HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION'TO BE ACCEPTED ` �� _90.
Date: �- /' 22 Permit Number
. - FEB 7 2020
Building Permit Application Permitting Department
epartment
Planning and Development Services St. LUCie
Building and Code Regulation Division CO U n ty, 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: I
Address: 10701 S OCEAN DR LOT715
Legal Description: VENTURE OUT - SECTION C LOT 116
Property Tax ID #: 4511-805-0116-000-8
Site Plan Name: LONG
Project Name: LONG -SEAWALL
Setbacks Front Back: Right Side: Left Side:
Lot No.
Block No.
DETAILED DESCRIPTION OF WORK: III
FURNISH AND INSTALL UP TO 35 L. FT. OF SEAWALL WITHIN 18 INCHES WATERWARD OF
EXISTING SEAWALL.
CONSTRUCTION INFORMATION: III
❑HVAC UGas Tank
Electric 0 Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 18,375.00
Piping LJShutters
nklers ❑ Generator
S Ft. of First Floor: _
Utilities:cn Sewer O Septic
QW indows/Doors
E]Roof = Roof pitch
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name LONG, JEFFREY 8 CHERYL
Name: ROBERT WILLIAMS
Address:9403 S INDIAN RIVER DR
Company: WILCO CONSTRUCTION INC
City: FORT PIERCE State:FL
Zip Code: 34982 Fax: N/A
Phone No. 772-971-0754
Address: 10751 ORANGE AVE
City: FORT PIERCE State: FL
Zip Code: 34945 Fax: 772-460-6929
Phone No. 772-460-6928
E-Mail: N/A
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 requvea.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name: DANIELPAULRET}1ERFORD
MORTGAGE COMPANY:
Name:
x Not Applicable
Address: 1402 HARTMAN RD
Address:
City; FORTPIERCE 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
commencing work or recording vour Notice of Commencement.
STATE OF FLORIDA I ' C�
COUNTY OF V C_ I �-�t
The forgoing mstrumW was acknowledged hipfore me
this (.q— day of 20aQby
(Name of person acknowledging)
(Signature of Notary Public- State of Florida )
Personally Known OR Produced Identification
Type of Identification Produced
Commission
162348
Revised
STATE OF FLORIDA
COUNTY OF
The forgoing iinstruTe4 was acknowledged before me
this day of 20 GGEE_JJ by
(Name of person acknowledging)
acknowledging )
(Signature of Notary Public- State of Florida )
Personally Known V OR Produced Identification
Type of Identification Produced
MY COMMISSION ii GG 162348
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS