HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAPPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED ((��
te:Permit Number: L o�i la—
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2360 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial
SCANNED
BY
St Lucie County
Residential X
PEf MIT APPLICATION FOR:
;Seawall177
WOPOSED
IMPRUEMENT
LOCATION`x
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Address: 10701 S OCEAN DRIVE LOT 811 JENSEN BEACH FL FL
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Legall Description: VENTURE OUT AT INDIAN RIVER INC LOT 811 (OR 4033-616)
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Property Tax ID #: 4511-510-0012-000-4
Site P1Ian Name: ORR
Project Name: ORR
Setbacks Front Back: Right Side
FURNISH AND INSTALL UP TO 35 L. FT. SEAWALL
Left Side: ---
final worK to bje
nej
rrormea
unaer tnis permit— cnecK au
appry:
IVAC
L_J
Gas Tank
❑Gas Piping
_
Shutters
lectric
0
Plumbing
Sprinklers
El
Generator
Total Sq. Ft of Construction: S . Ft. of First Floor:
DD Cost of Construction: $ (x� Utilities: Sewer —Septic
Lot No. 811
Block No.
Windows/Doors
Roof Roof pitch
Building Height:
OVIINERLESSEE
CONTRALTO„
NameI ATT ORR
Name: ROBERT WILLIAMS
Company: WILCO CONSTRUCTION INC
AddreIs:6534 SW 9TH ST
City: OKEECHOBEE State: FL
Zip Code: 34974 Fax: N/A
Phone No.863-623-7829
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
E-MaiI:N/A
Fill in fee
from the
simple Title Holder on next page (if different
Owner listed above)
State or County License: 'CC'
if value bf construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCT[ON LIEN LAU1! IN"FORMATEO;N
DESIGNER/ENGINEER. _ Not Applicable
MORTGAGE COMPANY: Not Applicable
Name:
_
Name:
Address:
Address:
City: State:
City: State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
BONDING COMPANY: _Not Applicable
_
Name:
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip': Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
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
is in Home Owners Association bylaws that
which conflict with any applicable rules, or and covenants 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 wor r recording our Notice of Commencement.
Signature of Owner/ Less a/Contrac s Agent for Owner
ntra
Signature of oicense Holder
STATE OF FLORIDA j I f C
COUNTY OF LU -
STATE OF FLORIDA '
COUNTY OF
i
The f rgoin instr ent was acknowled a before me
this day % Q� 2_ 9 by
The for oin instrum t as ack wled d efore me
this day of 20J 0 by
of
RgAa�pIMF L i "
person
Name of person king statement
Name of persoyi making statement
✓
Personally Known Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
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(Signature
i
of Notary Public- SF1ALi
(Signature of Not 11 ,C4+- --F
Corn
fission r:o�Fa'rvy'_ DAWNFITZG
6MMISSION =2348
Commission No. °4wP4 DAWNFfTZGERALD
COMMISSI 162340
•' " EXPIRES: December 17, 2021
A' o�c EXPIRES: December 17, 2021
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• rFOF F��.P• sonded Thtu Notary Public Undetwrders
: �_.' . F �.� Doodad Ti1N Notary PUbItC Undervltili _y {;%
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIE
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
&W-1h I
Rev. 8/2/17