HomeMy WebLinkAboutBuilding Permit ApplicationG '
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ALL APPLICABLE I MUST E COMPLETED FOR APPLICATION TO BE ACCEPTED [�
Date: Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Dock/Seawall
11
PROPOSED IMPROVEMENT LOCATION „
Address: 6401 S INDIAN RIVER DR
Legal Description: 12 36 40 THAT PART OF N 100 FT OF FOL DESC PROP LYG E OF FEC RR: BEG AT SE COR OF LOT 1 RUN W 28 CHS,
TH N 7.36 CHS, TH E TO INDRIV, TH SLY TO POB-LESS S 225 FT AND LESS RD R/W- (1.91 AC) (OR 3909-386)
Property Tax ID #. 3412-123-00017000-9 Lot No.
Site Plan Name: Block No.
Project Name: HEIZLER DOCK REPAIR & ADDITION
Setbacks Front Back: Right Side: Left Side:
REPAIR AN EXISTING DOCK & UPLAND ACCESS; CONSTRUCT AN UPLAND DECK AND
DOCK TERMINUS.
r%UU1L1V11G111VUIR LV IJc Cl IV1111CU U11UC11111J J.JC111111—U1CGR tl11[JdJJ1J1Y*
0HVAC Gas Tank ❑Gas Piping _ Shutters
11 Electric 0 Plumbing Sprinklers � Generator
Total Sq. Ft of Construction:
Cost of Construction: $ 1 1.'
Sq. Ft. of First Floor: _
Utilities:Sewer 0Septic
aWindows/Doors
11 Roof
Building Height:
,OWNER/LESSEE
CON;.T,RACTOR
NameTERRY HEIZLER
Name.,MQl
Address:2800 SW BOATRAMP AVE
Company: TREASURE COAST BARGE INC
City. PALM CITY State: FL
Address: 1200 SE CUTOFF ROAD
Zip Code: 34990 Fax:
City: STUART State: FL
Phone No.(772)263-9000
Zip Code: 34994 Fax: (772)221-1611
E-Mail:david@showcasedesignerhomes.com
Phone No. (772)201-9777
Fill in fee simple Title Holder on next page ( If different
E-Mail: JERNER@BELLSOUTH.NET
from the Owner listed above)
State or County License: 20077
IT value of Construction is �;z5uo or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
Name: PAULwELCH
Address: 1984 Sw BILTMORE ST #114
City: PORT ST LUCIE State; FL
Zip: 84984 Phone: (772)785-9888
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,
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 oy an attorney before
rnmmencine work or recording Vour Notice of Commenent r
gnatur f Owner/ Agent/ Lessee
STATE OF FLORIDA3
COUNTY OF 1
The foq �oing instru ent was a knowledgeefore me
this U7 day of 20 1 by
em.Aee 41.
_ffi� le
ame of -person acknowledging)
.G
( gIF
nature A otary PUbli State of Florida )
Personally Known OR Produced•Ident- i 'tion
Type of Identification Produced
Commission No. (Seal
MARIE cLAUDE JEAN
Revised 07/ 15/2014
REVIEWS I FRONT I ZONING
COUNTER REVIEW
Signature of ContractorlLicense tio`aer
STATE OF FLORI
COUNTY
COUNTY OF
The fp�ii�instru nt w acknowI d ed before me
this ��b day of 2i by
Ni
Di,
Ignature of Notary flu uc- byte naa i
Personally Known �OR oduced Identification
Type of Identificati duced I OBI
Commission No. (Seal)
Commission# GG 41551
My Comm. expres Oct. 24, 2020
SUPERVISOR I PLANS
REVIEW REVIEW
OMMISSID
V:0 Ekoires 2/29/2 17 079827
VEGETATION I SEA TURTLE I MANGROVE
REVIEW REVIEW REVIEW
INITIALS