HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number.
• I
Building Permit Application RECEIVED
Planning and Development Services JUN 1 4:2021
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982 PermittingS ule Department
Phone: (772)462-1553 Fax:(772)462-1578 Commercial ResiC�ential X
PERMIT APPLICATION FOR: Dock/Seawall
"-PRO`POSED IM'PROVEMENTLOCATION;:
Address: 405 NETTLES BLVD.
Legal Description: NETTLES ISLAND INC,A CONDO-SECTION II PARCEL 405 ANDPRO-RATA SHARE IN COMMON ELEMENTS(OR 3865-678;3865-684)
Property Tax ID#: 4502-501-0591-000-0 Lot No.
Site Plan Name: LUNT Block No.
Project Name: LUNT-DOCK
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
REPLACED EXISTING 522 SQ FT DOCK AND INSTALL A 46 SQ FT DOCK EXTENSION.
CONSTRUCTION INFORMATION:
Additional work to be nertormed under t ispermit—check all apply:
11HVAC Gas Tank Gas Piping In_Shutters ❑Windows/Doors
11 Electric ❑ Plumbing Sprinklers E Generator Roof Roof pitch
Total Sq. Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ 20,000.00 Utilities:Sewer Septic Building Height:
OWNER/LESSE;E: `CONTRACTOR;
Name LUNT,CASEY&CHESTER Name: ROBERT WILLIAMS
Address:11 NEWPOINT LN Company: WILCO CONSTRUCTION INC
City: EAST MORICHES State:NY Address: 10751 ORANGE AVE
Zip Code: 11940 Fax:N/A City: FORT PIERCE State:FL
Phone No. Zip Code: 34945 Fax: 772-460-6929
E-Mail: Phone No. 772-460-6928
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: SCC131151026 29115
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
lJ
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: X Not Applicable
Name: DANIEL PAUL RETHERFORD Name:
Address:1402 HARTMAN RD Address:
City: FORT PIERCE State: FL City: State:
Zip: 34947 Phone: 772-224-9826 Zip: Phone:
FEE SIMPLE TITLE HOLDER: X 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 ontractor as Agent for Owner Signature of Cont r icense Holder
STATE OF FLORIDA ',c I '' STATE OF FLORIDA�j�
COUNTY OF y� mil.Ulu COUNTY OF J wap
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledgedbefore me
this L day of sT(J�� 20�by this day of y('t1� ,20 by
fdwy�s _ 1�L u arnvs
(Name of person acknowledging) (Name of person acknowledging)
T)a
(Signature of Notary Public-State of Florida) (Signature of Notary Public-S ate of Florida
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Personally Known " OR Produced Identification Personally Known !/ OR Produced Identification
Type of Identification Produced Type of Identification Produced
.`f�Y�gg�;., DAWN FITZGERALD
Commission No. p COMMIS&FI4GG162348 Commission No.
b'?4: :'AC .`•PA�NUB DAWN FITZGERALD
;o EXPIRES:December 17,2021 =20.••...�c
bticUndervrriters - COMMISSION GG 162348
DUH
EXPIRES:December 17,2021
Revised 07/15/ ;OFF;°•� Bonded Thru Notary Public Underwriters
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS