HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED s / .7- O �^
Date: %y. SCANNED Permit Nu J
St.LucBY
bounty
Building Permit Applicati n JUL 2,3 2019
Planning and Development Services Permitting Department
Building and Code Regulation Division St. Lucie Count FL
2300 Virginia Avenue, Fort Pierce FL 34982 County,
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PERMIT APPLICATION FOR: Dock/Seawall
PROPOSED IMPROVEMENT LOCATION:
Address: 19 MAJESTIC WAY, FT PIERCE, FL 34949
Legal Description: QUEENS COVE UNIT 1 - BLK 17 LOT N (OR 1361-356
Property Tax ID #: 1414-701-0169-000-8
Site Plan Name: SCULTHORPE
Project Name: SCULTHORPE SEAWALL
Setbacks Front Back:
Right Side: Left Side:
Lot No.
Block No.
I' DETAILED DESCRIPTION OF WORK: 111
1. FURNISH AND INSTALL 72 +/- L. FT. OF SEAWALL
2. FURNISH AND INSTALL 1 PC. NEW EIL
LiGas Tank
0 Plumbing
❑Gas
Piping
Sprinklers
U Shutters 0
0 Generator 0
Windows/Doors
Roof = Roof pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 40,000.00
ScFt. of First Floor:
Utilities. nSewer OSeptic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name SCULTHORPE, BARRY 8 KATHLEEN
Name: ROBERT WILLIAMS
Address:19 MAJESTIC WAY
Company: WILCO CONSTRUCTION INC
City: FORT PIERCE State:FL
Zip Code: 34949 Fax: N/A
Phone No.772-979-0315
Address: 10751 ORANGE AVE
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 of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: x 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-e826
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER: X Not Applicable
Name:
BONDING COMPANY:
Name:
X 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 oran 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.
STATE OF FLORIDA �+ I , , �� STATE O FLORIDA C+
COUNTY OF l�(�Ly ,
The for oing instru e t was acknowledge efore me
this T day of J n 20 by
VGA i IAf f! \
(Name of person acknowledging )
aP,
(Signature of Notary PublicState of Florida
li/)
Personally Known V OR Produced Identification
Type of Identification Produced
Commission No «""•'° DAWN FI
_MY cuMMISSIONW1162348
.�. EXPIRES: December17,2021
Revised
The f r oing instrume w s acknowledged before me
this day of /
20 �by
Rohh - "t1Q.IIWl
(Name of person acknowledging)
(Signature of Notary Public- Stake of Florida )
Personally Known OR Produced Identification
Type of Identification Produced
Commission
MY COMMISSION # GG 16M
Balled Thni
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS