HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
--Date: �Permit Num
q 111
l .
Building Permit Appi
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial
PERMIT APPLICATION FOR: -Seawall
'PROPOSED IMPROVEMENT LOCATION
Addracc• 10751 S OCEAN DR Al3, JENSEN BEACH
Legal Description: SEE ATTACHED FOR LEGAL DESCRIPTION
1 III???'J'J"JA
FEB 2 4 2020
Permitting Department
__S . lru�ie C,punty, FL
Property Tax ID #: 4511-311[0017-000-8 Lot No._
Site Plan Name: GAROFALO Block No.
Project Name: GAROFALO - SEAWALL
Setbacks Front Back: Right Side: Left Side:
RETAILED DESCRIPTION OF WORK:
lMfall G/o'-Ii- of S>oaWa�/ wii� lI'rin�af~�f'Vlr�rd
04-�Xisfi'rt fo includ4eKin 4 8&44e Pile s
CONSTRUCTION INFORMATION:
❑HVAC Li Gas Tank
11 Electric El Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 31,500.00
na— cnecxdu apply:
Piping _Shutters
nklers ❑ Generator
_ S . Ft. of First Floor:
Utilities:❑ Sewer ❑ Septic
Windows/Doors
Roof = Roof pitch
Building Height:
OWNER/LESSEE
CONTRACTOR: .
Name VINNY GAROFALO
Name: ROBERTWILLIAMS
Address:15815 CROSS ISLAND PKWY
Company: WILCO CONSTRUCTION INC
City: WHITESTONE State: NY
Zip Code: 11357 Fax: NIA
Phone No. 917-626-2599
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 requirea.
I
SLI PPLEM ENTAL C ONSTRUCTION LIEN LAW INF Or,.M. JION:
DESIGNER/ENGINEER: _ Not Applicable
Name: DANIEL PAUL RETHERFORD
MORTGAGE COMPANY: x Not Applicable
Name:'
Address: 1402 IiARTMAN 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
Signature Owner/Lessee/Contractor as Agent for Owner
r
S
Signatu a of Contractor/License Holder
STATE OF FLORIDA c /— STATE OF FLORID �'
COUNTY OF L ST I QLC 0 4L COUNTY OF
The for oing instr nt was acknowledge before me
thiszdayofHin I 20 y
110
(Name of person acknowledging)
PaLIA&,
(Signature of Notary Public -State of Florida )
Personally Known OR Produced Identification
Type of Identificat
Commission No.
Revised 07/15/2014
The forgoing instrumcknowledged before me
this�ent was a
day .20 _by
RjQPa:: wa lialm
(Name of person acknowledging)
(Signature of Notary Public- State of Florida )
Personally Known L1 OR Produced Identification
Type of Identification Produced
MY COMMIS (�GG 162348
Commission N . •4,em•'���'•: DAWN FIIZG I
_MPIRES: December 17,2021 pp•MISSION $GG 16 6
onded Thru Notary Public Undemrlam t "a (o SXPIRES:December17,2021
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS