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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION Td BE ACCEPTED �y
Date: 9'd3 • 17 Permit Number: RECEIVED
•
Building Permit Application MAR 2 3 2017
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 yes
PERMIT APPLICATION FOR: Dock/Seawall
PROPOSED IMPROVEMENT LOCATION:
Address: 3717 South Indian River Dr. Fort Pierce, Florida 34982
Legal Description: 26 35 40 S96.22 ft of N383.77 ft of S 1/2 of SE 1/4-less road and less FEC-41
Property Tax ID#: 2426-431-0003-000-9 Lot No.
Site Plan Name: Block No.
Project Name: Dock
Setbacks Front Back: Right Side: Left Side:
DETAILED:DESCRIPTION OF WORK:
Install a 4'x 344' dock with a 10'x 16' platform and a 390 square foot covered roof mooring area.
Solar boat lift permit to be pulled at a later date.
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit—check all that apply:
11HVAC Gas Tank ❑Gas Piping _Shutters Q Windows/Doors
Electric Plumbing 1:1U Sprinklers E]Generator E] Roof F-71 Roof pitch
Total Sq. Ft of Construction: 1,926 S . Ft.of First Floor:
Cost of Construction:$ 50,000 Utilities:cn Sewer E]Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
NameAndrew Sleszynski Name: Scott Szafranski
Address:3717 S Indian River Dr Company: Harbor Bay Marine Industries Inc.
City: Fort Pierce State:Fl Address: 1525 SE Cambridge Dr
Zip Code: 34982 Fax: City: Port St. Lucie State:FI
Phone No. Zip Code: 34952 Fax:
E-Mail:isaski777@comcast.net Phone No. ~/�•3.3J / D
Fill in fee simple Title Holder on next page(if different E-Mail: harborbaymarine@aol.com
from the Owner listed above) State or County License: 18367
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 Name:
Address:1984 Bfltmore st Address:
City: Port StLude State: Fl City: State:
Zip: 34984 Phone: Cn2)785-9888 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 intendltq obtain financing, consult with lender or ttorney before
commencing work or recordin ce of Commencement.
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Signature of Ow L e ontracto a nt for . ` Signatu f C a cerise Holder
STATE OF FLORID o STATE OF FLORIDA
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The forgoing inst ent was acknowledged before m The for oing instrument was acknowledged befor eiF mo 9
this day of 201�by Z thi: day of?22A t� ,20 y by �''po
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(Name of person acknowledging) (Name of person acknowledging)
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(Signature of No Public-State of Florida) (Signature of ary/Public-State of Florida)
Personally Known OR Produced Identification Personally Knowe OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. (Seal) Commission No. (Seal)
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE LL ( r 7
INITIALS