HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE C1, ,,, a=LETED FOR APPLICATION TO BE ACCEPTED
Date: ' Permit Number:
REcEi'Jeo
Building Permit Application oEc 2
Planning and Development Services
a�,men
Building and Code Regulation Division pec S., �� \e Goun�
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Dock/Seawall
PROPOSEDi IMPROVEMENT�LOCATlO.N
Address: 9701 S INDIAN RIVER DR
Legal Description: 29 36 41 S 225.53 FT OF N 305 FT OF GOVT LOT 1 LYG E OF FEC RR -LESS RD R/W- WITH RIP RTS
Property Tax ID #: 3529-221-0002-000-6
Site Plan Name:
Project Name: GALT DOCK RECONFIGURE
Setbacks Front Back: Right Side: Left Side:
Lot No.1
Block No.
REMOVE AN EXISTING BOAT LIFT, CONSTRUCT A DOCK EXTENSION AND INSTALL NEW LIFT
11HVAC
ZElectric
E] Plumbing
Sprinklers
Generator
QWindows/Doors
01 Roof
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: � 7� Utilities: Sewer R Septic Building Height:
OWNER/LESSEE
CMONTRACTORa * _
..
Name TODD GALT
Name: KENNETH LIPPARD
Address: 9701 S INDIAN RIVER DR
Company: LINEAR SOLUTIONS, LLC
City: FORT PIERCE State: FL
Address:
Zip Code: 34982 Fax:
City: PALM CITY State: FL
Phone No. 561-723-1991
Zip Code: 34990 Fax:
E-Mail: tgelt@iellsaut a7
Phone No. 772-240-2935
Fill in fee simple Title Holder on next page (if differentL1111
E-Mail: info@linearsolutionsconstruction.com
from the Owner listed above)
State or County License: CGC1528570
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
DESIGNER/ENGINEER: _ Not Applicable
Name: PAUL WELCH, INC
Address: 1984 BILTMORE DR #114
City: PORT ST LUCIE State: FL
Zip: 34982 Phone 77 -785- 888
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY: Not Applicable
Name:
Address:
City:
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
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 thepermitholder to build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or an 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.
73
v
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signa ure df Contracto /Li ense Holder
STATE OF FLIPRIDA
A 6 �
STATE OF FLOR �(
COUNTY OF ��I
COUNTY OF LNG _A'-
The forgoing instrument was acknowledged before me
edge pefore me
this Ib day of 1�t� , 20 Z___(— by
20J by
1!2m
Name of perso aking statement
Name of perso ing statement
Personally Known V OR Produced Identification
Personally Known I OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
e
(i nature f DIIi�9TA1
(Signature of Notary Public- State of Florida)
Commission No. i�SP••P.,e4n KA RIDDLE
� MOLLY RASTRELLI
Commission N MY COMMISSION#GG18, )
* * Commission a HH 074521
OF :April 01, 2022
Expires December 22, 2024
Bonded TM! B*et Notary Sw*es
REVIEWS
FRONT
ZONING,
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE.
RECEIVED
DATE
COMPLETED
tev. 8/2/17