HomeMy WebLinkAboutBuilding permit appALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
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F L O R 1_ D A -
Permit Number:
Building Permit Application
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 Residential
PERMIT APPLICATION FOR: Dock/Seawall
PROPOSED IMPROVEMENT LOCATION:
Address: 282 MARINA DR
Legal Description: CORAL COVE BEACH -SECTION ONE- BLK 5 LOT 17 (OR 1035-689: 1355-939)
Property Tax ID #: 1425-701-0130-000-0
Site Plan Name:
Project Name: SOWINSKI SEAWALL/DOCK REPLACEMENT
Setbacks Front Back: Right Side: _
Left Side:
Lot No.17
Block No. 5
DETAILED DESCRIPTION OF WORK: I
CONSTRUCT A 174' SEAWALL REPLACEMENT WITHIN 18" OF EXISTING SEAWALL; REPAIR (2)
EXISTING DOCKS IN CONJUNCTION WITH SEAWALL REPLACEMENT
CONSTRUCTION INFORMATION:
Additional work to be erforme under this permit —check a apply:
[1HVAC E]GasTank ❑Gas Piping _ Shutters Windows/Doors
❑ Electric ❑ Plumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction:
Cost of Construction: $
S Ft. of First Floor: _
Utilities: oSewer Septic
Building Height:
OWN ER/LESSEE:
CONTRACTOR:
Name JAMES SOWINSKI
Name:
Address: 282 MARINA DR
Company: �ctv-�Sor� lcCi►�t �.,5�
City: FORT PIERCE State: FL
Address: c
Zip Code: 34949 Fax:
I City: 5C JOA d-ia.V\ State: VL
Phone No. 772-359-9421
Zip Code: 3 2� S 4 Fax:
Phone No. 772- 113-7$o3
E-Mail: l n 4 c, i ccS e S'Q/'1--wrbf/b'I c�
E-Mail: JFSHUTCH@GMAIL.COM
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
State or County License: C 6C IS(7 790
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name: PAUL WELCH INC
Name:
Address:242984NSW BILTM RE ST #114
Address:
City: PORT ST L € State: FL
City: State:
Zip: 24982 Phone 772-785-9888
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
BONDING COMPANY: Not Applicable
Name:
Name:
Address:
Address:
City:
City:
Zip: Phone:
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 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
commencin,0work or rewrding your Notice of Commencement.
Signat& of Owner/ Lessee/Contractor 's Agent for Owner I Signature of Contractor/License Holder
STATE OF FLORISTATE OF FLO_ RIQA —7 f,
COUNTY OF ,�C ' `�� (,ICZ COUNTY OF • �j;iA) f.z�c 1: >lv
The forgoing instru Went was acknowledged before me
thi$�lay of`/ 2(@J::�by
Igamme of person making statement
Personally Known OR Produced Identification
Type of Identification
Produced
Hof Notary Public- State oTFlo
Commission No. Z�
.A- %
REVIEWS FRONT ZONING
COUNTER I REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17
The forgoing instrulrnent was acknowledged before me
this day of 20�2[; by
Name of persoon, king statement
Personally Known OR Produced Identification
Type of Identification
Produced
Notary P
BROOKS 10.STETSO
_ �� Notary Public SLail% si n
Corrimissioi # GG 922964
My cT" m Hrn; es Oct. 15, 2023
z
State of rida )
S Kathleen Gayle Ruesg
j G;
o�c
1lTARYPUBLIC
dATE OF FLORIDA
GG172569
SUPERVISOR PLANS I VEGETATION I SEATURTLE I MANGROVE
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