HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: SCANNED Permit Num
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_�re, �ySt. Lucie County
Building Permit
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial
D7.D5VG
4,
JUL 23 2019
Permitting Department
St. L�ounty, FL
PERMIT APPLICATION FOR: seawall III
PROPOSED IMPROVEMENT LOCATION:'
Address: 10701 S OCEAN DRIVE LOT 847 JENSEN BEACH, FL 34957
Legal Description: VENTURE OUT AT INDIAN RIVER INC. LOT 847 (OR 3753-764
Property Tax ID #: 4511-510-0048-000-5
Site Plan Name: BOISCLAIR
Project Name: BOISCLAIR -SEAWALL
Setbacks Front Back: _
Right Side: Left Side:
Lot No.
Block No.
DETAILED DESCRIPTION OF WORK: III
FURNISH AND INSTALL UP TO 35 L. FT. OF SEAWALL
CONSTRUCTION INFORMATION: III
OHVAC LJ Gas Tank
11 Electric 0 Plumbing
Total Sq. Ft of Construction: _
Cost of Construction: $ 18,000
Piping
ElGenerator
S Ft. of First Floor: _
Utilities:Sewer E]Septic
❑Windows/Doors
0 Roof = Roof pitch
Building Height:
OWNER/LESSEE:
'CONTRACTOR:
Name BOISCLAIR, DIANA & RICHARD
Name: ROBERT WILLIAMS
Address: 10701 S. OCEAN DR LOT 847
Company: WILCO CONSTRUCTION INC
City: JENSEN BEACH State: FL
Zip Code: 34957 Fax: N/A
Phone No. 860-917-7804
Address: 10751 ORANGE AVE
City: FORT PIERCE State: FL
Zip Code: 34945 Fax: 772-46D-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: _ Not Applicable
Name: DANIEL PAUL RETHERFORD
MORTGAGE COMPANY: x Not Applicable
Name:
Address: 1402 HARTMAN RD
Address:
City: FORTMERCE State: FL
Zip: 34947 Phone: 772-224-9826
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable
Name:
BONDING COMPANY: _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 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
commencine work ocrecordine vour Notice of Commencement.
as Agent for Owner
STATE OF FLORIDA (St W �QFLORIDA
COUNTY OF COUNTY OF 1
The forgoing instruj�e�nt was acknowledge before me The forgoing instrum nt was acknowledged before me
this dayof l l )l1 J� 20 by this (udayof 20by
�me� `/UV1,i� arcs .1�-1�li1 IIQms
(Name of person acknowledging) (Name of person acknowledging)
(Signatu�-`� of ry Publ -State of Florida )
Personally Known V OR Produced Identification
Type of Identification Produced
Commission No.
Revised 07/
(Signature of Notary P li tate of Florida )
Personally Known V OR Produced Identification
Type of Identification Produced
Commission No.
MY COMMISSION N GG 162346
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS