HomeMy WebLinkAboutBuilding Permit Application ALL APPUCA13LE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED 1 1
Date: Permit Number: 1 1
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Building Permit Application OCT 0 6 2017
Planning and Development Services PERMITTING
Building and Code Regulation Division 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
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Address: 123 QUEEN BESS CT FORT PIERCE FL 34949
Legal Description. LOT L,BLOCK 16,QUEENS COVE UNIT 1 123 QUEEN BESS CT FORT PIERCE FL 34949
Property Tax ID#: 1414-701-0156-000/4 Lot No.L
Site Plan Name: CUERVO Block No. 16
Project Name: CUERVO
Setbacks Front Back: Right Side: Left Side:
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1]HVAC Gas Tank DGas Piping _Shutters Q windows/Doors
F]Electric F]Plumbing Sprinklers I Generator 1:1 Roof Roof pitch
Total Sq.Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ 94,5t� Utilities. Sewer Septic Building Height:
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Name LUIS CUERVO Name: ROBERT WILLIAMS
Address:123 QUEEN BESS CT Company: WILCO CONSTRUCTION INC
�Clty: FORT PIERCE State:FL Address: 10751 ORANGE AVE
`Zip Code: 34949 Fax:N/A City: FORT PIERCE State:FL
`Phone No.772-332-282Q Zip Code: 34945 Fax 772-460-6929
jE-Mail:N/A Phone No. 772-460-6928
Fill in fee simple.Title Holder on next page(if different E-Mail: WILCOINC@BELLSOUTH.NET
Irom the Owner listed above) State or County License: 29115
,1f value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: y Not Applicable
Name: DANIEL PAUL RE71-IEWORD Name:
Address:14M HARTMAN RD Address:
City: FORT PIERCE State: FL City: State:
Zip: sas47 Phone: 772-224-932r- 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
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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 v,4r or recording your Notice of Commencement.
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k%ignatufe of Owner/lessee/Contractor as gent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF Cl/ COUNTY OF W&
iThe 0'pwris' trurriefit was acknowledgqd.4fore me The for oing instrument was acknowledged before me
'thisV day of 20 v L 5- _1\ this day of 20 _n by
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ture of tary Pu I (Signature of Notary Public-State of Florida
Personally Known :P odu(%dRlentifIC igr1 Personally Known OR Produced Identification
Type of Identification Prod- OFF 053276 Type of Identification Produced
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Commission No. AVM FITLG Q1
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My MMMIISSION FF 07 29
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=W. EXPIRES'December 17,2017.
Revised 07/1512014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
-COMPLETE