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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BEE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: SCANNED Permit Number: © V r` t BY • St. LUCIe CoU RECEIVED Building Permit poplication MAY 3 0 Planning and Development Services 2019 Building and Code Regulation Division ST. Lucie County, Permitting 2300 Virginia Avenue, Fort Pierce FL 34982 Phone:(772)462-1553 Fax:(772)462-1578 Commercial Residential PERMIT APPLICATION FOR: Boat lift AND DOCK MODIFICATION PROPOSED IMPROVEMENT LOCATION: Address: 93 QUEENS RD, FT PIERCE, FL 34949 Legal Description: QUEENS COVE - UNIT THREE - BLK 25 LOT 16 (OR 2140-2993; 3834-2799 ) Property Tax ID 0: 1423-602-0016-000-5 Lot No. Site Plan Name: FLEMING Block No. Name: FLEMING - DOCK & BL Project Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK: 1. REMOVE A 5' X 12' ( 60 SQ. FT. I SECTION FROM AN EX19TING 424 SQ. FT. DOCK 2. INSTALL A NEW BOAT LIFT S. CONSTRUCT A NEW 3' X 12' X 12S'+/-(APPRO)LI WEDGE SNAPED DOCK ADDITION (IS SQ FT. I ADJACENT TO -THE NEMBOAT. LIFT --- �Ji�'" CONSTRUCTION INFORMATION: A00monalworkia0v erorme un ert ispermit—c ecca y: app ❑HVAC Gas Tank :]Gas Piping 11 _Shutters ❑Windows/Doors ©Electric 0Plumbing :]Sprinlders O-Generator Roof Roof pitch Total Sq. Ft of Construction: yyAP Ft. of First Floor: Cost of Construction: $ 12,500.00' d04a b, Utiliti . Sewer 0Septic Building Height: .D OWNER/LESSEE: CONTRACTOR: Name AL FLEMING Name: ROBERTWILLIAMS Address: 93 QUEENS ROAD Company: WILCO CONSTRUCTION INC Address: 10751 ORANGEAVE City: FT PIERCE State: FL Zip Code: 34949 Fax: NIA Phone No. 321-720-4341 City: FORT PIERCE State: FL Zip Code: 34945 Fax: 772-460.6929 Phone No. 772-460-6928 E-Mail: NIA E-Mail: WILCOINC@BELLSOUTH.NET Fill in fee simple Title Holder on next page ( If different from the Owner listed above) 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: x Not Applicable Name: DANIEL PAUL RETHERFORD MORTGAGE COMPANY: x Not Applicable Name: Address: 1402 HARTMAN RD Address: City; FORTPIERGE State; FL Zip: 34947 Phone: 772-224-9826 City: State: Zip: Phone: FEE SIMPLE TITLE HOLDER: x Not Applicable Name: BONDING COMPANY: x Not Applicable Name: 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 Count makes with any applicable Home Owners Association rules, bylaws or antl makes no representation that is granting a permit will authorize the permit holder to build the subject structure which is in conrcovenants 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 recordine vour Notice of Commencement. Signature t Owner/Lessee/Contractor as Agent for Owner STATE OF FLORIDA - STATE OF FLORIDA COUNTYOF ILif JLC COUNTY OF U �� The forgoing instru ent was acknowledg d efore me thi day of 204by RJOCA7 U[ l i dO (Name of person acknowledging) 0 UA:2 (Signature of Notary `Public- State of Florida ) Personally Known ✓ OR Produced Identification Type of Identification Produced Commission No. Revised 07/1 The forgoing instrument was acknowledged before me thisCUday of 20 a by (Name of person acknowledging) (Signature of Notary Publi - to of Florida ) Personally Known V OR Produced Identification Type of Identification Produced DOAM pppZZZ� Commission No. I,. MYC REII ber 17, 0278 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS