HomeMy WebLinkAboutBuilding Permit Application i y-r
i
i
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
rlDate: Permit Number:
_C' RECEIVED
Building Permit Application
-OCT 0 . 2017
PERMITTING
Planning and Development Services St. Lucie County, 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 lfVIPROVE,MENT�=LO;CATIO;N , =r; t�w `, asr 'k* x, ,
Address: 26 AQUA RA DR
Legal Description: WINDMILL VILLAGE BY THE SEA-UNITTWO-BLK A
roperty Tax ID#: 4511-811-0003-000-2 Lot No.2
Site Plan Name: Block No. A
roject Name:
COSTANZO DOCK
Setbacks Front Back: Right Side: Left Side:
QE,AILED DESCRIPT,IONFOF
CONSTRUCT A RESIDENTIAL DOCK& BOAT LIFT �.
P LD ((Le D b v ft4_�S .
COfNSTRUCTI;ON INF®RMPiTIONgi'
.� - �._ , 4,r,, ,���.:K,..,.r, c:.
b
itiona wore to e e orme under this permit-check a apply:
❑HVAC Ll Gas Tank ❑Gas Piping _Shutters Q Windows/Doors
❑Electric ❑ Plumbing ❑Sprinklers ❑Generator ❑Roof
Total Sq. Ft of Construction: S . Ft.of First Floor:
Cost of Construction:$ '.a f1 Utilities: Sewer❑Septic Building Height:
F 'd � ' ,y✓z. � J r �, _.s, : :- 'u zd..;�a� tr `t�'�s �' �.ha S• sk'� G 1"
tOUVNB LESSEE { CONTRACTOR Fv 7�#' ; a
Name DIANE COSTANZO Name:
Address:26 AQUA RA DR Company: TREASURE COAST BARGE INC L L s-e
City: JENSEN BEACH State:FL Address: 1200 SE CUTOFF ROAD
Zip Code: 34957 Fax: City: STUART State:FL
Phone No.561-436-4485 Zip Code: 34994 Fax: (772)221-1611
E-Mail:winestreet@aol.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
I
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
i
I
S;UPPLEIVIENTALCONSTRUCTINLIENI:AW INFORMATION:
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: PAULWELCH Name:
Address:1984 SW sILTMORE ST#114 Address:
City: PORT ST LUCIE State: FL City: State:
Zip: 34984 Phone: (772)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
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, onsult with lender or an attorney before
commeing work or recording our Notice of Commencement.
I �
i
Signature of Owner/Agent/Lessee Si ature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF M 41,e T, „1 COUNTY OF
The forgoing instrument was acknowledged before me The f�r�{g�ing instr get vl�as acknowledged me
this dayof -S,F-'1rcr*b6,_ 20�bt this ti day of C�� 20 by
77
(Name of person ackno dging) (Name of person acknowle ing)
C
(Signature of No ry lic-State of Florida) ignature of NotZPlic- te ofrPersonally Known OR Produced Identification Personally Knownroduced Identification
Type of Identification Produced Fio�e,o a P.<1 ver1.2 Type of Identi a
Commission No. =o av,,&, (Seal) Adriana Leon Coi nmission No. (Seal)
* * My Commission Bore
NotaryPublic State of Florida
� Lucia Cristo oro
Revised 07/15/2014 oFt, Commission No.GG 64246 �a� My Commission FF 0798Y7
�fleF Expires 12f29/2017
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
,COMPLETE ��� �
INITIALS
►
i