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HomeMy WebLinkAboutBuilding permit app I • • I 4 ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 10- I^2�Z v Permit Number: I ' 0 ffiD • - r a Building Permit Appfoc�tign Planning and Development services Bur,'lding and Code Regulation Division 2300 Virginia Avenue,Fort Pierce FL 34992 Phone: (772)462-1553 Fax:(772)462-1578 Commercial Residential X PERMIT APPLICA71 ION FOR: DOCK AND BOAT LIFT i?R Ross IMP-RO:VEMiENT,LOCATION Address: s• 917 JACKSON WAY,FORT PIERCE,FL 34949 Legal Description: COASTAL.COVE-UNIT 1 -LOT 24(OR 3694-964) Property Tax ID t#; 1423-802-0026-000-2 Lot No.24 Site Plan Name: FASNACHT Block No. I Project Name: FASNACHT'-DOCK&BOAT LIFT Setbacks Front Back: Right Side: Left Side: C�i_TAILEI� I�. �CRII�TI�}N° F'1I1/�}RI< � 1 INSTALL A NEW 800 SQ FT DOCK , 2. REMOVE AND REPLACE 1 PC. BOAT LIFT dnnttiona,wor c to e performed under this permit—c ec=rS HVAC Gas TankGas{piping 0�Windows/Doors Electric Plumbing —ISpriniders L�J Generator L�1 Roof � f�oaF pitch I Total Sq. Ft of Construction: Sr.Ft.of First.Floor: _ r t j. .�i4 I Cost or Cgnstruction:� 42,000.000 Utilities:L�,ISewer I�1Septic Buildini;.{-Icit,lrt: VUI\ICR/LELI*:: CO�#TRl�CTOR. Name FASNACHT,DEBRA 1Name: ROBERT WILLIAMS i Address:9,17 JACKSON WAY Company: WILCO CONSTRUCTION INC. City: FORT PIERCE ^State:FL Address: 1075-1 ORANGE AVE. it Zip Code: 34949 Fax:NIA City: FORT PIERCE State:FL Phone No.772-489-:3771' Zip Code: 34945 Fax: 772-460-6929 E-Mail:.N1A _ Phone No; 772-460-6928 Fill In fee simple Title Holder on next page(if different E-Mail: WILCOINC@BELLSOUTFI.NET from the Owner listed above) State or County License: SCC13115.1.026 29115 If value of construction Is$2.500 or more,a RECORDrD Notice of Cornmencerrrent is requirki. i i i SUPPLEMENTAL CONSTRUCTt(7N L:I.EN LAW INF(�'RMATION: �. �.. DESIGNER/ENGi1NEER: _Not Applicable .MORTGAGE COMPANY: x-Not:Applicabie Name: DANIEL PAUL RETHERFORD Name: Address:14.02 HARTMAN RD Address: City: FORTPIERCE State: FL City: State: Zip: 34947 Phone: 772-224-9826 Zip: Phone: FEE SIMPLE TITLE HOLDER:' x Not Applicable BONING COMPANY: Not Applicable Name: Name: Address: Address: City: City: 4 Zip: Phone: Zip: Phone: I certify that no work or installation has commenced prior to the issuance of a permit. St.Lucie Countyy 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 andSt.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,Novice 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. s Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Connr for/Licens p lder STAVE OF FLORIDA STATE OF FLORIDA LJ COUNTY OF COUNTY OF The for oing instr a was acknowledge before me The forgoing instrument was acknowled ed before me this a of 2 b this May of 20 y y Y. III (Name of person acknowledging) (Name of person acknowledging) (Signature of Notary Public-State of Florida} (Signature of Notary Public-State of Florida Personally Known V OR Produced Identification Personally Known OR Produced Identification Type of identification Produced Type of identification Produced Commission N »Y r DAWN F!12r( )� � Commission N& ` nPwCIrITZGlB9i�) ) my 0M. ul 1i�a. t7234ti A ; ' P)� t %,y GOMi4{I."-,Sf©M t G(i 16234E3 ! �", i flV(. :, camber V,24 11A + z, ' FSmdet St.".i-,:o:;ry L'omiaG`(Bnt�?staryPuU'ir.Under niters Revised 07/13,MfP - REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS t