HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONLLLAPPLICABLE-INFO-MUST-BE-COMPLETED-EQR-A--[tP—LI �TIONTOLBEACCEP�TED
Date: 19 — rV 0 &1 Permit Number:
Building Permit Application JAN 18 2019
Planning.and Development Services IsT. Lucie County, Permitting
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone:- (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT APPLICATION FOR: 'Boatlift
PROPOSED 1MP'ROUEMENT LOCATION RY-
Address: 133 PARLIAMENT CT, FT PIERE, FL 34949
Legal Description: QUEENS COVE - UNIT I - BLK 17 LOT E ( OR 4029-1369)
Property Tax ID #: 1414-701-0162-000-9 Lot No.
Site Plan Name: HENRY Block No.
Project Name: HENRY- BOAT LIFT
Setbacks Front Back: Right Side: Left Side:
.DETAILED ',DESCRIPTIOl!N'O'FWORK
',
FURNISH AND INSTALL"I PC. 1,500 LB SPINNER LIFT
CONSTRUCTION INFORMATION:.
AaamonalworKTObeMFformeci underthispermil—c ec a app y:
11HVAC 0 Gas Tank E]Gas Piping Shutters E]Windows/Doors
RElectric 0 Plumbing []Sprinklers E]Generator ❑ Roof 0 Roof pitch
Total Sq. Ft of Construction: Sc "1Ft of First Floor:
* Cost of Construction: $ 5,000.00 Utilities. -L-1 Sewer Septic Building Height:
..OWNER/LESSEE:` -
CONTRACTOR: OR::,
Name RALPH HENRY
Name: ROBERTWILLIAMS
Address: 133 PARLIAMENT CT
Company: WILCO CONSTRUCTION INC
Address: 10751 ORANGE AVE
City: FT PIERCE State:FL
Zip Code: 34949 Fax. NIA
Phone No.609-226-6180
City: FORT PIERCE State: FL
Zip Code: 34945 Fax: 772460-6929
Phone No. 772-460-6928
E-Mail:N/A
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
1 1
If value of construction is $2500 or more, a REE;UKL)t:LJ imotice oiLommencemeni ib imiun cu.
SUPPLEMENTAL CONSTRUCTION LIEN LAN/ INFORMATION'.
DESIGNER/ENGINEER: _ Not Applicable
Name: DANIEL PAUL RETHERFORD
MORTGAGE COMPANY:
Name:
x Not Applicable
Address: 1402 HARTMAN RD
Address:
City: FORT PIERCE State: FL
Zip: 34947 Phone: 772-224-982e
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER: x Not Applicable
Name:
BONDING COMPANY:
Name:
_Not Applicable
Address:
Address:
City:
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 the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencing work or recording Vour Notice of Commencement.
r—
Signature of Owner/Lessee/Contractor as Agent for Owner
STATE OF C!—I n,�� FLORIDA
COUNT
COUNTY OF vl �.1, COUNTY OF
The forgoing "instrurpent was acknowledge efore me
this �day ofI, Jjq(UafU� 20 by
(Name of person acknowledging)
OhL��
(Sig of Notary l5uglicUState of Florida
/)
Personally Known ✓ OR Produced Identification
Type of Identification Produced
Commission No. ' "�'•°• •''• DAWN iM@RRALD
,... :_5 MY . COMMISSION# GO 162348
Revised 07/
The fo going instru ent was acknowledge before me
this day of 20A by
V'' �11
(-Name off person acknowledging )
��-
(Signature of Notary Publi to of Florida )
Personally Known V OR Produced Identification
Type of Identification Produced
Commission No.
MY COMMISSION # GG 162348
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS %
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
RE .I
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS
It'23 19