HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLY-rriD FOR APPLICATION TO BE ACCEPTED --
Date: ,�, �� Permit Number:
Ij
Building Permit Application MAY 0 2 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 '
'PROPOSED IMPROVEMENT LOCATION:
Address: 10701 S.Ocean Dr.,#631,Jensen Beach, FL 34957
Legal Description: Venture Out-Section C-Lot 32(OR 1124-2516)
Property Tax ID#: 451180500320005 Lot No.32
Site Plan Name: Jenkins Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Install 33'+/- new seawall within 18" wet face to wet face of an existing seawall
CONSTRUCTION`INFORMATION:
Additional work to (e nertormed under this permit—check all apply:
11HVAC L_J Gas Tank ❑Gas Piping _Shutters D Windows/Doors
11 Electric F] Plumbing OSprinklers El Generator El Roof Roof pitch
Total Sq. Ft of Construction: S . Ft.of First Floor:
Cost of Construction:$ �����. Utilities:]Sewer 0 Septic Building Height:
OWNERAESSEE " CONTRACTOR:
Name Carolyn Jenkins Name: R.Williams
Address:10701 S.Ocean Dr.,#631 Company: wilco Construction, Inc.
City: Jensen Beach State: FIL Address: 10751 Orange Ave.
Zip Code: 34957 Fax: City: Ft.Pierce State:FL
Phone No.7722292333 Zip Code: 34945 Fax: 7724606929
E-Mail: Phone No. 7724606928
Fill in fee simple Title Holder on next page(if different E-Mail: wilcoinc@bellsouth.net
from the Owner listed above) State or County License: CGC 1507437
If value of construction is$2500 or more,'a RECORDED Notice of Commencement is required.
SUP,PLEMENTAL'CONSTRUCTIO EN LAW INFORMATION.:'
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: I)AMla PAL AU (ZE t Name:
Address: lmin {-#AAV__-rW% rK1 Address:
City: 0 State: 4_(= City: State:
Zip;aWQL4*1 Phone: '1 p o 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
Signatu a of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA S�— J
COUNTY OF a Lkcek-, COUNTY OF
The forgoing instru ent was acknowledged before me The forgoing instrurqent was acknowledged before me
this T day,of 20 aby this -:2_day of 20 by
(Name of person acknowledging) (Name of person acknowledging)
Dw,Y'ty
(Signature of Notaryg Public-State of Florida) (Signature of Notary Public-State of Florida)
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Produced Type of Identification Produced
tiY hpc M1EAGERALD
k DAY(g ig Vic;.
Commission No. �a IE�D Commission No. SIONFFo77529
MY COMMISSIO N FF 077529 EXPIRES:December 17,2017.
EXPIRES:December 17,2017 -�% ;-
•q,cc BondedThr Wry PdlicUndenxr'M
IN
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE IP2
INITIALS