HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED IQo 3q
SCANNED
Date: Permit Number: l `�� oOv
BY
- ' St. Lucie County RECEIVED
Building Permit Application ou 021019
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
Permitting oepartment
9t. Lucie County
Residential X
PERMIT APPLICATION FOR: Dock/Seawall III
PROPOSED IMPROVEMENT LOCATION: III Address: 1247 NETTLES BLVD
Legal Description: NETTLES ISLAND IN
ELEMENTS (OR 4105-199 )
Property Tax ID #: 4502-501-1434-000-9
Site Plan Name: BECKER
Project Name: BECKER -DOCK
Setbacks Front Back: _
A CONDO - SECTION II PARCEL 1247 AND PRORATA SHARE IN COMMON
I' DETAILED DESCRIPTION OF WORK:
Right Side: Left Side:
INSTALL A 288 SQ FT. DOCK ADDITION TO AN EXISTING 180 SQ FT DOCK.
Lot No.
Block No.
CONSTRUCTION INFORMATION:
ttiona wor to e e orme under t—checkispermit
❑HVAC fiGasTank ❑Gas Piping
a
apply:
In
❑Windows/Doors
_Shutters
❑Electric El Plumbing
Sprinklers
❑Generator
❑Roof ❑ Roof pitch
Total Sq. Ft of Construction:
14,966.00
St�
of First Floor:
❑Septic
Cost of Construction: $
Utilities:
Sewer
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name SUNFLOWER ESCAPE LLC / DAVID BECKER
Name: ROBERT WILLIAMS
Address:10814 W 148TH ST
Company: WILCO CONSTRUCTION INC
City: OVERLAND PARK State: KS
Zip Code: 66221 Fax: N/A
Phone No.816-853-9705
Address: 10751 ORANGE AVE
City: FORT PIERCE State: FL
Zip Code: 34945 Fax: 772-460-6929
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 requirea.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
Name: DANIEL PAUL RETHERFORD
Address: 1402 HARTMAN RD
City: FORTMERCE State: FL
Zip: 34947 Phone: 772-224-9826
MORTGAGE COMPANY: x Not Applicable
Name:
Address:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable BONDING COMPANY: _Not Applicable
Name: 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 our Notice of Commencement.
A < a 1 /1 c
v I ✓ s
Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA Cl- 1 r r STATE OF COUNTY OFORIDgS� LU
COUNTY OF L4A �I
The f rgoing instrument was ac cnowledged before me
this day of T om. 20 �Hby
(Name of person a-ckknooMee�dging )
1x Scl
(Signs ure of Notary Public- State of Florida )
Personally Known ✓ OR Produced Identification
Type of Identifi a0S '� - '
Commission
Revised 07/15/2014
The forgoing instru ent was ac owe Bed before me
this�day of ,�U . 20 a by
W I t I
(Name of person acknowledging)
(Signature of Notary Public -State of Florida )
Personally Known V OR Produced Identification
Type of Identification Produced
Commission No.
My COMMISSION N GG 162348
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
Id
INITIALS