HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: '.�,Okz_b Per ?
Num
Building Permit App
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
PERMIT APPLICATION FOR: Boat lift/Dock/SwCap Repair
PROPOSED IMPROVEMENT LOCATION:
Address: 10701 S OCEAN DR LOT 865
Legal Description: VENTURE OUT AT INDIAN RIVER INC LOT 865
Property Tax ID #: 4511-510-0066-000-7
Site Plan Name: MATTHEWS
Project Name: MATTHEWS
Setbacks Front Back: Right Side:
Left Side:
R
FEB 5 4 ^D J
pe County, Permitwip
Residential x
Lot No. 865
Block No.
DETAILED DESCRIPTION OF WORK: III
1. FURNISH AND INSTALL 1 PC. 100 +/- SQ FT DOCK
2. INTALL 1 PC. BOAT LIFT
3. SEAWALL CAP REPAIR
CONSTRUCTION INFORMATION: I11
onalworRtoDe
errormea unaerimsperma—cneLrcau
❑Gas
epPiy.
Piping Shutters a
Windows/Doors
HVAC
Gas Tank
_
Electric
0 Plumbing
Sprinklers 1:1 Generator 0
Roof = Roof pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 24,677.00
S Ft. of First Floor: _
Utilities:T] Sewer []Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name CRAIG MATTHEWS
Name: ROSERT WILLIAMS
Address: 2142 SE ABCOR RD
Company: WILCO CONSTRUCTION INC
City: PORT ST LUCIE State: FL
Zip Code: 34952 Fax. N/A
Phone No. 772-370-1502
Address: 10751 ORANGE AVE
City: FORT PIERCE State: FL
Zip Code: 34945 Fax: 772-460-6929
Phone No. 772-460-6928
E-Mail: MISSHARPERS2@BELLSOUTH.NET
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail: WILCOINC@BELLSOUTH.NET
State or County License: SCC131151026 29115
If value of construction is $2500 or more, a RECOROEO ivotice of commencement is reguireo.
SUPPLEMENTAL CONSTRUCTIONLIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name: DANIELPAULRETHERFORD
MORTGAGE COMPANY: x Not Applicable
Name:
Address: 1402 HARTMAN RD
Address:
City: FORTPIERCE State: FL
Zip: 34947 Phone: 772-2249826
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: x_ Not Applicable
Name:
BONDING COMPANY: _Not Applicable
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie Count makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in con lict 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
rommencine work or recording vour Notice of Commencement.
l
Signature of Owner/Lessee/Contractor as Agent for Owner
STATE OF
COUNTY OFORIDA c� I i' , , o, COUNTY OFSTATE OF ORIDA C_L ► , , _
The forgoing instrumapjwas acknowledge efore me The forgoing instrument was acknowledged before me
this I W day of 20 'ZY this TH day of 1 �C� 20 _Xby
RL 1 4 Il IiCelt} Wit lj Qn s
(Name of person acknowledging) (Name of -person acknowledging)
a,24 i
(Signature of Notary Publi State of Florida )
Known V OR Produced Identification
Type of
Commission No.
Revised 07/15/2014
1
(Signature of Notary -Public- State of Florida )
Personally Known OR Produced Identification
Type of Identificgop
DAWN FITZGERALu
LYCDMMIS$Mi)GG 162348 Commission No.
EXPIRES: December 17, 2021
162348
, 2021
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS