HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number;5df%o &191S____
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Building Permit Applicatio JUN 2 G 2020
Planning and Development Services
Building and Code Regulation Division Permitting Dr-p9rtnnent
2300 Virginia Avenue, Fort Pierce FL 34982 ;- �- ri.�p U I'I i'/ r (" L.
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Resideiltial'X
PERMIT APPLICATION FOR: Dock/Seawall
PROPOSED IMPROVEMENT LOCATION:
Address: 220 RAMIE LANE
Legal Description: RIVER PARK -UNIT 2- BLK 22 LOT 9 (MAP 34/22S) (OR 3781-1826)
Property Tax ID #:3419-510-0326-000-2
Site Plan Name:
Project Name: BREAU SEAWALL
Setbacks Front Back: Right Side:
Left Side:
Lot No. 9
Block No. 22
DETAILED DESCRIPTION OF WORK: III
CONSTRUCT A 103 L.F. SEAWALL; REPAIR AN EXISTING DOCK
CONSTRUCTION INFORMATION:
Additional work to e e orme un ert ispermit—c ec a appil
E1HVAC Gas Tank Gas Piping _ Shutters ❑ Windows/Doors
11 Electric 0 Plumbing ❑Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Constructioon,:/ S Ft. of First Floor:
Cost of Construction: $ �5` l� O ) Utilities:llSewer ElSeptic Building Height:
OWNER/LESSEE:.
CONTRACTOR:
Name PAUL & JO ANN BREAU
Name: L G
Address: 220 RAMIE LANE
Company: TREASURE COAST BARGE
City: PORT ST LUCIE State: FL
Zip Code: 34952 Fax:
Phone No. (772)333-7323
Address: 1200 SE CUTOFF RD
City: STUART State: FL
Zip Code: 34994 Fax:
Phone No. (772)201-9777
E-Mail: ilovesellingflorida@gmail.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail: TREASURECOASTBARGE@YAHOO.COM
State or County License: 20077
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
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SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: _ Not Applicable
Name: PAUL WELCH, INC Name:
Address: 1984 BILTMORE DR #114 Address:
City: PORT ST LUCIE State: FL City: State:
Zip: 34982 Phone 772-78 - 88 Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Address:
City:
Zip: Phone:
BONDING COMPANY: _Not Applicable
Address:
City:
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
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�lermit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or an 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_. i//
Signature of Owner/ Le a/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLOR--IIDA
STATE OF FLORIDA
COUNTY OF � - ! t Y-a ,
COUNTY OF ai01n
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this [� day of _>r m o 24,& by
this _ha_ day of c )l) o P 2010 by .
Cal �� a T� �� �re��_�
f
L— Name of person making statement
Name of persorymaking statement
v
Personally Known OR Produced Identification tZ_
Personally Known ✓ OR Produced Identific
q
Type of Identification
Type of Identification
U e o'o'
Produced
Produced
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21
(Signature of Notary Publp-S of o
Public State
(Signature of Notary Public- State of Florida) !m
lk
tNotary of Florida
Ann,pn Ojpsl
Commission Na. My
Commission No. �3 (Seal °�.:si`'``
ion GG 3ao319
0 do Expires 02/11/2023
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17