HomeMy WebLinkAboutBuillding Permit ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED U t'
Date:�_ 11 1 Permit Number:
Building Permit Application JUL 2017
Planning and Development Services
Building and Code Regulation Division PERL61171HG
2300 Virginia Avenue,Fort Pierce FL 34982 St. Lucie County, FL
Phone:(772)462-1553 Fax:(772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Dock/Seawall
PROPOSED IMPROVEMENT LOCATION:
Address: 223 OLIVE AVE
Legal Description: RIVER PARK-UNIT 2-BLK 19 LOT 47(MAP 34/22S) (OR 3140-1338)
Property Tax ID#: 3419-510-0278-000-0 Lot No.47
Site Plan Name: Block No. 19
Project Name: NIELSEN DOCK&SEAWALL REPAIR s'6t t✓:F
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
REPLACE AN EXISTING SEAWALL AND DOCK; INSTALL A BOAT LIFT
ELECTRIC TO BE INSTALLED UNDER SEPARATE PERMIT
CONSTRUCTION_ INFORMATION:
Additional work to e e Orme under this permit—c ec a appy:
HVAC E]Gas Tank ]Gas Piping OGenerator
Shutters L]Windows/Doors
11 Electric ❑Plumbing Sprinklers F] Roof
Total Sq. Ft of Construction: S nSewer
of First Floor:
Cost of Construction:$ 1I[ a Utilities: Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
NameCLEVE NIELSEN Name: `n
Address:223 OLIVE AVE Company: TREASURE COAST BARGE INC
City: PORT ST LUCIE State:FL Address: 1200 SE CUTOFF ROAD
Zip Code: 34952 Fax: City: STUART State:FL
Phone No.340=2819 Zip Code: 34994 Fax: (772)221-1611
E-Mail:clevekaren@aol.com Phone No. (772)201-9777
Fill in fee simple Title Holder on next page(if different E-Mail: JERNER@BELLSOUTH.NET
from the Owner listed above) State or County License: 20077
If value of construction is$2500.or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION
UCTION LIEN LAW INFORMATION: ,
DESIGNER/ENGINEER:- — Not Applicable MORTGAGE COMPANY: Not Applicable
Name: PAUL WELCH Name:
Address:1984SWBiL-rmOREST#114 Address:
't City:
State:
City: PORT ST LUCIE State: FL City:
Zip: 34984 -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:
1 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 your Notice of Commencement.
Signature of Owner/Agent/Lessee Sign re of Contractor/License Holder
STATE OF FLORIDA r STATE OF FLORIDA
COUNTY OF COUNTY OF
me cknowl �by
The f stru t acknowledged before me
The oft, V
*in me t s acknowledgefore me this day of 20 "y
this day of 20
I -CA,
CLEVENIELSEN -k CA
(Name f person acknowled Q a of perFoFt acknowled in
(Sig'Ature of Notary Pub ate of iFida) i nature of Notary Publi ate of or*
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Produced Type of Identification Produced_
Commission No. #INotary Pubvgw of Florida Commission No. tarV Public Florida
Eucia Cris oforo Lucia Cnstoforo
I Ay commission FF 079827 M Commission FF 079827
I
42;2012047
or xpires 1212912017
Revised 07/15/2
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE