HomeMy WebLinkAboutBuilding Permit Applicationr
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: -i- )-7. a'P Permit N0IP_ev ,=z
- -- —°—_- MAR 17 2020
Building Permit Application
Planning and Development Services Permitting Department
Building and Code Regulation Division St. Lucie County, FL
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: 10701 S Ocean Dr #714 Jensen Beach, FL 34957
Legal Description: VENTURE OUT -SECTION C- LOT 115 (OR 1056-367)
Property Tax ID #: 4511-805-0115-000-1
Site Plan Name: COUSINO
Project Name: COUSINO-SEAWALL
Setbacks Front Back: _
Right Side: Left Side:
Lot No.
Block No.
DETAILED DESCRIPTION OF WORK: I
III
1. FURNISH & INSTALL UP TO 11 L. FT. OF BATTER PILE & SALB TYPE CONCRETE SEAWALL
CONSTRUCTION INFORMATION: III
1_1HVAC Li Gas Tank ❑Gas
11 Electric 0 Plumbing 11Spr
Total Sq. Ft of Construction: .
Cost of Construction: $ 5,500.00
Piping "Shutters
ers LJ Generator
S Ft. of First Floor: _
Utilities: Sewer O Septic
Windows/Doors
gRoof = Roof pitch
Building Height:
OWN ER/LESSEE:
CONTRACTOR:
Name COUSINO, SALLY
Name: ROBERT WILLIAMS
Address:10701 S OCEAN DR LOT 714
Company: WILCO CONSTRUCTION INC
City: JENSEN BEACH State: FL
Zip Code: 34945 Fax: NIA
Phone No.772-341-8296
Address: 10751 ORANGEAVE
City: FORT PIERCE State: FL
Zip Code: 34945 Fax: 772-460-6929
Phone No. 772-460-6928
E-Mail: SMCOUSIN@COMCAST.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 RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name: DANIEL PAUL REMERFORD
MORTGAGE COMPANY: x Not Applicable
Name:
Address: 1402 HARTMAN RD
Address:
City: FORTMERCE State: FL
Zip: 34947 Phone: 772-224-9826
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 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 an attorney before
rommencine work or recordine vour Notice of Commencement.
,
Signature of Owner/Lessee/Contractor as Agent for Owner
STATE OF FLORIDA C��I— ��/
COUNTY OF �]I
The f r oing instr t was a knowledg efore me
this day of
20 by
(Name of person acknowledging)
(Signature of Notary Public- State of Florida )
Personally Known v PuOR Produced Identification
Type of Identification Produced
Commission
DAWN FITZGERALD
EXPIRES: December 17,
Revised �%/ If ... _ Bonded Thm Notary Public Uni
Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTYOF CQ!
The forgoing instrument was acknowledged before me
this � day of 21100 by
VVR �1Qf l i
(Name of person acknowledging)
(Signature of Notary Public- State of Florida )
IPu
Personally Known lo OR Produced Identification
Type of Identification Produced
Commission
DAWN FITZGERALD
EXPIRES: December 17, 2021
nded Thru Notary Public underwriters
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS