HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED g po l ' V
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Date: Permit Number: V
! Building Permit Application ]AN 0 G Lu«
Planning and Development Services artment
Building and Code Regulation Division permitting De G
St. Luce County
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT APPLICATION FOR: seawall
PROPOSED'IM.PROVEIVIENT LOCATION:
pririrPss 135 QUEENS ROAD, FORT PIERCE, FL 34949
Legal Description: QUEENS COVE- UNIT 1 - BLK 8 LOTS H AND J (OR 585-228; 399-928; 3932-507
Property Tax ID #: 1414-701-0175-000-3 Lot No.
Site Plan Name: DEPIETRO Block No.
Project Name: DEPIRTRO
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTIONOF"WORK::'
FURNISH AND INSTALL 105 L. FT. OF SEAWALL & BATTER PILES
CONSTRUCTION'INFORMATION:-
Additional work to e nartormed under tispermit—check
❑HVAC 0 []Gas Piping
all
apply:
Shutters
❑ Windows/Doors
Gas Tank
_
❑ Electric ❑
Plumbing
[]Sprinklers❑
Generator
❑ Roof Roof pitch
Total Sq. Ft of Construction:
85,000.00
Sq. Ft. of First Floor:
0 ❑Septic
Cost of Construction: $
Utilities:
Sewer
Building Height:
„O;UVNER/LESSEE::;
CONTRACTOR:Ao '
Name BENEDICT DEPIETRO
Name: ROBERT WILLIAMS
Address:135 QUEENS RD
Company: WILCO CONSTRUCTION INC
City: FORT PIERCE State: FL
Address: 10751 ORANGE AVE
Zip Code: 34949 Fax: NIA
City: FORT PIERCE State: FL
Phone No. Nip`
Zip Code: 34945 Fax: 772-460-6929
E-Mail: NIA
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 525uu or more, a RELUKUEU Notice oT commencement is requires.
SU;PPLEMENTAL CONSTRUCTION LIEN LAW INFORM' IATION
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:
Name:
Address:
Citv:
Zip: Phone: _
X Not Applicable
BONDING COMPANY:
Name:
Address:
City:
Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
_Not Applicable
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 vour Notice of Commencement.
� r �
a
-- s
of O essee/Contractor as Agent for Owner Signature of Co c or/License Holder
STATE OF FLORIDA � [ I I` �
COUNTY OF
The forgoing instru ]nt was a kedgemefore me
this ay of 20 by
- �/U�it i Im'IS
(Name of person acknowledging)
mature of Notary Public- State of Florida )
Personally Known V OR Produced Identification
Type of Identification Produced
Commission
W COMMISSION # HH 167455
Revised 07/1
Ir 'eYn°Cf`O�''� Bribed Thu NOW Punic Undennl m
STATE OF FLORIDA � I , , � J
COUNTY OF �U
The forgoing instru ent was acknowledged before me
this _L(.,O day of 20 d_ by
WiitliasM
(Name of person acknowledging)
ol
(Signature of Notary Public- State of Florida )
Personally Known ✓ OR Produced Identification
Type of Identification Produced
Commission
W COMMISSION # HH 167455
Bonded Thu Notary P'J* thideVftM
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS