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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED 1
Date: Permit Number: I� `
17
LIAR 2 7 201?
Building Permit Application PERFI1i1TTIP,SG
Planning and Development Services St. Lucia Caunty7, FL
Building and Code Regulation Division
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: 10751 S OCEAN DR 1315
Legal Description. 113741 FROM SWCOR OF SEC 12-37-41 RUN N89 DEG 55MIN 14 SEC EALG S SEC U n4.41 FT TO C/L OF AIA.TH N23 DEG 49 MIN 31SECWALG SO C41.2921.33FT.THS88 DEG 10 MIN 29 SEC W 290.01 FT.THN97 DEG 33 MIN 17SE1
MIN 57 SEC W 84.D4 FT,TH S 00 DEG 09 MIN 27 SEC E 179.78 FT TO POB.TH S 00 DEG 09 MIN 27 SEC E 59.%FT.TH S 89 DEG 53 MIN 44 SEC W 11231 Fr.THN 00 DEG 05 MIN 05 SEC W 59.96 FT.TH N 89 DEG W MIN 44 SEC E 11223 Fr TO POB(B15)(OR 1121-2905:2717-1827)
Property Tax ID#: 4511-311-0044-000-6 Lot No.1315
Site Plan Name: Block No.
Project Name: SCHMIDT DOCK REPAIR
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
REPLACE AN EXISTING RESIDENTIAL DOCK — 7\to C
CONSTRUCTION INFORMATION:
Additional work to be performed under t is permit—check all that apply:
_HVAC _Gas Tank —Gas Piping _Shutters _Windows/Doors
_Electric _Plumbing _Sprinklers _Generator _Roof
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
Cost of construction: $ 5 wab va Utilities: =Sewer _Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name DIANE SCHMIDT Name:
Address:10751 S OCEAN DR Ell Company: TREASURE COAST BARGE INC
City: JENSEN BEACH State:FL Address: 1200 SE CUTOFF ROAD
Zip Code: 34957 Fax: City: STUART State: FL
Phone No. 203-206-3787 Zip Code: 34994 Fax: (772)221-1611
E-Mail: ecpfuels@snet.net 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 INFORMATION:
DESIGNER/ENGINEER: _ 10, plicable .;MORTGAGE COMPA _Not Applicable
Name: PAULWELCH Name:
Address:1984 SW BILTMORE ST#114 Address:
City: PORT ST LUCIE State: FL City: State:
Zip: 34984 Phone: V72)78e-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 intend to obtain financing, consult with lender or an attorney before
commencing work or recording our Notice of Commencement.
OIA12� 9 . ()C I�� c") () ( A
Sign'a ture of O r/Agent/Lessee r—� Sig Mature of Contractor/Li a Holder
UAL
STATE OF FLORIDA STATE OF FLORIDA�(�'
COUNTY OF �� .�(/C.<C� COUNTY OF Y i► � lLl
The forg ing instrum nt was acknowledged before me The fQrg?irfL+Stru t was a knowledge before me
this_rday of &* 20 1-by this /day of 20 y
(Name of person acknowledging) (Nam f person acknowled n )
(Signature of Notary Public-State of Florida) (Signature of Notary Pub c-State of FI rid
Personally Known L,�-' OR Produced Identification Personally Knowr��OR Produced Identification
Type of Identification Produced
Type of Identification Pr duced yP
Notary Public `Starr.of Florida
Commission No. 6 j ` % C(&M4S1oo # FF 996539 Commission No.
����e: Bonded throuf My Comm.gh ices National Notary 2020 Notary Public State of Florida
MV Assn
Commrssror•F�p79827
Revised 07/15/2014
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