HomeMy WebLinkAboutappALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: �ql. ' `' "\� �Permit Number:
LJ -- =i
RECEIVED
Building Permit Application JUN 2 7 2019
Planning and Development Services ST. Lucie County, Permitting
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982 X
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PERMIT APPLICATION FOR: /Seawall
PROPOSED fMP.ROVEM.ENT,:LOCATIOiN:
!Address: 95 QUEENS RD, FT PIERCE, FL 34949
Legal Description: QUEENS COVE - UNIT THREE - BLK 25 LOT 15 (OR 3606 - 2797 )
Property Tax ID #: 1423-602-0015-000-8
Site Plan Name: THOMAS
Project Name: THOMAS - SW
Setbacks Front Back: _
F;DETAILED DESCR17PTION OF -WO' K
Right Side: Left Side:
Lot No.
Block No.
1. FURNISH AND INSTALL UP TP 80 L. FT. OF VINYL SEAWALL WITH A CONCRETE CAP
CONSTRUCTION INFORMATION
Additional wor to be peffio—rMedunder this permit — c ecall apply:
11 [1HVAC LJ Gas Tank —]Gas Piping _ Shutters Windows/Doors
Electric 0 Plumbing Sprinklers Generator 13 Roof Roof pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 25,000.00
S Ft. of First Floor:
Utilities:Sewer [ISeptic
Building Height:
OWNER/LESS'EE:"
:
'' CONTRACTOR:
Name WILLIAM THOMAS
Address: 95 QUEENS RD
Name: ROBERT WILLIAMS
Company: WILCO CONSTRUCTION INC
Address: 10751 ORANGE AVE
City: FORT PIERCE State: FL
Zip Code: 34949 Fax: N/A
Phone No. 772-448-8400
E-Mail: N/A
City: FORT PIERCE State: FL
Zip Code: 34945 Fax: 772460-6929
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 $2500 or more, a RECORDED Notice or commencement Is requwreu.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name: DANIEL PAUL RETHERFORD
Address: 1402 HARTMAN RD
City: FORT PIERCE State: FL
Zip: 34947 Phone: 772-224-9926
MORTGAGE COMPANY: x Not Applicable
Name:
Address:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable
Name:
BONDING COMPANY: _Not Applicable
Name:
Address:
City:
Address:
City:
Zip: Phone:
Zip: Phone:
III 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
�commencina work or recording vour Notice of Commencement. /7
Signature of Owner/Lessee/Contractor as Agent for Owner
STATE OF FLORIDA 1 , ,�
COUNTY OF I.fJL
The 7finginstru ent was acknowledge fore me
thisday of t_ 20 by
I
I(Name of person acknowledging)
Qi�
I (Signature of Notary Public- State of Florida )
Personally Known '� OR Produced Identification
;Type of Identificatio _
DAWN FITZGERALD
Commission No. ?' YCOMMI&ESN#GG162348
a EXPIRES: December 17, 2021
Revised 07/15/2014
Signature
nse Holder
STATE OF FLORIDA WSJ
COUNTY OF
The forgoing instrument wasacknowledged before me
L J
this day of 20 1---I— by
12.004- W1 l'I ai11s --
(Name of person acknowledging)
(Signature of Notary Pu c- State of Florida )
Personally Known G,-' OR Produced Identification
Type of Identification Produced
Commission No.
DAWN FITZGERALD
MY COMMISSION # GG 162348
Bonded Thru Notary Public underwriters
REVIEWS
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REVIEW
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INITIALS