HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: w if7 Permit Number:
,A
Building Permit Applica on JAN 0 2020
Planning and Developinent Services
Building and Code Regulation Division Permitting Department
2300 Virginia Avenue, Fort Pierce FL 34982 LI� C 14 O U nty, FL
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial tlerltl
PERMIT APPLICATION FOR:-BeeWSeawall II
'PROPOSED'IMPROVEMENT LOCATION:
Address: 10701 S OCEAN DR LOT 821
Legal Description: VENTURE OUT AT INDIAN RIVER INC LOT 21 (OR 1170-708; 4113-2823)
Property Tax ID #: 4511-510-0022-000-7
Site Plan Name: LAROCCA
Project Name: LAROCCA SW
Setbacks Front Back:
Right Side: Left Side:
Lot No.
Block No.
I DETAILED DESCRIPTIONOF WORK: III
INSTALL 35 FT +/- OF SEAWALL WITHIN 18 INCHES WATERWARD OF EXISTING SEAWALL
CONSTRUCTION INFORMATION;
itiona wor to e e orme under tispermit—check all apply: �j
0HVAC Gas Tank Gas Piping _Shutters Q Windows/Doors
11 Electric 0 Plumbing Sprinklers Generator O Roof = Roof pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 20,955.00
S Ft. of First Floor:
Utilities:n Sewer O Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name LAROCCA, GUS & THERESA
Name: ROBERT WILLIAMS
Address: 6497 CASABELLA LN
Company: WILCO CONSTRUCTION INC
City: BOCA RATON State: FL
Zip Code: 33433 Fax: NIA
Phone No.954-461-6718
Address: 10751 ORANGE AVE
City: FORT PIERCE State: FL
Zip Code: 34945 Fax. 772-460-6929
Phone No. 772-460-6928
E-Mail: NIA
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 RETHERFORD
MORTGAGE COMPANY: x Not Applicable
Name:
Address: 1402 HARTMAN RD
Address:
City: FORTPIERCE 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
r --
Signature of Owner/Lessee Contractor as Agent for Owner
STATE OF FLORIDA COUNTY OF �i� l�-
CLJ , , b-Al
The for oing instru eut was acknowledg efore me
this7dayof, 20 ga.,by
(Name off person acknowledgi
inng)
i Q '/Q it
(Signature of Notary Public- Tt3te of Florida )
Personally Known V'*'OR Produced Identification
Type of Identification Produced
Commission No.
WCOMMISSION # GG 162348
Public
Revised 07/1
STATE OF FLORIDA
COUNTY OF Jd l.Cl
The forgoing instrument was acknowledgedbefore me
this _day of , 20 : by
(Name of person
-acknowledging)
(Signature of Notary Public- State of Florida )
Personally Known V OR Produced Identification
Type of Identification Produced
Commission No.
DAWN I1ZG BALD
My COMMISSION#GG 162348
Pubik Undenv tem
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