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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED����
Date: Zw Z02� Permit Number: U
Building Permit Application RECEIVED
Planning and Development Services APR 2 8 2011
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982 Permitting Depart en,
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Reside%fte coup
PERMIT APPLICATION FOR: Boat lift
:I?ROPOSED IMiPR'OVE , IENT LOCATION
orlrlracc 15 MAJESTIC WAY, FORT PIERCE, FL 34949
Legal Description: QUEENS COVE - UNIT 1 - BLK 18 LOT C
Property Tax ID #: 1414-701-0171-000-5
Site Plan Name: WYNNE
Project Name: WYNNE
Setbacks Front Back: _
DETALLED' DES:CRfPTION- OF' WORK:
Right Side: Left Side:
DOCK ADDITION AND A NEW BOAT LIFT
Lot No.
Block No.
CONSTRUCTION INFORMATION
Additional worK to b e nertormed un er t is permit - check
�HVAC ❑Gas
all
thatappo
y:
Shutters
Q Windows/Doors
Gas Tank
Piping
Electric Plumbing
Sprinklers
Generator
E] Roof Roof pitch
Total Sq. Ft of Construction:
31,000.00
S Ft. of First Floor:
Eheptic
Height:
Cost of Construction: $
Utilities.
Sewer
Building
OWNER/LESSEE
CONTRACTOR:
Name JAMES WYNNE
Name: ROBERT WILLIAMS
Address:15 MAJESTIC WAY
Company: WILCO CONSTRUCTION INC
City: FORT PIERCE State: FL
Address: 10751 ORANGE AVE
Zip Code: 34949 Fax: N/A
City: FORT PIERCE State: FL
Phone No. N/A
Zip Code: 34945 Fax: 772-460-6929
E-Mail: N/A
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 regwrea.
J
SUPPLEMENTAL CONSTRUCTION UEN :LAM
DESIGNER/ENGINEER: Not Applicable
Name: DANIEL PAUL RETHERFORD
Address: 1 402 HARTMAN RD
CItV: FORT PIERCE
Zip: 34947 Phone: 772-224-9826
State: FL
ORMATION:
MORTGAGE COMPANY:
Name:
Address:
Citv:
Zip: Phone:
x Not Applicable
State:
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 w r recording our Notice of Commencement.
Signature
as Agent for Owner I Signature
STATE OF FLORIDA
COUNTY OF
The fo going instrum t was,acknowledged before me
this day of 20 ajby
Z� wak' q,ms
(Name of person acknowledging)
(Signature of Notary Public- tate of Florida )
Personally Known OR Produced Iden i
Type of Identifjnsc--
Commission
Revised 07/15/2014
MY COMMISSI01� gal} 2021
ce E
--ExMS: De
Bonded 7hru Nctary Publicublic Underwriters
STATE OF FLORIDA
COUNTY OF
Holder
The for Ding instrurr� nt was acknowledged before me
this day of 20 ' ( by
)tA- Via I I ( IM
(Name of person acknowledging)
(Signature of Notary Public- State of Florida )
Personally Known OR Produced Identification
Type of Identification Produced
*_ MY COMMISSION i# GG 162348
Bonded 7hru Notary Public Undervriters
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS