HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED I
Date: Permit NumberAt 1 _ Oi 33
RECEIVED
Building Permit Application
Planning and Development Services Nov 0,8 2018
Building and Code Regulation Division Permitting Department
2300 Virginia Avenue, Fort Pierce FL 34982 St. Lucie County
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Dock/Seawall
PROPOSED IMPROVEMENT LOCATION:
A -fnA f P ^P AKI mr11 flT onn ICAIQCAI oCAf U SCANNED
Aaaress: l v, u 1 . ., �
BY
Legal Description: VENTURE OUT AT INDIAN RIVER INC LOT 809 St Lucia Count`,
Property Tax ID #: 4511-510-0010-000-0
Site Plan Name: MENDEZ
Project Name: MENDEZ
Setbacks Front Back:
Right Side: Left Side:
Lot No.
Block No.
.pETAILED DESCRIPTIONOF WORK:
1. FURNISH AND INSTALL UP TO 35 L.FT. OF BATT PILE & SLAB TYPE CONCRETE SEAWALL
2. FURNIS D INSTALL 1 PC. Q FT DOCK �C'_nl1ovi rl � Re -In siai i cxisT)oei
n*
i�Cl—i' l�—i—
,CCINSTRUCTION INFORMATION:
Additional work to be nertormed under this permit —check
LIHVAC 11 Gas Piping
all
apply:
Shutters
a Windows/Doors
L_J
Gas Tank
_
11 Electric ElPlumbing
Sprinklers
Generator
F]Roof Roof pitch
Total Sq; Ft of Construction:
25,000.00
S Ft. of First Floor:
0
Cost of Construction: $
Utilities:
Sewer
Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name M FIVE MANAGEMENT LLC
Name: ROBERT WILLIAMS
Address: PO BOX 17464
Company: WILCO CONSTRUCTION INC
City: PLANTATION State: FL
Zip Code: 33318 Fax. NIA
Phone No. 305-785-0076
Address: 10751 ORANGE AVE
City: FORT PIERCE State: FL
Zip Code: 34945 Fax: 772-460-6929
Phone No. 772-460-6928
E-Mail: NIA
Fill in fee simple Title Holder on next page (if different
from the, Owner listed above)
E-Mail: WILCOINC@BELLSOUTH.NET
State or County License: SCC131151026 29115
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name, DANIEL PAUL RETHERFORD
MORTGAGE COMPANY: x Not Applicable
Name:
Add re$$: 1402 HARTMAN RD
City: FORT PIERCE State: FL
Zip: 34947 Phone: 772-224-9e26
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:
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 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 ithe first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencing work or recording your Notice of Commencement.
r
Signature of Owner/Lessee/Contractor as Agent for Owner
STATE OF FLORIDA � �Q
COUNTY OF luu'p.
The f r going instr was kno ledg efore me
this day of 20by
.J�qpk 11 IAM,
(Name of person acknowledging)
Cal
(Signature of Notary Public- State of Florida )
Personally Known OR Produced Identification
Type of Identification Produced
Commission
MY COMMISSION # GG 162348
•a •o: cnnru:�. wvw.. .,r
Revised 07, �i��f�Fi�e. BondedThruNotaryPubficUnderwritem
s
Signature of Contractor/License Holder
STATE OF FLORIDA
��
COUNTY OF �� I J O
The May
ng instrument was ack owledge efore me
this of r20 T by
I2��UVaI1CL46
(Name of person acknowledging)
(Signature of Notary Public- State of Florida )
Personally Known ✓ QmRJ_1PrQc
Type of Identificat n i4ced
D ,•
*; MY COMMISSION It GG 162348
Commission No. 1. :Q' PIRES:De45NA7,2021
I.M. Bonded Thor Notary Public Underwriters
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
RE
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS