HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO'BE ACCEPTED
Date: Permit Numb(
.�.� SCANNED
BY
St. Lucie County
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial
JUN 2 7 2018
Permitting Department
St. Lucie County, FL
PERMIT APPLICATION FOR: Dock/Seawall'
PRO POSE D]MPROVEMENT LOCATION:
Address: 1108 NETTLES BLVD
Legal Description: NETTLES ISLAND INC, A CONDO -SECTION II PARCEL 110E AND PRO-RATA SHARE IN COMMON ELEMENTS (OR 413r-1802)
Property Tax ID #: 4502-501-1295-000-2
Site Plan Name: Larghi
Project Name: Larghi Dock
Setbacks Front_ Back:_
DETAILED DESCRIPTION OF WORK:
Right Side: Left Side:
FURNISH AND INSTALL 1 PC. UP TO'228 SQ FT DOCK
Lot No.
Block No.
`CONSTRUCTION INFORMATION:
itiona wor to e e orme under this permit— check all that apply:
11HVAC Gas Tank ❑Gas Piping _ Shutters ❑ Windows/Doors
0 Electric E] Plumbing O Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 16,000.00
S Ft. of First Floor: _
Utilities:cn Sewer O Septic
Building Height:
OWNER/LESSEE: ;
CONTRACTOR:
NameLarghi, Robert
Name: ROBERT WILLIAMS
Address:1766 SW Captains Place
Company: WILCO CONSTRUCTION INC
City: Palm City State: FL
Address: 10751 ORANGE AVE
City: FORT PIERCE State: FL
Zip Code: 34990 Fax:
Phone No.954-465-3242
Zip Code: 34945 Fax: 772-460-6929
E-Mail: boblarghi@gmail.com
Phone No. 772-460-6928
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 S2500 or more, a RECORDED Notice of Commencement is regwrea.
i' k
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION;
INEER: _ Not Applicable
Name: DANIEL PAUL RETHERFORD
Address: 1402 HARTMAN RD
City: FORT PIERCE State: FL
Zip: 34947 Phone: 772-224-9826
MORTGAGE COMPANY:
Name:
Address:
City:
Zip: Phone:
x Not Applicable
State:
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
commencing work or recording vour Notice of Commencement.
s
Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OFsftws'_�COUNTY OF Lk-Q-eQ___
The for instrument was acknowledge efore me
this *y of.(. if lsc_� , 20 by
Ppe0soy1�/I,�II a{hs
(Name on acknowle Bing )
(Sig?rzrf'ure of Notary( Pu c-'State of Florida )
Personally Known " OR Produced Identification
Type of Identification Produced
The forgoing instru ent was acknowledge Vore me
this�ay of 20 by
Rizq- Mala
(Name of person acknowledging)
(mature of Notary l�Public- State of Florida )
Personally Known V OR Produced Identification
Type of Identification Produced
Commission No. , "Y►" DAY9�JFGERALD I Commission No.
My COMMISSION # GG 162348
FXPiRES: December 17, 2021
Revised 07/15/20
DAWN FITZGERALD ____
MY COMMISSION # GG 162348
EXPIRES: December 17, 2021
Sanded Thru Notary Public Undewi ,,
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