HomeMy WebLinkAboutBuilding Permit Application._ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 10/26/2017 Permit Number:
Building Permit Applicatio RECEIVE®
Planning and Development Services
Building and Code Regulation Division OCT 3 0 2017
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial dRW4 ittlWK9 Department
PERMIT_APPLICATION FOR: To Select from dropbox, click arrow at the en �o ine
Address: L/ S
Legal Description: River Park - Unit 4 BLK 32 Lot 13 (Map 34/2 (OR 3937-2927) 434 SE Naranja Avenue
Property Tax ID #: 3419-530-0013-000-7
Site Plan Name: Britton Dock
Project Name: Britton Dock
Setbacks Front Back:
Right Side: Left Side:
Construct a new 8x20 Dock flush w/ Sea Wall Cap.
11 Electric 0 Plumbing
Total Sq. Ft of Construction: 160
Cost of Construction: $ 3740.00
Sprinklers F]Generator
S�Ftj of First Floor: _
Utilities: Sewer Septic
Lot No.13
Block No. 32
Roof Roof pitch
Building Height:
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Name
Name. Jale &D9A fv
Address: 41Y sg �%1�
Company: t-JLD Contracting
City: Port St. Lucie V State:FL
Address: G ✓�
Zip Code: 34983 Fax:
City: - J-
State: FL
Phone No.(561) 248-5987
Zip Code: 34987 Fax:
Phone No. (772) 260-6880
E-Mail:bdtton1lumber@gmail.com
Fill in fee simple Title Holder on next page (if different
E-Mail: ldcontractinginc@gmail.com
from the Owner listed above)
State or County License: (?AXc2G
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
Sl1PPLEIVIENTAL
CONSTRUCTION LIEN ;LAW INFORII/IATfONf
e
�t',4 411
DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name: Paul Welch
Name:
Address:
Address: 1984 SW Biltmore
City: Port St. Lucia State: FL
City: State:
Zip:3984 Phonec772>785-98BB
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
BONDING COMPANY: Not Applicable
Name:
Name:
Address:
Address:
City:
City:
Zip: Phone:
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 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
impr ements to your property. A Notice of Commencement must be recorded and posted on the jobsite
bef a the first inspection. If you intend to obtain financing, consult with lener or an attorney before
com na- workbr recordine vour Notice of Commencement. _
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License
Holder
STATE OF FLORID'�/
STATE OF FLORID
COUNTY OF �15'`� 2�
COUNTYOFn4ZryC_/U
The for oing instrurrient a acknowledged before me
The for ing instru ent wasacknowledged before me
this 20/7by
this day of 20,(� by
ay of
..
G
f pe on ing statement
ame of pers6n rp6ing
statement
PeJName
onally Known OR Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
(Si natu a otary Pu I;
fdi�yA HELLBERG
Si at of Notary P
c
HELLBERG
I N�,
' ; MY COMMISSION # GG071548
Commission No.
_° '= MY CO"ION # GG071548
Commission No. ± 'y`T� EXPIRf,-fawbruery 09, 2021
EXPIRES February 09, 2021
t
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17