HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR
Date:
St Lo
Building
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: Boat lift
'PROPOSED IMPROVEMENT LOCATION:
Address: 3415 N HIGHWAY A1A FORT PIERCE FL,
Legal Description: SEE ATTACHED
CATION TO BE ACCEPTED
Permit Number:
ff
r
11 mtv
RECEIVED
rmit Application
SUN-0 5.201e
Permitting Departrn
St. Lucie r-ounty
mercial Residential
Property Tax ID #: 1423-802-0002-000-8 Lot No.
Site Plan Name. COASTAL COVE ASSN INC Block No.
Project Name: MILAZZO - SLIP # 3
Setbacks Front Back: Righi Side: Left Side:
DETAILED DESCRIPTION OF WORK:
11. FURNISH AND INSTALL 1 PC. 9,000 LB
'ACITY BOAT LIFT
CONSTRUCTION INFORMATION:
Ada itiona worFt—o-Fo—roerformed under this permit—' check
C�HVAC []Gas
all
t=
apply:
a Windows/Doors
Gas Tank
Piping
Shutters
Electric 0
Plumbing
L]Sprinklers
Generator
Roof Roof pitch
Total Sq. Ft of Construction:
8,500.00
S�Ftj. of First Floor:
11
Height:
Cost of Construction: $
Utilities:
LJ
Sewer Septic
Building
,OWNER/LESS'EE: OWNER SLIP # 3
CONTRACTOR:
Name FRANCO MILAZZO
Name: ROBERT WILLIAMS
Address: 3415 N HWYA1A
Company: WILCO CONSTRUCTION INC
City: FORT PIERCE State: FL
Address: 10751 ORANGE AVE
Zip Code: 34945 Fax: NIA
City: FORT PIERCE State: FL
Phone No. 914-419-1726
Zip Code: 34945 Fax: 772-460-6929
E-Mail: NIA I
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 $250u or more, a RECUKUEU Notice or commencement is requireu.
SUPPLEMENTAL CONSTRUCTION IIEN,1AVINFORMATION:
DESIGNER/ENGINEER: _ Not Applicable I
Name:
Address: 1
City: State: I
Zip: Phone: I
MORTGAGE COMPANY: x Not Applicable
Name:
Address:
City: State:
Zip: Phone:
I
FEE SIMPLE TITLE HOLDER: x Not Applicable
Name:
Address:
City:
Zip: Phone:
I
BONDING COMPANY: Not Applicable
Name:
Address:
City:
I
I
I
Zip: Phone:
I
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie Counter makes no representation that is granting a pe'rmit will authorize the permit holder to build the subject structure
which is in conflict with any applicable Home Owners Associat on rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Home Owners Association Ihnd review your deed for any restrictions which may apply.
In consideration of the granting of this requested permit, I do �ereby 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 u Idergoing 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.
re of Own essee/Contractor as Agent
STATE OF FLORIDA
COUNTY OF �� L_UC-1:L
The f r oing instruri3ent was acknowledged before me
this "day of 20 LB by
(Name of person acknowledging
(Signature of Notary Public- State of Florida
Personally Known OR Produced Identification
Type of Identification Produced
Commission No.
DAWN FITZGERALD
UPI: '� °'� EXPIRES. December 17, 2021
Revised 07/ 15
. „ °•''� Bonded ft undorollers
s
Signature of Contractor/License Holder
STATE OF FLORIDA � Wcu J
COUNTY OF
The forgoing instrument was acknowledged before me
thi�day of 20 -_— by
Wut i ffl_�
(Name of person acknowledging)
(Signature of Notary Publlct= Sfate of Florida )
Personally Known _ ZOR Produced Identification
Type of Identification Produced
Commission No. (Seal)
MY COMMISSION # GG 162348
EXPIRES: December 17, 2021
Bonded Thm MANU a&r� I & f...
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