HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE f�
INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
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Date: � l�2_1 Permit Number:
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Building Permit Application W CMo
Planning and Development Services uv+ .CD J
Building and Code Regulation Division r u,
2300 Virginia Avenue, Fort Pierce FL 34982 X a
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PERMIT APPLICATION FOR: Dock/Seawall
PROPOSED IMPROVEMENT LOCATION:
Address: 17 MAJESTIC WAY, FORT PIERCE, FL
Legal Description: QUEENS COVE - UNIT 1 - BILK 18 LOT B
Property Tax I D #: 1414-701-0170-000-8
Site Plan Name: WYNNE
Project Name: WYNNE
Setbacks Front Back:
DETAILED DESCRIPTION OF WORK:
Right Side: Left Side:
Lot No.
Block No.
REPAIR EXISTING 110 L. FT. OF SEAWALL, REMOVE & REPLACE EXISTING DOCK AND
INSTALL A BOAT LIFT
CONSTRUCTION INFORMATION:
Additional work to be nerformed under this permit —check a apply:
11HVAC L_I Gas Tank ❑Gas Piping _ Shutters a Windows/Doors
11 Electric 0 Plumbing Sprinklers ElGenerator El Roof Roof pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 110,000.00
S of First Floor: _
Utilities:Ft. Sewer []Septic
Building Height:
'OWNER/LESSEE:
CONTRACTOR:
Name WYNNE, JAMES & JAMIE
Name: ROBERT WILLIAMS
Address: 547 WASH ROBERTS LN
Company: WILCO CONSTRUCTION INC
Address: 10751 ORANGE AVE
City: MCMINNVILLE State: TN
Zip Code: 37110 Fax: NIA
City: FORT PIERCE State: FL
Phone No. NIA
Zip Code: 34945 Fax: 772-460-6929
E-Mail: BUDWYNNE@AOL.COM
Phone No. 772-460-6928
Fill in fee simple Title Holder on next page (if different
E-Mail: WILCOINC@BELLSOUTH.NET
State or County License: SCC131151026 29115
from the Owner listed above)
If value of construction is $2500 or more, a RECORDED Notice oT commencement is requires.
SUPPLEMENTALCONSTRUCTION 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
Zip: 34947 Phone: 772-224-9826
City: State:
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
commencin recording your Notice of Commencement.
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Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA � I ,,
COUNTY OF S�) — UCOUNTY OF l.�Lt C
The for oing instrument as acknowledged before me
this 3, day of 20,;�!_by
(Name of person acknowledging)
(Signature of Notary- Public- State of Florida )
Personally Known ✓/ OR Produced Identification
Type of Identification Produced
Commission No. . 4Pti®. DAWN F(W9PJ_D
�. MY COMMISSION! it GG 162348
Bonded Thru Notary Public Undeivmters
Revised 07/
The forgoing instru lent was acknowledged before me
this( day of 20 by
�(q- Wd�li4ms
(Name of person acknowledging)
(Signature of Nota ry P/ublic- State of Florida
t)
Personally Known " OR Produced Identification
Type of Identification Produced
Comm
MY COMIMISSION O GG 162348
Bonded'mru Notary Public Underwriters
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS