HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFOMUSTBE COMPLETED FOR APPLICATION TO BE ACCEPTED /� O ' n
Date: tf' O ' `]-\ Permit Number:
SCANNED
Building Permit. Application BY
St. LuCeC0uu4v
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 Residential X
PERMIT APPLICATION FOR: Dock/Seawall
PRt]POSFt) IMPROVFMENT LOCATION:
Address: 242 BIMINI DRIVE
Legal Description: CORAL COVE BEACH - SECTION ONE - BLK 3 LOT 7 (OR 3493-1938
PropertyTax ID #: 1425-701-0047-000-1
Site Plan Name: VOSSLER
Project Name: VOSSLER
Setbacks Front Back: _
Right Side: Left Side:
L DETAILED DESCRIPTION OF WORK
1. INSTALL UP TO 80 L. FT +/- OF SEAWALL
2. REPAIR EXISTING 400 SQ. FT. DOCK
CONSTRUCTi.ONINFORMATION:`
UHVAC I II Gas Tank UGas
Electric 0 Plumbing ❑Spr
Total Sq. Ft of Construction:
Cost of Construction: $ 40,000.00
Piping
srs 1 Generator
S Ft. of first Floor:
Utilities:n Sewer ❑ Septic
Lot No.
Block No.
❑Windows/Doors
Roof = Roof pitch
Building Height:
CIMEOLESSEEi
Name VOSSLER, THOMAS
Name: ROBERTWILLIAMS
Address: 305 TEAKWOOD TERR.
Company: WILCO CONSTRUCTION INC
City: WILLIAMSVILLE State: NY
Zip Code: 14224 Fax: NIA
Phone No.716-532-5017
Address: 10751 ORANGEAVE
City: FORT PIERCE State: FL
Zip Code: 34945 Fax: 772-460-6929
Phone No. 772-460-6928
E-Mail: TRVOSSLER@EXCITE.COM
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 $2500or more, a RECORDED Notice of Commencement is requirea.
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: FORTMERGE State: FL
Zip: 34947 Phone: 772-224-9e26
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 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.
Signatur of Owner/Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF6+ 1 0 2
The fo Ing instrument was acknowledg d efore me
thisydayof' ( U(I ( 20 by
120blfj�wl1 lj 0rm
(Name of person acknowledging)
Mill �L
(Signature of Notary
• Public- State of Florida )
Personally Known L/ OR Produced Identification
Type of Identification Produced
Commission No.
MEXPIRES: December 17, 2021
Revised07/15/201 �" BondedTbmWary Public Underudtm
5
Signature ofContractor/License Holder
STATE OF FLORIDA ct
COUNTY OF
The forgoing instrum nt was acknowledge before me
this —1 day of �20 by
illian
(Name of person acknowledging)
�b
(Signature of Notary P/u ic- State of Florida )
Personally Known V OR Produced Identification
Type of Identification Produced
Commission No.
DAWN FITZGERALD
MY COMMISSION 1t GG 162348
Bonded Thus
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