HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONf-
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date
Permit Number: I II—Ra— e ,a.l
[�[• at�ar�a•
Building Permit Application RECEIVED
Planning and Development Services DEC a 1 2017
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982 132A HITTING
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential xst. Lucie County, FL
PERMIT APPLICATION FOR: Dock/Seawall
PROPOSED IMPROVEMENT LOCATION:
Address: 117 Queen Ann Ct., Ft. Pierce, FL 34949
Legal Description: Queens Cove -Unit 2-131k 24-131k 24 Lot B(OR 3686-1703)
Property Tax ID #: 141470200280001
Site Plan Name:
Project Name:
Setbacks Front NA Back:
Right Side: Left Side:
Lot No.
Block No.
DETAILED DESCRIPTION OF WORK: _ I
1. Install 77.33+/- linear ft. of seawall within 18" face to face of existing wall. 2. Replace existing dock
with 7.5'x77.33' marginal dock. 3. Relocate existing boat lift and install pilings for future boat lift
CONSTRUCTION INFORMATION:
Additional work to e nertormed under this permit —check a apply:
OHVAC Gas Tank ❑Gas Piping _ Shutters Q Windows/Doors
Electric 0 Plumbing Sprinklers Generator 0 Roof Roof pitch
Total Sq. Ft of Construction: 580
Cost of Construction: $
S Ft. of First Floor: _
Utilities: Sewer 0 Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Jon and Claudia Jackson
Name: R. Williams
Address:117 Queen Ann Ct.
Company: Wilco Construction, Inc.
City: Ft. Pierce State: FL
Address: 10751 Orange Avee.
Zip Code: 34949 Fax:
City: Ft. Pierce State: FL
Phone No.
Zip Code: 34945 Fax: 7724606929
E-Mail:
Phone No. 7724606928
Fill in fee simple Title Holder on next page ( if different
E-Mail: wilcomc@bellsouth.net
from the Owner listed above)
State or County License: SCC 131151026
If value of construction is $2500 or more, a RECORDED Notice of Commencement is regwrea.
S,UPP,LEMENTAL CONSTRUCTION LfEN LAW INFORMATION
DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: _ Not Applicable
Name:PAULWELCH FE Name:
Address:1984 SW BILTMORE ST Address:
City: PORT ST LUCIE State: FL City: State:
Zip: 34984 Phone772-785-988B Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
City:
Zip: Phone:
BONDING COMPANY: _Not Applicable
Name:
Address:
City:
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
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 recordinE vour Notice of Commencement.
1
Si7ure of Owner/ see/Contractor as Agent for Owner
Signature o ractor/L.icense Holder
TATE OF FL IDA
STATE OF FLORIDA
COUNTY OF_ L ��(� c
COUNTY OF STLUdE
Th instr m w s acknowledgeAbefore me
The forgoing instrument was acknowledged before me
thi a of 20 by
this 28 day of NOVEMBER 20 I� by
ROBERT WILL IAMB
Name of pers making statement
Name of person making statement
Personally Known OR Produced Identification
Personally Known x OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced.
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Notary Publi Florida
(Signature of Notar Pyka' p, tate f Flori8W)KEAHEY
(Signature of -State of )
Motary Public - State of FloridaCommission
No. =•• Commi�$i6@l�t GG 024418
FF077529 Y'°y.�:' ��IONBFF077529
No. rq WN ITZGERALDCommission
MY
�•„f po,� My Comm. Expires Dec 16, 2020
Notary Assn.
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,•. ` EXPIRES: December 17, 2017
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nine Bonded through National
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REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17