HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: W111wZ1 Permit Number: 4 (�' U3� `
Building Permit Application o 18 NZI
Planning and Development Services
Buildingand Code Regulation Division St. Lucre County
9 Perm+lt+n9
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Boat lift 16 DCGL
PROPOSEp IM'.PROVEMENT LQCATION:'c
Address: 10751 S OCEAN DRIVE B5, JENSEN BEACH, FL 34957
Legal Description: SEE ATTACHED FOR LEGAL DESCRIPTION.
Property Tax ID #: 4511-311-0034-000-3
Site Plan Name: MARALDO - SORBELLINI
Project Name: MARALADO DOCK / BL
Setbacks Front Back:
DETAILED DESCRIPTION OF WORK
Right Side: Left Side:
n,# ►e cl o ce i# boa- 1 r -
Lot No. B5
Block No.
CONSTRUCTION INFORMATION.:
Additional work toe nertormed under this permit —check
E0HVAC ❑Gas Piping
all
apply:
Shutters
a Windows/Doors
Gas Tank
_
Electric 0
Plumbing
OSprinklers
El Generator
Roof Roof pitch
Total Sq. Ft of Construction:
S Ft. of First Floor:
Cost of Construction: $ 23,000.00
Utilities.
Sewer
E]
Septic
Building Height:
'OWNER/LESSEE:
CONTRACTOR;
Name MARALDO, VINCENT & SORBELLINI, CARLA
Name: ROBERT WILLIAMS
Company: WILCO CONSTRUCTION INC
Address: 10751 S OCE41DRIVE 65
City: JENSEN BEACH State: FL
Address: 10751 ORANGE AVE
City: FORT PIERCE State: FL
Zip Code: 34957 Fax: N/A
Phone No. 914-490-0218
Zip Code: 34945 Fax: 772-460-6929
E-Mail: N/A
Phone No. 772-460-6928
E-Mail: WILCOINC@BELLSOUTH.NET
Fill in fee simple Title Holder on next page ( if different
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.
'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:3asa7 Phone:772-224-saes
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 your Notice of Commencement.
s
Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF Cry . t L�[� (� COUNTY OF a. I jzi z
The forgoing instru ent was acknowledged before me
this ay of 20 2Lby
1?01VA U,9 I N" f
(Name of person acknowledging)
S" ature of Notary Public- State of Florida )
Personally Known V/ OR Produced Identification
Type of Identification Pr
JOHN CHARLES HUDSON
•'"=_
Commission No. MYSSION # GG 921591
=*: •*=
C�j�1 S9 ��� I October 9, 2023
'•;�a►� Bpiidgd ihN Notav PWft Underw hfe
Revised 07/15/2014
The forgoing instru ent was acknowledged before me
this�ay of 20 ZL by
a4- %lli lim r
(Name of person acknowledging)
of Notary Public- State of Florida )
Personally Known ✓ OR Produced Identification
Type of Identification Produced Slim-�
JOHN CHARLES
Commission M6. — ! 1 _*� � eaMJwmM15SI0N#GG
+��,,, QN`.? EXPIRES:odober9„
Bonded ThinNd1vvPut&ife
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS