HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONM
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: ,'1' SGANNED Permit Number:
__-_��� -^-- - -� ej� BV RECEIVED
� Lucie Count
ote
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Building Permit Application JAN 2 3 Z018
'Planning and Development Services
Building and Code Regulation Division ST. Lucie County, Permitting
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1 5 78 Commercial Residential X
PERMIT APPLICATION FOR: Dock/Seawall
PROPOSED IMPROVEMENT LOCATION:
Address: 44 AQUA RA DRIVE
WINDMILL VILLAGE BY THE SEA -UNIT TWO- BLK A W 1/2 LOT 6 (OR 3721-556)
Legal Description:
Property Tax ID #: 4511-811-0007-100-1 I Lot No.6
WINDMILL VILLAGE UNIT TWO Block No. A
Site Plan Name:
Project Name: KRUPER DOCK & LIFT I
Setbacks Front Back: (Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
CONSTRUCT A RESIDENTIAL DOCK AND INSTALL A BOAT LIFT
CONSTRUCTION INFORMATION:
itiona wor to e e orme under this perm t— c ec a lhatiq,ip y:
E1HVAC ❑Gas Shutters Q Windows/Doors
Gas Tank Piping _
RjElectric Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: S . Ft. of First Floor:
'� Height:
Cost of Construction: $ Utilities Sewer Septic Building
OWNER/LESSEE:
CONTRACTOR:,— ,•
rr JJ
Name: N
Name CAROL ANN WILSON i
Address:44 AQUA RA DRIVE I
Company: TREASb E COAS BARGE INC
City: JENSEN BEACH State: FL �i
Address: 1200 SE CUTOFF ROAD
Zip Code: 34957 Fax:
City: STUART State: FL
Phone No. 772-260-1980
Zip Code: 34994 Fax: (772)221-1611
P
E-Mail:FLNATIVE1'3@GMAIL.COM :t
Phone No.., 7-2)201-9777
Fill in fee simple Title Holder on next page (if different
k ,.
E-Mail: JERNER@BELLSOUTH.NET
from the Owner listed above) �.
Stateor County License: 20077
If value of construction is $2500 or more, a RECORDED Notice of Lommencemem is requwreu.
DESIGNER/ENGINEER: _ Not Applicable
Name: PAUL WELCH I
MORTGAGE COMPANY: _ Not Applicable
Name:
Ad d ress: 1984 SW BILTMORE ST #114 I
Address:
City: State:
Zip: Phone:
City: PORTSTLUCIE I. State: FL
Zip: 34984 Phone: (772)785-9888 'l
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY: Not Applicable
Name:
Address:
Address:
City:
City: I
Zip: Phone:
Zip: Phone:
I certify that no work or installation has comtt
enced prior to the issuance of a permit.
St. Lucie County makes no representation th is granting a permit will authorize the permit holder to build the subject structure
which is in conflict with any applicable Homelowners 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 Fllorida 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 your Notice of Commencement. 17!!,
Owner/ Agent/ Lessee
STATE OF FLORIDA
COUNTY OF
The forgoing instrument was acknowledged N
this ,�_ day of XA 20 14
(Name of person acknowledging)
wq /`o ��
re of Notary P c- State of Florida )
SiWature of Contractor/Lic se.,Aqolder
STATE OF FLORIDA ��1�
COUNTY OF v ,
me The �rstt was acknowledgefore me
this ay of :�\� `j�[°�b}� 20 by
_ l ,
(Name q person acknowledging)
Personally Known s OR Produced Identification
Type of Identification Producecj Yh i�L 13AIM,r, 6401"
Commission No
Revised 07/15/2014
Ar IY�C,O,MMISSION#GG052274
i �IR6 December 4, 2020
Bonded fin, Budget Notary Servieee
(Signa`fure of ot�Pbl�c- of FloridaPersonally Known Produced Identification
Type of Identification Produced
Commission No. (°fg iv��71 ; tsYp .,(Seal) LUCv1uuAN0
NotaryPublic- StateofFlorida
commission = GG 101693
BoMed through National NotaryAssn.
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