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20 1 702 03
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: /J t1i(1 I Permit Number: C7
RECEIVED
Ell,ui feiLr lication
Planning and Development Services PERMITTING
Building and Code Regulation Division St. Lucie County,FL
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR:. Dock/Seawall
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Address: 10701 S OCEAN DR 654 JENSEN BEACH, FL 34957
Legal Description: VENTURE OUT-SECTION C-LOT 55(OR 3428-2668) 10701 S OCEAN DR 654
Property Tax ID#: 4511-805-0055-000-2 Lot No. 55
Site Plan Name: REMIS Block No.
Project Name: REMIS
Setbacks Front Back: Right Side: Left Side:
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1. FURNISH AND INSTALL UP TO 34 L. FT OF SEAWALL
2. FURNISH AND INSTALL 1 PC. DOCK ( 2' X 4' X 12' ) FEB 012011
ENVIRONMENTAL,
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Additional work to be erformed un er t is permit—check all apply:
LIElectric 0 Plumbing _ E]Sprinklers 1:1 Generator F]Roof Roof pitch
Total Sq. Ft of Construction: S Ft.of First Floor: '
Cost of Construction:$ 20,000.00 Utilities. Sewer Septic Building Height:
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Name MARIO&ANABELLE REMIS Name: ROBERT WILLIAMS
Address:10300 NW 17TH STREET Company: WILCO CONSTRUCTION INC
City: CORAL SPRINGS State:FL Address: 10751 ORANGE AVE
Zip Code: 33071 Fax: City: FORT PIERCE State:FL
Phone No.305-968-1546 Zip Code: 34945 Fax: 772-460-6929
E-Mail:MREMIS33@GMAIL.COM Phone No. 772-460-6928
Fill in fee simple Title Holder on next page(if different E-Mail: WILCOINC@BELLSOUTH.NET
ifrom the Owner listed above) State or County License: 29115
If value of construction is$2506,or more,a RECORDED Notice of Commencement is required.
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DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: DANIEL PAUL RETHERFORD Name:
Address:1402 HARTMAN ROAD Address:
City: FORT PIERCE State: FL City: State:
Zip: 34947 Phone: 772-224-9e26 Zip: Phone:
FEE SIMPLE'TITLE HOLDER: _Not Applicable BONDING COMPANY: _Not Applicable
Name: 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
commencing work or recording our Notice of Commencement.
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Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA C I ,A � STATE OF COUNTY OF
COUNTY OF J l�
The forgoing instrument was acknowledged before me The f Ding instru"�ent was acknowledged before me
this day of 20�12by this day of V A 20 jJ by
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(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary Publl - a e of Florida) (Signature of Notary Public-State of Florida)
Personally Known OR Produced Identification Personally Known L_�OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. •' 4 *GERALD
DA
ISSCommission No. "n•Pj D 6Yi4
_ y ",iY G�11fi�Jrs F 77529 '-• .. P RES D Iember 17,2017
• ;$F 9c^3ed•fhru I.c,.'r 11&'^l.1alenvrhm
Revised 07/15/20 "
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVJfW
DATE `
COMPLETE 1 \
INITIALS