HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONI
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED ,
Date:? I [ : I� �/ Permit Number: ill
. F 1051111111 ='2
Building Permit ApplicationPlanning and Development5ervicesBuilding 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: Seawall
o r�rvw G
PROPOSED IMPROVEMENT LOCATION:
BY.
Address: 23 SOVEREIGN WAY FT PIERCE FL 34949 St. Lucie Coilnhe
Legal Description: QUEENS COVE - UNIT 2 - BLK 22 LOT H (OR 4117-2480 )
Property Tax ID #: 1414-702-0018-000-8 Lot No.
Site Plan Name: BRACHE Block No.
Project Name: BRACHE-SEAWALL
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK;
INSTALL APPROX. 108 L. FT. SEAWALL AND EXCAVATE 6' X 18' UPLAND AREA TO CREATE A PARTIAL SLIP.
CONSTRUCTION INFORMATION;
Additional work toile erorme under tispermit—checka apply:
❑HVP E]GasTank I❑IIGasPiping _Shutters ❑Windows/Doors
❑Electric El Plumbing []Sprinklers ❑Generator ❑Roof ❑ Roof pitch
Total Sq. Ft of Construction: SgI_F_t_.� of First Floor:
Cost of Construction: $ 40,000.00 Utilities: LJ Sewer -[:]Septic Building Height:
O W N'ER/LESSEE:
CONTRACTOR:
Name BRACHE, JORGE & McCREA, RHONDA
Name: ROBERT WILLIAMS
Address: 913 JACKSON WAY
Company: WILCO CONSTRUCTION INC
City: FT PIERCE State: FL
Zip Code: 34949 Fax: NIA
Phone No.305-986-2054
Address: 10751 ORANGEAVE
City: FORT PIERCE State: FL
Zip Code: 34945 Fax: 772-460-6929
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
If value of construction is 52500 or more, a RECORDED Notice of Commencement is reguireo.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name: DANIEL PAUL RETHERFORD
MORTGAGE COMPANY:
Name:
x Not Applicable
Address: 1402 HARTMAN RD
Address:
City: FORTMERCE 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
as
STATE OF FL
COUNTYOFORIDA )I �Z COUNTY OFORIDA j n C,-L
The forgoing instrunrigotmas acknowledged before me The forgoing instrument was acknowledg d before me
this jS day of 20 a, this day of en 20 by
(Na�mmeYJL e of person ackn
owledging) (Name of person acknowledging) n ,
� 1 Ju_'R �LJIJ `Kl
(Signature of Notary Public- State of Florida) (Signature of Notary Pub ic- Sta e f FI 0cla )
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. r= DLM ITZGERALD Commission No.. Seal
MYCO MI5 [ON 6GG16231E
s EXPIRES: Deoember17.2021 ;7Y^;7-&.. DAWN FITZGERAID if
Revised 07/1
EXPIRES: December 17, 2021
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