HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Num
Building Permit Applicatiol
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: Dock/Seawall III
Address: 114 QUEEN CHIRSTINA CT, FORT PIERCE, FL
Legal Description: QUEENS COVE -UNIT 2 - BLK 21 LOT G (OR 682-116: 1302'-1318: 1389-1924: 3156-368, 370: 4045-256)
Property Tax ID f#: 1414-702-0007-000-8
Site Plan Name: BERGMANN
Project Name: BERGMANN
Setbacks Front
Back: Right Side: Left Side:
Lot No.
Block No.
I DETAILED DESCRIPTION OFWORK: III
1. INSTALL UP TO 195 +1- L. FT. OF SEAWALL WITHIN 1 B" WATERWARD OF EXISTING
2. REPLACE EXISTING 1,131+1- SQ FT DOCK WITH A 780 +1- SQ FT DOCK
CONSTRUCTION'INFORMATION:
Additional work to brejertorme un ert ispermit—check all apply:
EIHVAC Gas Tank E]GasPiping _Shutters ❑Windows/Doors
11 Electric 0 Plumbing OSprinklers Generator Roof = Roof pitch
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction: $ $108,690.00 Utilities: Sewer 1:1Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name BERGMANN,GERHARD
Name: ROBERTWILLIAMS
Address: GOETHESTR 4
Company: WILCO CONSTRUCTION INC
City: D95163 WEISSENSTADT, GERMANY State: _
Zip Code: Fax. N/A
Phone No.772-466-7486
Address: 10751 ORANGEAVE
City: FORT PIERCE State: FL
Zip Code: 34945 Fax: 772-460-6929
Phone No. 772-460-6928
E-Mail: BERGMANN.GERD@T-ONLINE.DE
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 or commencement is reguireu.
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: 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
J s
Signature ofOwner/Lessee/Contractor as Agent for Owner Signature 6T Contractor/License Holder
STATE OF FLORIDA � w( j, STATE OF COUNTY OFFLORIDA , C ; .
COUNTY OFy U -t-X-x-,
The forgoing 'instrurnqnt was acknowledged tefore me The forgoing instrument was acknowledged before me
this Z day of c 00 20d-Uby this &tSy of Ll a 20 �Oby
tLDV_AA- R %I l j I (I" I ppb a f-vik (; ams
(Name of person acknowledging) (Name of p�e�rson acknowledging)
D-QQ D $lid-- pap
(Signature of Notary Publi -State of Florida) (Signature of Notary Public- State of Florida )
Personally Known L__00'011 Produced Identification Personally Known OR Produced Identification _
Type of Identification Produced Type of Identification Produced
Commission N ,'+""9g'••. DAWNFIT7� Commission No. s �Y"& < DAWNFI GE
•,t NIY COMMISSION9 162348 COMMISSI l�GiG 162348
"_`•.. , tos EXPIRES: December 17, 2021 • pg EXPIRES, December 17,2021
Revised
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