HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONi
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ALL 1APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Da�''`Ie: -.-+' a, \4 SCANNED Permit Number:
�k . BY En
EIVED
:i Sid. 1 ude Count"'
0 2 2018
Building Permit Applicati
Pla 1'ning and Development Services antY, Rermitting
Building and Code Regulation Division
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2306 Virginia Avenue, Fort Pierce FL 34982
Phone; (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PER ,MIT APPLICATION FOR:
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3921 SHORESIDE DR. FORT PIERCE FL
cription: TARPON FLATS SUBDIVISION ( PB 69-27 ) LOT 5 ( OR 3906-1990; 4103-1963 )
y Tax ID #: 1423-566-0008-000-7
i Name: JANSSEN
Name: JANSSEN - KAYAK FLOATING DOCK
cs Front Back: Right Side: Left Side:
Lot No.
Block No.
Fumish � 117s�11 a �W�>r;qy Kayd,K (aul7eA
al work to be ertormea u
AC Ei Gas Tank
ctric 0 Plumbing
Ft of Construction:
)nstruction: $ 10,000.00
3921 SHORESIDE DR
'IERCE
34949 Fax:
h 408-610-0326
r tnis permit — cneck all apply:
Gas Piping _ Shutters Q Windows/Doors
Sprinklers Generator Roof Roof pitch
S Ft. of First Floor:
Utilities:Sewer Septic Building Height:
State: FL
mple Title Holder on next page ( if different
wner listed above)
Name: ROBERT WILLIAMS
Company: WILCO CONSTRUCTION INC
Address: 10751 ORANGE AVE
City: FORT PIERCE State: FL
Zip Code: 34945 Fax: 772-460-6929
Phone No. 772-460-6928
E-Mail: WILCOINC@BELLSOUTH.NET
State or County License: SCC131151026
If value ofj'construction is $2500 or more, a RECORDED Notice of Commencement is required.
29115
DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: X Not Applicable
Name: Name:
Address: Address:
City:;) State: City: State:
Zip: Phone: Zip: Phone:
it
FEE �IMPLE TITLE HOLDER: x Not Applicable BONDING COMPANY: Not Applicable
Nar.V: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
I`I
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
whichljs 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 accdlydance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
The fo�,owing building permit applications are exempt from undergoing a full concurrency review: room additions,
access) ry 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
impro"vements 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
Comm ',encin work or recording our Notice of Commencement.
Ill s
SignatdI're of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STAT III OF FLORIDA 9�'I STATE OF FLORIDA r( '' ,, .
COUNTY OF �-- uu COUNTY OF l�.cCQ.Q--,
The f oing instrurpent was acknowledged before me
this day of 20 Eby
(Name Of person acknowledging)
(Signat'1're of Notary P lic- State df Florida )
I
wn Persona ly KnoOR Produced Identification
Type of identification Produced
Commission No.
MY COMMISSION # GG 162348
07/ 1$/20 ?`°F (.- aonded fhru Notary Pubk UndetWn1W5
The yfing instru� ent was acknowledged before me
thisday of 20 i, V by
Rixe— ul
(Name of person acknowledging)
(Signature of Notary Public- S to of Florida
,/
)
Personally Known ✓ OR Produced Identification
Type of Identification Produced
Commission No—`
8i�r aye AWN FI i' G:.'- .q,i. `
MY COMMISSION # GG 162348
EWndod � hru Notery Pui.,i::' inderrriteg
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DATE
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