HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONr
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ALL APPLICABLE INFO MUST`SE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: �� dl7 Permit Numb
rs —� RECEIVE®
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Building Permit Applicatio DEC 2 0 2018
Planning and Development services Permitting Building and Code Regulation Division g Department
2300 Virginia Avenue, Fort Pierce FL 34982 St. LUO County FL
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial
PERMIT APPLICATION FOR: Dock/Seawall C,9N
"PROPOSED IMPROVEMENT LOCATION:
Address: 10701 S OCEAN DR 863 OU
Ir
Legal Description: VENTURE OUT AT INDIAN RIVER INC LOT 863 (OR 3975-1575)
Property Tax ID #: 4511-510-0064-000-3 Lot No. 863
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
CONSTRUCT A FINGER PIER AND BOAT LIFT. SEPARATE PERMIT WILL BE APPLIED FOR
ELECTRIC
CONSTRUCTION INFORMATION:
Itiona wor to e e orme under tispermit—checka appy:
OHVAC []GasTank ❑Gas Piping _Shutters ❑Windows/Doors
11 Electric 0 Plumbing Sprinklers ElGenerator EIRoof Roof pitch
Total Sq. Ft of Construction: S'C Ft. of First Floor:
OSeptic
Cost of Construction: $ Utilities. Sewer Building Height:
OWNER/LESSEE`.
CONTRACTOR:LAI ^^``'' ,n, --111_
Name: m L
Name JOHN FARINELLI
Address: 10701 S OCEAN DR 863
Company: TREASURE COAST BARGE, INC
City: JENSEN BEACH State:FL
Address: 1200 SE CUTOFF ROAD
City: STUART State: FL
Zip Code: 34957 Fax:
Phone No.609-377-6132
zip Code: 34994 Fax:
E-Mail:firemanjohnf@comcastnet
Phone No. 772-201-9777
Fill in fee simple Title Holder on next page (if different
E-Mail: JERNER@BELLSOUTH.NET
State or County License: 20077
from the Owner listed above)
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
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SUPRLEMENTAL:CONSTRUCfION'BEN I.AW INF '111\4 ION:.iQ$
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DESIGNER/ENGINEER: _ Not Applicable
Name: PAUL WELCH, INC
MORTGAGE COMPANY: _
Name:
Not Applicable
Address: 1984 BILTMORE DR #114
Address:
City: PORT ST LUCIE —State:—FL
Zip: 34982 Phone 772-785-9888
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY: _Not
Name:
Applicable
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
which is in contlict 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
commencine work or reco,Fdine vour Notice of CommenceFent.
' nature of Owner/ Lessnee-/Co as Agent f Owner
Sign ture of Co ractor/L der
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Rev.8/2/17