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Building Permit Application
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: `�la� Permit Number:'L°�a�1`i3 RECEIVED FEB 2 8 2022 Building Permit Application St. Lucie County Planning and Development Services Permitting 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: Boat lift PROPOSED rM_ PROVEMENT ,LOCATION: Arlrlracc- 3909 SHORESIDE DRIVE, FORT PIERCE, FL 34949 Legal Description: TARPON FLAT SUBDIVISION (PB 69-27) LOT 8 (OR 3793-1161) Property Tax ID #: 1423-566-0011-000-1 Lot No. Site Plan Name: MCDONALD Block No. Project Name: MCDONALD - PWC LIFT Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION`O; WORK: FURNISH AND INSTALL 1 NEW PWC LIFT ON AN EXISTING DOCK PILE CONSTRU' IQN INFORMATION;` Additionalwor to jene orme un er t is permit — c ec a app y: E1HVAC LJ Gas Tank ❑Gas Piping _ Shutters 11 Electric 0 Plumbing Sprinklers Generator Total Sq. Ft of Construction: S�Ftj of First Floor: Cost of Construction: $ 5,000.00 Utilities: L J Sewer Septic QWindows/Doors ElRoof Roof pitch Building Height: OWNER/LESSEE:. .. CONTRACTOR:. Name MCDONALD, MICHAEL Name: ROBERT WILLIAMS Address: 3909 SHORESIDE DRIVE Company: WILCO CONSTRUCTION INC Address: 10751 ORANGE AVE City; FORT PIERCE State: FL Zip Code: 34945 Fax: 772-460-6929 City: FORT PIERCE State: FL Zip Code: 34949 Fax: N/A Phone No. N/A 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 from the Owner listed above) State or County License: SCC131151026 29115 If value of construction is $2500 or more, a RECORDED Notice or commencement is requ,reu. SUPPLEMENTAL CONSTRUCTION UEN LAW INF20RMATION . DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: X Not Applicable Name: Name: Address: Address: City: State: City: State: Zip: Phone: 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 wdK or recording yoibr Notice of Commencement. /Z I © - S Signature o er/Lessee/Contractor as Agent for Owner Signatur of Co icense Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF �/I l Qom• COUNTYOF_ The f going instrum as acknowledge before me this day of 20 211A W-11110 (Name of person acknowledging) (Signature of Notary Public --State of Florida ) Personally Known OR Produced Identification Type of Identification Produced Commission No. Revised 07/15/2014 ((SPAA� FITZGERAW r11lCOMMISSION # HH 167465 EXPIRES: December 11, 2025 The forgoing instrument was acknowledged before me thisc�L day of 20 ( by Rdqfrg- Wit lam (Name of person acknowledging) (Signature of Notary Public- State of Florida ) Personally Known JV OR Produced Identification Type of Identification Produced mmission No. DAWN FITZGERALD EXPIRES: December 17, 2025 Bonded ThN Notary Mk Underwdtem REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS