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HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED. FOR APPLICATION TO BE ACCEPTED Permit Number: ak c %, W-S-1 Date: RECEIVED SOWng Permit Appkati®n AUG 0 4 2021 Planning and Development Services St. Lucie County Building and Code Regulation Division Permitting 2300 Virginia Avenue, Fort Pierce FL 34992 X Commercial Residential Phone: (772) 462-1553 Fax: (772) 462-1578 PERMIT APPLICATION FOR: occjL600-4 Ll-¢f- 'PROPOSED-IMPROVEMENT,LOCATI'ON Address: 10701 S OGEAN DR LOT 837 Legal Description: VENTURE OUT AT INDIAN RIVER, INC LOT 837 Property Tax ID #: 4511-510-0038-000-2 Site Plan Name: LANGONE Project Name: LANGONE - a:CC t E300+ Setbacks Front Back: Right Side: Left Side: -_DETAILED DESCRIPTION OF'W RK 'CON-STRUCTION `l�NFORMATION , Additional wor <to b rtormed un er t is permit— c _ec < a ` app y: ❑_ HVAC Gas Tank ❑Gas Piping _Shutters ❑ Electric Plumbing Sprinklers Generator Total Sq. Ft of Construction: "v S Ft. of First Floor; _ © Cost of Construction: $ � /000. .Utilities: _Sewer ,Septic .Lot No. 837 Block No. F]Windows/Doors 01 Roof Roof pitch Building Height: OVVRI'ER/LESSEE:, CONTRACTOR: . Name LANGONE, LEONARDO Address: 6350NW 95TH LANE Name: ROBERT WILLIAMS Company: WILCO CONSTRUCTION INC Address: 10751 ORANGE AVE City: PARKLAND State: FL Zip Code: 33076 Fax: N/A Phone No. 954-681-6784 City: FORT PIERCE State: FL Zip Code:. 34945 Fax: 772-460-6929 Phone No. 772-460-6928 E-Mail: WILCOINC@BELLSOUTH.NET State or County License: SCC131151026 2911.5 E-Mail: N/A Fill in fee simple Title Holder on next page (if different from the Owner listed above) If value of construction is $2500 or more, a RELUKUtU IVouce oT LomrnenccmcnL 13 1=4w -u SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: X Not Applicable Name: DANIEL PAUL RETHERFORD Address: 1402 HARTMAN RD City: FORT PIERCE State: FL Zip: 34947 Phone: 772-224-9826 FEE SIMPLE TITLE HOLDER: x Not Applicable Name: Address: City: Zip: Phone: Name: Address: City: Zip: Phone: State: BONDING COMPANY: Not Applicable Name: _ Address: City:_ Zip: — I certify that no work or installation has commenced prior to the issuance of a permit. Phone: 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 your Notice of Commencement. Signature ofOwner/Lessee/Contractor as Agent for Owner STATE OF FLORIDAC_�— COUNTY OF UJ 64, The f rgoing instrum nt was acknowledged before me this_d l day of 20 4by l (Name of person acknowledging) (Signature of Notary - State of Florida ) Personally Known OR Produced Identification Type of Identification Produced Commission DAWN FI TZG(r'� Ibi COMMISSION #k GG 1�62348 `e EXPIRES: December 17, 2021 Revised s Signature of ontractor/License Holder STATE OF FLORIDA c L � 1 �[ ICp � COUNTY OF The forgoing instru ent was acknowledged before me this A day of 20 4 by (Name of person acknowledging ) , _� CL (Signature of Notary Public- State of Florida ) Personally Knowny OR Produced Identification Type of Identification Produced Commission MY COMMISSION 1# GG 162348 Bonded Thru Notary Public Underwriters REVIEWS FRONT COUNTER ZONING REVIEW SUPERVISOR REVIEW PLANS REVIEW VEGETATION REVIEW SEA TURTLE REVIEW MANGROVE REVIEW DATE COMPLETE INITIALS