HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONIII
,L APPLICABLE INFO MUST BE -COMPLETED FOR APPLICATION TO BE ACCEPTED
D I'te: a� 1� Permit Number: 1A
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80AN ED
BY RECEIVED
�I'���I 111-di clNgpiRt emit Application JUL ® 2 2018
PI nning and Development Services 12_ O,11
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(iding and Code Regulation Division C� L• ST. Lucie County, Permitting
200 Virginia Avenue, Fort Pierce FL 34982 X
P one(772) 462-1553 Fax: (772) 462-1578 Commercial Residential
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IWIT APPLICATION FOR: K /
Other / l a � (,Q 0707
PR0`POSEDm.(IVI'PROVEM:ENT
LOCATION
• 3913 SHORESIDE DRIVE, FT PIERCE, FL
Description: TARPON FLATS SUBDIVISION (PB 69-27) LOT 7 (OR 3905-2857) 3913 SHORESIDE DR
)erty Tax ID #: 1423-566-0010-000-4
Plan Name: BAKER
ect Name: BAKER - KAYAK DOCK
Front Back: Right Side: Left Side:
D„ TAILE'D DESCRIPTION OF'WORK;
Fu�n�sh /OCM, KC� a4 "M
Lot No.
Block No.
C INSTRUCTION IIV`FORIVIATION
itiona wor to e e orme un er t is permit — c ec a apply:
HVAC 13 Gas Tank ❑Gas Piping _Shutters Q Windows/Doors
II Electric El Plumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: S . Ft. of First Floor:
Co II of Construction: $ 10,000.00 Utilities: Sewer Septic Building Height:
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NER/LESSEE: ; ` .
CONTRACTOR:
. .
Na
r e BAKER
Name: ROBERT WILLIAMS
Ad
Company: WILCO CONSTRUCTION INC
II ress: 3913 SHORESIDE DR
Cit
: FT PIERCE State: FL
Address: 10751 ORANGE AVE
Zi
Code: 34949 Fax: N/A
City: FORT PIERCE State: FL
Ph
li
ne No. 772-913-0204
Zip Code: 34945 Fax: 772-460-6929
E-
ail: N/A
Phone No. 772-460-6928
n fee simple Title Holder on next page (if different
Fill'
E-Mail: WILCOINC@BELLSOUTH.NET
fromthe
ISCC131151026
Owner listed above)
State or County License: 29115
If voilue of construction is S2500 or more, a REcvRUED Notice or commencemem: is requires.
SUPPLEMENTAL
CONSTRUCTION 'LIEN _LAW INFORMATION: .
DE
IGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: x Not Applicable
Nai
e:n�rui�w �G/1Rf1
Name:
Ad
`ress.
Address:
Cit
State:-+'
City: State:
Zip
��J= Phone:
Zip: Phone:
,
FEE
II SIMPLE TITLEHOLDER:, x Not Applicable
BONDING COMPANY: Not Applicable
Na
ill e:
Name:
ress:
Address:
Ad I�
Cit
City:
Phone:
Zip: Phone:
Zip
that no work or installation has commenced prior to the issuance of a permit.
St. jI cie Counter makes no representation that is granting a permit will authorize the permit holder to build the subject structure
whi h is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
stru fture. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In c insideration 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 lifollowing building permit applications are exempt from undergoing a full concurrency review: room additions,
acc sory 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
im 10rovements 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.
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Sigr Ibture of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
ST I1TE OF FLORIDA CL '1 ' I STATE OF FLORIDA
COUNTY OFy�l COUNTY OF S
Th fQQr oing instrum nt was acknowledged before me The f rgoing instr ent was acknowledge before me
thi I' �lr day of (, 20 .Kby this � day of � 20 � by
(Naipe of person acknowledging)
ature of Notary P
a-- State of Florida )
orally Known Produced Identification
of Iden
FF2.1;V
, DAWN FrrZGERALD
nission: = MY COMMISSIONIf(a1
EXPIRES: December17,2021Rnnded thrtl P1otaN PUbAC Undervrcitets
07/15/2014
(Name of person acknowledging)
(Signs ure of Notary Public- State of Florida )
Personally Known _ZOR Produced Identification
Type of Identification Produced
Commission N DAWNFITI.G
';. MY MISSION M&M
EXPIRES: December 17, 2021
REI
IEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
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CO.14PLETE
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