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BUILDING PERMIT APPLICATION
1 /r ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED` Date: Permit Number: I 0 I ©l Building Permit Application PlanniIng and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential ` RECEIVED Nov permitting went St. isle Cbv�y x PERMIT APPLICATION FOR: _r-v-d LKANNIED I I "PROPOSED'IMPROV VENT LOCATION: `" �' BY Address: 10701 S OCEAN DR LOT 924 JENSEN BEACH, FL St Lucie County Legal Description: VENTURE OUT AT INDIAN RIVER INC LOT 924 (OR 4096-1139 ) Property Tax ID #: 4511-510-0124-000-2 Lot No. Site Plan Name: LEBEL Block No. Project Name: LEBEL Setbacks Front Back: Right Side: Left Side: DETA[LED DESCRIPTION OF WORK: 1. FURNISH AND INSTALL 1 PC. 9,000 LB BOAT LIFT 2. DOPK REPAIR(S) AS NEEDED TO EXISTING CONSTRUCTION INFORMATION: Additional worK to be nertormed under this permit — c ec a apply: VAC_ Gas Tank ❑Gas Piping _ Shutters Q Windows/Doors Electric 0 Plumbing ESprinklers Generator Roof Roof pitch Total Sq. Ft of Construction: S . Ft. of First Floor: OQ0 . 00 Utilities. E]Se tic Building Height: Cost 011 Construction: $ � i p g g ;011UNER/LESSEE: CONTRACTOR: Name LEBEL, DENIS & TAMMY Name: ROBERT WILLIAMS Address: 10701 S OCEAN DR LOT 924 Company: WILCO CONSTRUCTION INC Address: 10751 ORANGE AVE City: JENSEN BEACH State: F� Zip Col e: 34957 Fax: N/A City: FORT PIERCE State: FL Phone t. 207-576-9365 Zip Code: 34945 Fax: 772-460-6929 E-Maid NIA Phone No. 772-460-6928 E-Mail: WILCOINC@BELLSOUTH.NET Fill in fie simple Title Holder on next page (if different State or County License: SCC131151026 29115 from the Owner listed above) If value ;of construction is $2500 or more, a RECORDED Notice of Commencement is required. �S�PPLEMENTAL�CONTRUI✓�TtO�I`{LIEN LAW iNFQJRMATIaN�� ��� ����. � �� ���� �� �� DESIGNER/ENGINEER: _ Name. Not Applicable MORTGAGE COMPANY: X Name: Not Applicable Address: Address: City: I State: FL City: State: Zip: Phone: I Zip: Phone: FEE SIMPLE TITLE HOLDER: x Not Applicable BONDING COMPANY: X Not Applicable Name: Name: Address: Address: I City: City: Phone: I Zip: Phone: Zip: 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 folk wing building permit applications are exempt from undergoing a full concurrency review: room additions, accessolry 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 our Notice of Commencement. s Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder STATE OF FLORIDA � ,,II STATE OF FLORIDA j L—, - COUNTY OF a- 1�U� _C COUNTY OF � The fq�goin instrumt0 was acknowledged be �re me this dayof �r�� b (Name of person acknowledging) aku(_� (Signature of Notary Public- State of Florida ) Personally Known OR Produced Identification Type of Identific i n Produced <rsrP•. Commission No DM NSSION#GG p +; bl1'"GOMMI ION # GG 162348 o�c EXPIRES: DACEmMr 17 7MfA 07/15/2014 The 1�ay ng instru ent was acl owledged before me this of 20 by Robla- �I+ 4 l 1 aS (Name of person acknowledging ) (Signature of Notary Public- State of Florida ) Personally Known li_�OR Produced Identification Type of Identificati ---- Commission No. " ' �= WCOMMIS� GG162348 :tea. o�: EXPIRES: December 17, 2021 �~'RZ F�°."Bonded Thru Notary Public Undembm REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIA I