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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED l
Date: Permit Number: I
-
y
33
Building Permit Application MAR 2 7 2017
Planning and Development Services -�j P E R F•!i I TT N G
Building and Code Regulation_Division /J/1e& ' �� 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
,PROPOSED IMPROVEMENT LOCATION:
Address: 3112 NW RADCLIFFE WAY
Legal Description: RIVERBEND(PB 67-36)-LOT 22(OR 3955-238)
Property Tax I D#: 4425-703-0027-000-0 Lot No.22
Site Plan Name: RIVERBEND Block No.
Project Name: SMITT DOCK
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OFWORK: ;
CONSTRUCT A RESIDENTIAL DOCK WITH BOAT LIFT
ELECTRIC WORK TO BE PERFROMED UNDER SEPARATE PERMIT
CONSTRUCTION INFORMATION: ;
Additional work to e e orme under this permit—check a apply:
11HVAC 13 Gas Tank ❑Gas Piping _Shutters Q Windows/Doors
11 Electric 0 Plumbing ❑Sprinklers El Generator E]Roof
Total Sq. Ft of Construction: S Ft.of First Floor:
Cost of Construction:$_ '0 ` Utilities:0 Sewer ElSeptic Building Height:
OWNER/LESSEE: CONTRACTOR: .
Name RICHARD SCHMITT Name: (YAJ
Address:3112 NW RADCLIFFE WAY Company: TREASURE COAST BARGE INC
City: PALM CITY State:FL Address: 1200 SE CUTOFF ROAD
Zip Code: 34990 Fax: City: STUART State:FL
Phone No.561-262-8977 Zip Code: 34994 Fax: (772)221-1611
E-Mail:dckschmitt28@yahoo.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 LIEN LAW 1NFOR(VFATION <�
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: PAULWELCH Name:
Add Tess:1994 SW BILTMORE ST#114 Address:
City: PORTSTLUCIE State: FL City: State:
Zip: W84 Phone: (n)79s mw 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
commenciniz work or recording our Notice of Commencement.
Signature of Owner/ en/Lessee Signature of Contra r/License Holder
STATE OF FLORIDA STATE OF FLORI����LJ V\l 1V
COUNTY OF yYI.!f' '✓L COUNTY OF
The forgoing instrument was acknowledged Wore me The fo int'of um s ackn wledged before me
"�thisday of _ . 20 this day of_ 20by
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(Name of person acknowledging) (Nam f person acknowledging
(Signature of Notary Public State of Florida) A ( ' nature of Notary Publ) tate of FI
Personally Known OR Produced Identification Per onally Known OR Produced Identification
Type of Identification Produced Type of Identif i uced
70 " I�bIarlAM�fi1Tllfb. e I Commission No. Si�) � VALE
MY COMM SSION#FF067332
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(407).398=0183 Floridataryervice.com
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No 07982?
Revised 07/15/2014 I �calros era§ „
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
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