HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: � IJ') � SCANNED •� Permit Number:' % YOB , OS7 4
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Building Permit Application
Planning and Development Services
Building and Code Regulation Division FEB 1 '5 2018
2300 Virginia Avenue, Fort,Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 4.62-1578 Commercial Residential x
PERMIT APPLICATION FOR: Dock/Seawall
PROPOSED ['M'PROVEMENT.LO.CATION-:
Address: 25 MAJESTIC WAY, FT PIERCE FL 34949
Legal Description: QUEENS COVE -UNIT 1- BLK 14 LOT A (OR 3509-866)
Property Tax ID #: 1414-701-0123-000-4 Lot No.
Site Plan Name: SASSEVILLE Block No.
Project Name: SASSEVILLE
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRI'PTIO.N•OF WORK;.
1. Repair a 50 L.Ft. +/- seawall with new cap & tiebacks
2. Repair a 4' x 30' ( 120 sq ft ) marginal dock
'CONSTRUCTION INFORMATION:
Additional work to je Performed under tis permit—checka apply:
L 1]HVAC _I Gas Tank ❑Gas. Piping LLJ Shutters
1-1 Electric 0 Plumbing Sprinklers F� Generator
Total Sq. Ft of Construction:
Cost of Construction: $ 15,000.00
S Ft. of First Floor:
Utilities:MSewer OSeptic
QWindows/Doors
E] Roof Roof pitch
Building Height:
OWNER/LESSEE: _
CONTRACTOR:
Name PAUL SASSEVILLE
Name: ROBERT WILLIAMS
Company: WILCO CONSTRUCTION INC
Address:129 QUEEN CHRISTINA CT
City: FT PIERCE State: FL
Address: 10751 ORANGE AVE
Zip Code: 34949 Fax: N/A
City: FORT PIERCE State: FL
Phone No. 207-577-1580
Zip Code: 34945 Fax: 772-460-6929
E-Mail: SASSEVILLE.PAUL@GMAIL.COM
Phone No. 772460-6928
E-Mail: WILCOINC@BELLSOUTH.NET
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
State or County License: SCC131151026 29115
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: X Not Applicable
Name: DANIEL PAUL RETHERFORD
Name:
Address: 1402 HARTMAN RD
Address:
City: FORT PIERCE State: FL
Zip: 34947 Phone: 772-224-9826
City: State:
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
rnmmpnrino wnrk or rprordinc vour Notice of Commencement.
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S
Signature of Owner/Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA S-V
Ljw.�COUNTY
STATE OF FLORIDA
COUNTY OF J 1
OF lJ(A U[
The for oing instrume as acknowledged before me
20 lt)by
The forgoing instrument was acknowledged before me
this day of FCP--3 20 N by
this day of
(Name of person ackno &edging)
(Name of person acknowledging)
1
`�f
(Signature of Notary Public- to of Florida)
(Signature of Notary Public- State of Florida )
✓
Personally Known OR Produced Identification
Personally Known OR Produced Identification
Type of Identification Produced
Type of Identification Produced
Commission No.
Commission No. (Seal)
is ► a ,; DAWN FrrZGERALD
-Ot"IISSioNa r.G 162348
Yp„
, t DAWN FITZGERALD
EXPIRES: December 17, 2021
.; : MY COMMISSION # GG 162348
Revised 07/ 1ponded rnru Notary Public uEXPnde�wlite�s;F
o`•IREs; December 17, 2021
, ..'X,.. Donded ThruNatm PW* uwie=itm
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS