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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BECOMPLETEDFOR APPLICATION TO BE ACCEPTED Q Date: SCANNED Permit Number: 1 Q I a 6- O �© t 6 BY • _0119.111 St. Lucie County =County,Permitting Building Permit Application Planning and Development Services Building and Code Regulation Division ST. Lu 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X PERMIT APPLICATION FOR: Dock/Seawall III Address: 137 DOMINION CT. FORT PIERCE, FL 34949 Legal Description: QUEENS COVE UNIT 1 BLK 13 LOT C (OR 3522-871) Property Tax ID #: 1414-701-0116-000-2 Site Plan Name: DAVIS Project Name: DAVIC-DOCK Setbacks Back: Right Side: Left Side: Lot No. Block No. DETAILED DESCRIPTION OF WORK: 111 1. REPAIR EXISTING 552 SQ. FT WOOD DOCK 2. INSTALL 48 SQ. FT. ADDITIONAL WOOD DOCK CONSTRUCTION INFORMATION: III L=JHVAC E] Electric L_JGasTank UGasPiping 0 Plumbing []Sprinklers Total Sq. Ft of Construction: Cost of Construction: S 20,000.00 Shutters ❑ Windows/Doors Generator 0 Roof Sq. Ft. of First Floor: _ Utilities: Sewer 11 Septic Building Height: Roof pitch OWNER/LESSEE: CONTRACTOR: Name PHILLIP DAVIS Name: ROBERT WILLIAMS Address: 137 DOMINION CT Company: WILCO CONSTRUCTION INC City: FORT PIERCE State: FL Zip Code: 34949 Fax: WA Phone No.410-446-1194 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 $2500 or more, a RECORDED Notice or Commencement is regwrea. 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; FORTPIERCE State; FL Zip: 34947 Phone: 772-224-9826 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 Kermit 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 e/Contractor as Agent for Owner Signature of STATE OF FLORIDA I STATE OF FLORIDA S�- � COUNTY OF &+ Lit r L COUNTY OF J The 1Rrgoing instrument was acknowledged before me this day of 20 by (Name of person acknowledging) iC �IJC_JLJ�ti�� (Signature of Notary Public -State of Florida ) Personally Known OR Produced Identification Type of Identification Produced Commission No. MYCOMMISSIoN#GG 162348 Revised The f mginstrVWent was acknowledge before me this day of 20 4 by (Name of person acknowledging) �Q 9�— .e✓Qm �.- (Signature of Notary Publi - State of Florida ) Personally Known OR Produced Identification Type of Identification Produced Commission No. My COMMISSION # GG 162348 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE KJ INITIALS n