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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
{ I Permit Number:
Date:MA
MAY 1 7 2017
REMY Building Permit Application PUL' 0".".
Planning and Development Services s _ s._ !
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
r�
Address: 3909 SHORESIDE DRIVE LOT 8 FORT PIERCE FL
Legal Description: TARPON FLATS SUBDIVISION (PB 69-27) LOT 8(OR 3793-1161 )
Property Tax lD#: 1423 0011-000-1 Lot No.8
Site Plan Name: TARPON FLATS LOT 8 Block No.
Project Name: TARPON FLATS LOT 8
Setbacks Front Back: Right Side: left Side:
ENNA
Additional work to e e orme under this permit—check a apply:
OHVAC 11 Gas Tank ❑Gas Piping fl_Shutters Q Windows/Doors
11 Electric 0 Plumbing Sprinklers 0 Generator Roof Roof pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction:$ 11,000.00 Utilities:0Sewer Septic Building Height:
4• .A' AIN , 100,
Name MICHAEL MCDONALD Name: ROBERT WILLIAMS
Address:4860 SMALLWOOD CHURCH ROAD Company: WILCO CONSTRUCTION INC
City: INDIAN HEAD State:MID Address: 10751 ORANGE AVE
Zip Code: 20640 Fax:Nla City: FORT PIERCE State:FL
Phone No.561-799-5900 X 105(FRAN) Zip Code: 34945 Fax: 772-460-6929
E-Mail:FRAN@PHOENIXCOMPANIESFL.COM Phone No. 772-460-6928
Fill in fee simple Title Holder on next page(if different E-Mail: WILCOINC@BELSOUTH.NET
from the Owner listed above) State or County License: SCC131151026 29115
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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f `f�'11(.1�.` s .�' , ;3'�'. it >Y %r t;7 w ,. "`` ,so-+s,r ...s, r 9` _e :+
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-se26 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.
s
Signature of Owner/lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORID)i&
STATE OF FLORIDA �y LA
COUNTY OF 1 COUNTY OF L.
The ftugoing inst a was acknowl dgef�fore me The forgoing instrument was acknowledge
s/ fore me
this _day 2q(1—by this�day of 17-c-A 20 by
2Z�1_0 OL60ed(4-
-✓C��- Wa��CffYLs
(Name f person acknowledging) (Name of person acknowledging)
U
(Signature of Notary
yPu ic-Slote of Florida} (Signature of Notary
Public-State of Florida)
Personally Known V Personally Known OR Produced Identification
Type of Identification e CESDONZA Type of Identification Produced
' g EXPIRES: my 27,2017
Commission No. 'U, eonaearn�&eal�Puw�unaen,�sers Commission No.
�+'ry�:: DAWN FITZGE
;. MY COMMISSION Ik FF 077520
Revised 07/15/2014 ~ BondedTbru No Public
f 5
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS
I
08/01/2017 14:55 FAX 7724606929 WILCO Q 001
HE CIRCUIT COURT — SAINT LUC�CONY
JOSEPH E. SMITH, CLERK 17 11 :30:07 AM
BILE # 4335757 OR BOOK 4025 PAGE 1150, Recorded 07j31.
PAXED S.
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�BMI;T.lfl7t19E31:1—IDS
— /tea 1t , I :�,:•�I^e n rtrrw.�in, -u,c,v�w�
1 a? /ylN NOTICE
t CE OF Q)MMNCP_MZN_T �J
7'he,xkv;iplYed ba*Y Oven apnea that im mvaratat will Lc made to a:ermin Mai property,and in accordance with Clmpmr 713,
FlOriaba atatd(ea the following information is provided in don Notice of cat uneocemmt.
1.DB5CRRrnON OF PROPERTY Q,egal description and atrcct Wdmac)TAX FOLIO NDM ER:1423.)0&OOi
SUBDrVM0N TARPON MTSALOcy__TRACTf LOT BLDt: UNST
TARPON FIAT&SUBDIVISION(Dii 8Q 27)lOT 8 i0R 3783 17tf1) 390y SHORF,glOE OR FORT PIERCE
Z GENERAL T)ESCRW"ON OF IMPROVE]KENT-,FURNISH AND INSTALL 1 PC UP TO 404 SQ FT POCK
3.OWNER]NFOPMAT10Nt I Ntrme MICNAEL MCDOP)A�D
K Add,=3009 SHORESIDE DRIVE,FORT PIERCE c tnurma in property OtMYE12
d.Nxmr.and ad&Eps of toe,cimple titleholder of on,a Than uumer)
4,CONTRA CTOR'S NAME,ADDRESS AND PHQA-ENumSER•""Op00M671"T1°ninc,om,atvwaeavQnnencana"M4" a
5.SURRTY'S NAME,ADDRW AND PHONE NUMER AND BOND AMOUNT.
6-LINDER$NAME.ADDRESS AND PHONE NU*r oMtT _
7.Pavanes widna the Suun of Florida deeigmAd by Owner upon wbtan nodew or other do..n=may 4c rmad a7 provided by
i section 713.13(1Ha)7.,Flotido Somme!
A&MR.ADllAE55 A7 M ream NUN!'dER:.. _
IL in ttddttino to hiarmlf or he6elf,Ow—designate the following to=Ewe a copy of the Lieaor s Nob=m Tmvided in Secr(ou
713.13(1)(b)•Fkmida5tml iw
I NAM&ADD TS AND YRONIE NUMRM--
9-FApcadon data of notica of commancemcnt(fbe exp/raUOn dare to 1 year ftm the dato of meotding ualcn e,tilymerat data iv
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