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HomeMy WebLinkAboutBuilding Permit ApplicationuF _ ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION:TO BE ACCEPTED Date: - a20 Permit Number: 200 I -©5/a Building Permit Application BAN 2 4 2020 Planning and Development Services LT. Lucie County, Permitting Building and Code Regulation Division g 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X PERMIT APPLICATION FOR: DOCIiM PROPOSED IMPROVEMENT LOCATION: Address: 81 AQUA RD DR. JENSEN BEACH, FL 34957 Legal Description: RIVER WATCH BLK 4 LOT 1 (OR 3668-2812; 4107-834) Property Tax ID #: 4511-815-0010-000-6 Site Plan Name: PAPARONE Project Name: PAPARONE- DOCK Setbacks Front Back: _ DETAILED DESCRIPTION OF WORK: Right Side: Left Side: Lot No. Block No. 1. INSTALL A 220 +/- SQ FT DOCK EXTENSION TO AN EXISTING 268 SQ FT DOCK; TOTAL 448 +/- SQ FT. DOCK CONSTRUCTION INFORMATION: Additional work to e performed under t—checkispermit be a apply: ❑Windows/Doors 0HVAC ❑Gas Piping _Shutters 11 Electric 1:1 Plumbing Sprinklers O Generator 0 Roof Roof pitch Total Sq. Ft of Construction: 20,888.00 S Ft. of First Floor: Building Height:11 Cost of Construction: $ Utilities: Sewer Septic OWNER/LESSEE: CONTRACTOR: Name KATHLEEN PAPARONE Name: ROBERT WILLIAMS Address: 81 AQUA RA DR. Company: WILCO CONSTRUCTION INC City: JENSEN BEACH State: FL Zip Code: 34957 Fax: WA Phone No. 609-457-7674 Address: 10751 ORANGE AVE City: FORT PIERCE State: FL Zip Code: 34945 Fax: 772-460-6929 Phone No. 772-460-6928 E-Mail: WA 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 requirea. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: _ Not Applicable Name: DANIEL PAUL RETHERFORD MORTGAGE COMPANY: Name: X Not Applicable Address: 1402 HARTMAN RD Address: City: FORT PIERCE State: FL Zip: 34947 Phone: 772-224-9826 City: - Zip: Phone: State: FEE SIMPLE TITLE HOLDER: X Not Applicable Name: BONDING COMPANY: Name: _Not Applicable 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 commencine work or recordine vour Notice of Commencement. s ntractor as Agent for Owner Signature of Contractor/License Holder STATE OF FLORIDA C 1 ., STATE OF FLORIDA �St I n , COUNTY OF UA C Q C COUNTYOF J ��l The for oing instru ent was acknowledg efore me this day of c �4 n 2 by (Name of person acknowledging) (Signature of Notary1 Puubbli S ate of Florida ) Personally Known ✓ OR Produced Identification Type of Identification Produced Commission No. MY COMMISSION# GG 16234E Bonded Thm Revised 07/ The fo ing instru e t was acknowledge ore me this ffday of 20 y (Name of person acknowledging) l (Signature of Notary Publig Sta a of Florida ) Personally Known V OR Produced Identification Type of Identification Produced Commission EXPIRES: December 17, 2021 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS