HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 02/19/2021 Permit Number:
U h,
° Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential X
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: Dock & Boat Lift
PROPOSED IMPROVEMENT LOCATION:
Address: 6603 S Indian River Drive, Fort Pierce FL 34982
Property Tax I D #: 3412-141-0002-000-2 Lot No. 2
Site Plan Name: Wurtenberg Block No.
Project Name: Wurtenberg Dock
DETAILED DESCRIPTION OF WORK:
Remove existing 10x20 Terminal Platform. Construct a 4xl65 extension to existing Walkway to a new 8x20 Terminal Platform.
Remove (3) existing Mooring pilings. Install (2) Boat Lifts.
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit —check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters _ Windows/Doors _ Pond
_ Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction: 1258 Sq. Ft. of First Floor:
Cost of Construction: $ 128,300.00 Utilities: _Sewer Septic Building Height:
OWNER/LESSEE:6603 SIRD LLC
CONTRACTOR:
NameKenneth Wurtenberg
Name: Steve Caswell/Robbie Belasic
Address: 5791 B NW 15th Street
Company: Custom Built Marine Construction
City: Miami Lakes State: _
Zip Code: 33014 Fax:
Phone No.(305) 527-5858
Address:3119 Hammond Drive
City: Fort Pierce State: FL
Zip Code: 34946 Fax: (772) 333-2390
Phone NO(772) 333-2383
E-Mail:kwcpa@acpas.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mailsteve@custombuiltmarine.com
State or County License CGC1504917
It value of Construction is Z7uu or more, a KtLUKULu iwucc ul a.mumcrnmuc 11 o-14—cv.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _
Name: P-1 weave. Inc
Not Applicable
MORTGAGE COMPANY:
Name:
_ Not Applicable
Address • 1— SW Bmmore Srreer
Address:
City: Pon&Luale
Zip: 349M Phone (772)785-9999
State: FL
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER:
Name:
Not Applicable
BONDING COMPANY:
Name:
_Not Applicable
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
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 paying twice for
improvements to your property. A Notice of Commencement must be recorded in the public records of St.
I rrriP Cnimty and nosted on the iobsite before the first inspection. If you intend to obtain financing, consult
before commencin work or recordina your Notice oT L,
Signature df wn essee/Contractor as Agent for Owner I Sigrsature-oT c,ontractor/uceryre noiaer
STATE OF FLORFA 1 STATE OF FLORIPA,
COUNTY OF COUNTY OF .,�r\� un�
Sworn to (or affirmed) and subscribed before me of
10 Physical Presence or —Online Notarization
this.dayof fno--,h 1 .202p by
1<Pxyw-i�� `WLLrT rGk
Name of person making statement
Sworn to (or affirmed) and subscribed before me of
Physical Presence or —Online Notarization
this _ day of ('\arcyi 2020 by
Name of person making statement
Personally Known OR Produced Identification Personally Known V OR Produced Identification
Type of Identification Type of Identification
Produced 'FL pL Produced
o NotaryWublic-St Signature of Notary P SAg INA BUTLER
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