONY SEC ONE AS 1N PL BK 16-11 RUNS 89 DEG 58 MIN 29 SEC W 89.6 FT TO PCB, TH S 44 DEG `8 FdIN 29 SFC W 166-06 FT TOPC OF
Property Tax ID #: 4511-110-0005-100-5 Lot No.40
Site Plan Name: Block No. 16-11
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
LONSTRUCT A DOCK WITH A BOAT LIFT
Haamonai work to oMGasTank
rTormea unaer tnis permit — cnecK an n apply:
�HVAC []Gas Piping _Shutters Windows/Doors
Electric ❑ Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: Sq, Ft. of First Floor:
Cost of Construction: $ A10 00-0 Utilities: 0sewer ❑ Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name JEREMY WHEELER
Name: SCOTT SZFRANSKI
Address: 101 ELMAR DRIVE
Company: HARBOR BAY MARINE
City: JENSEN BEACH State: FL
Zip Code: 34957 Fax:
Phone No. (954) 591 1955
Address: 1525 SE CAMBRIDGE DRIVE
City: PORT ST LUCIE State: FL
Zip Code: 34952 Fax: (772)335-7080
Phone No. (772)335-7080
E-Mail: JWheeler@wheeler-defusco.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail: HARBOR BAY MARINE@AOL.COM
State or County License: 18367
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
I SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applica
Name: PAUL WELCH INC
Address: 1984 SW BILTMORE, #114
City: P0RT ST LUCIE State: FL
Zip: 34952 Phone: 772-785-9888
FEE SIMPLE TITLE HOLDER: Not Applicable
Name: _
Address:
City:
Zip:
Phone:
MORTGAGE COMPANY:
Name:
Address:
City:
Zip: Phone:
BONDING COMPANY
Name:
Address:
City:_
Zip:
I certify that no work or installation has commenced prior to the issuance of a permit.
Phone:
Not Applicable
State:
_Not Applicable
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 n attorney before
commencing work or recording your Notice of Commencement.
ram. c. /
Signa ure of Own / Agent/ Lessee Signatu�FLORI
or ice Ider-
STATE OF FLORIDA STAT A
COUNTY OFCOU TY OF Y�WU
The forgoing instrument was acknowledged before me
this day of , 209A)by
�'N'
(Name of person ack6owledging )
(Signaturebf NotaVublic- State of FloridV)
Personally Known � OR Produced Identification
Type of Identification rced
♦�t�••'• . NANCY . K
Commission No. * * COMMWW#(sed71
�P a June Is,
6-
OF FV+' Ba�dq TMr 9udyN MWogr Srrk+K
Revised 07/15/2014
The forgoing instrument was acknowledged before me
this` y o 20 by
SZc. r Ski
(Name o ers nowle Bing )
( re of Notary Public- State of Florida )
Personally Known OR Produced Ideratification
Type of Identification Produced f (�
Commission No. 6 3 ISTkNE Fi�P CHECO
d AS...
NOTARY PUBLIC
Comm# GG367482
Expires 8/19/2023
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