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HomeMy WebLinkAboutBuilding Permit Applicationz_r ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED � nC1. ©�� Date: Permit Number: a�v1�U( 0 AIR RECEIVED Building Permit Application. AUG 0 4 2021 Planning and Development Services Building and Code Regulation Division st. LU1310 County 2300 Virginia Avenue, Fort Pierce FL 34982 Perm1hin9 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X PERMIT APPLICATION FOR: Dock $ Pi l2 P -PR.OPOSED IMPROVEMENT LOCATION: Address: 10701 S OCEAN DRIVE UNIT 667 Legal Description: VENTURE OUT - SECTION C - LOT 68 (OR 4237-1339) Property Tax ID #: 4511-805-0068-000-6 Site Plan Name: PFISTER Project Name: PFISTER -DOCK Setbacks Front Back: I: DETAILED DESCRIPTION OF WORK: Right Side: Left Side: Lot No. Block No. Furnish t� lnffa�/ Q nQlv clock- o�t �ilQd f� a ftcl-ur�bcxrl-Ir-f-f-. CONSTRUCTION, INFORMATION: Additional work to b M orme under tis permit —c ec 11HVAC ❑Gas Piping a apply: Shutters Q Windows/Doors Gas Tank _ FElectric ElPlumbing Sprinklers ElGenerator Roof Roof pitch Total Sq. Ft of Construction: 6,000.00 S Ft. of First Floor: 0Septic Height: Cost of Construction: $ Utilities:[]Sewer Building OWNER/LESSEE; "' CONTRACTOR: Name PFISTER, RONALD & MARCIA Name: ROBERT WILLIAMS Address: 6325 W MANSFIELD AVE UNIT 221 Company: WILCO CONSTRUCTION INC City: DENVER State: CO Address: 10751 ORANGE AVE Zip Code: 80235 Fax: NIA City: FORT PIERCE State: FL Phone No. 303-517-2616 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 State or County License: SCC131151026 29115 from the Owner listed above) If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. .SUPPLEMENTAL•CONSTRUCTION LCEN LAW INFORMATION':, ,. r 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: 34947 Phone: 772-224-9826 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. 47 1�1_ Signature o Ow ssee/Contractor aMge—ni"for Owner STATE OF FLORIDA COUNTY OF The fgrgoing instrum nt was acknowledged before me this day of U 26A_by Rdq'(w- (Name of person acknowledging) aUk (Signature of Notary Public- State of Florida ) Personally Known V OR Produced Identification Type of Identification Produced Commission No. DA`A1+�GEii�d D MY COMMiGG 152348 7 2021 Bonded Thru Notary Public UnderP>fiers Revised 07/15/2Q_ s Signature o Contractor/License Holder STATE OF FLORIDA � ub-.14 COUNTYOF The f ing instrum)nt was acknowled before me this day of 20 by (Name of person acknowledging) (Signature of Notary Public- State of Florida ) Personally Known V OR Produced Identification Type of Identifiam Commission No i 0 My COMMISSION(,gg(f2348 =,;. �.•;>: ES: December 17, 2021 Bonded Thru Notary public Underwriters REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS