HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APP CABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 9GANNED Permit Number: ' O
BY RECEIVED
St. LucieCoUnty
Building Permit Application AUG 15 2019
Planning and Development Services
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 X
PERMIT APPLICATION FOR: Dock/Seewell / BOAT LIFT III
Address: 91 QUEENS RD. FORT PIERCE
Legal Description: QUEENS COVE -UNIT THREE- ELK 25 LOT 17 (OR 3613-613)
Property Tax ID #: 1423-602-0017-000-2
Site Plan Name: RADEMACHER
Project Name: RADEMACHER-DOCK &
LIFT
Lot No.
Block No.
Setbacks Front Back: Right Side. Left Side: II
DETAILED,DESCRIPTION'OF WORK: °
1. FURNISH AND INSTALL A 68 SQ FT. DOCK EXTENSION TO EXISTING 272 SQ. FT. DOCK FOR A TOTAL OF
340 SQ. FT.
2. FURNISH AND INSTALL 1 PC. BOAT LIFT
CONSTRUCTION INFORMATION:
itionalworklopenerformed under tispermit—check a appy.
0HVAC Gas Tank ❑Gas Piping _Shutters E] Windows/Doors
Z✓ Electric 0 Plumbing Sprinklers 1:1 Generator ID Roof = Roof pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 30,755.00
S Ft. of First Floor:
Utilities" Sewer Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR: -
Name RADENMACHER
Name: ROBERT WILLIAMS
Address: 91 QUEENS RD
Company: WILCO CONSTRUCTION INC
City: FORT PIERCE State:FIL
Zip Code: 34949 Fax: NIA
Phone No.802-236-4054
Address: 10751 ORANGEAVE
City: FORT PIERCE State: FL
Zip Code: 34945 Fax: 772460-6929
Phone No. 772-460-6928
E-Mail: NIA
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:
MORTGAGE COMPANY: x Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone:
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
commencing work or recording vour Notice of Commencement.
Signature of Owner/Lessee/Contractor as Agent for Owner Signature
STATE OF FLORIDA ( J
COUNTY OF
The ing instrument was cknowledggoefore me
thisforgoday of U 20 Mby
(Name
ee ofperson acknowledging)
IVYLLckTI�L"Q—
(Signature of Notary Public -State of Florida )
Personally Known 1.1/ OR Produced Identification
Type of Identification Produced
Commission No.
MY COMMISSION # GG 162348
Revised 07/15/
° Bonded T1MNotary Public Un&w1era
'_
STATE OF FLORIDA Y 1 (I n ^ n
COUNTY OF l L fys.r
The orgoing instru ent w s acknowledg d efore me
this day of J 20 by
R+ 1rU11 l tM
(Name of person acknowledging)
Sf
(Signature of Notary Public- State of Florida )
Personally Known J.1/_ OR Produced Identification
Type of Identification Produced
Commission No.
DAWN
162348
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