HomeMy WebLinkAboutBuilding Permit ApplicationI
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEI
Date: C�c-)_v Permit
Building Permit Applica'
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Plerce FL 34982
Phone: (772)'462-1553 Fax: (772) 462-1578 Commercial
!s/l 6101
JAN 8 2020
ermitting Department
St. Lucie County, FL
Residential X
PERMIT APPLICATION FOR: Dock/@er WI!I*BOATLIFT III
`PROPOSED'IMPROVEMENT LOCATION:
Address: 450 S NARANJA AVE, PORT ST LUCIE, FL 34983
Legal Description: RIVER PARK- UNIT 4 BLK 32 LOT 9 (MAP 34/27N)
Property Tax ID #: 3419-530-0009-000-6 Lot No.
Site Plan Name: SANDOW DOCK & BL Block No.
Project Name: SANDOW DOCK & BL
Setbacks Front Back: Right Side: Left Side:.
;DETAILED DESCRIPTION OF WORK:
1. REPLACE EXISTING 400 SQ FT DOCK WITH ANEW 720 SQ FT. DOCK
2. REPLACE EXISTING BOAT LIFT W/ NEW LIFT - 1 PC. 12,000 LB CAPACITY
I'CO.NSTRUCTION, INFORMATION;
11HVAC LiGasTank
Electric 1:1Plumbing
Total Sq. Ft of Construction:: /�
Cost of Construction: $ 3 14:9.
Piping ❑_ Sh
utters []Windows/Doors
nklers [:]Generator 0Roof = Roof pitch
S Ft. of First Floor: _
Utilities:ct Sewer E Septic
Building Height:
OUVNER/LESSEE:
CONTRACTOR: `
Name LAMB, CHRISTOPHER -OWNER
Name: ROBERT WILLIAMS
Address:450 S NARANJA AVE
Company: WILCO CONSTRUCTION INC
City: PORT ST LUCIE State: FL
Zip Code: 34983 Fax: NIA
Phone No. 772-528-9025 KENNY SANDOW (POA)
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: III
DESIGNER/ENGINEER: _ Not Applicable
Name: DANIEL PAUL RETHERFORD
Address: 1402 HARTMAN RD
City: FORTPIERCE State: FL
Zip: 34947 Phone: 772-224-9e26
FEE SIMPLE TITLE HOLDER: X Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY: X Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY: _Not Applicable
Name:
Address:
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
commencing work or recording vour Notice of Commencement.
Signature of Owner/Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF
The fgrgping instr e t was aclnowledged efore me
this day of (l 20 by
(Name of person acknowledging)
(Signature of Notary Public! State of Florida)
Personally Known L/I OR Produced Identification
Type of Identification Produced
Commission No.
DAWN FITZGERALD
- EXPIRES: December 17,2021
Revised 07/
pa- Rondid ThM NciarY PubGo undennlo
/L
s
Signature of Contractor/License Holder
STATE OF FLORIDA ( • • J
COUNTY OF l.{A
The forgoing instr ent was acknowledged before me
this A)day of TMbIS_ 20 a by
Pc6efq- IAJ Il l ia(ns
(Name of person
�acknowledging)
(Signature of NotaryPulic- State of Florida
1)
Personally Known ll/OR Produced Identification
Type of Identification Produced
Commission No.
DAWN FITZGERALD
EXPIRES: December 17, 2021
nded Thru Notary Public Undembis
REVIEWS FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS