HomeMy WebLinkAboutBUILDING PERMIT APPLICATION7
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED (�
Date: SCANNED Permit Number: ` t� - cjo3�>
BY
St. Lucie County
• Building Permit Application 6a�170°, %
Planning and Development Services SIB s0%, 9S
Building and Code Regulation Division per, �rJ day
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PERMIT APPLICATION FOR: Dock/Seawall III
LOCATION:
Address: 414 NETTLES BLVD, JENSEN BEACH, FL 34957
Legal Description: NETTLES ISLAND INC, A CONDO - SECTION II PARECEL 414 ANDPRO-RATA SHARE IN COMMON ELEMENTS
Property Tax ID #: 4502-501-0600-000-7
Site Plan Name: PERZEE
Project Name: PERZEE
Setbacks Front Back:
Right Side: Left Side:
Lot No.
Block No.
DETAILED DESCRIPTION OF WORK:
1. REPLACE A 497 SQ FT DOCK - SAME FOOT PRINT / LOCATION /
2. REPLACE EXISTING BOAT LIFT v
3. INSTALL A NEW PWL LIFT
CONSTRUCTION INFORMATION:.
itiona wor to e e armunder tispermit—check all appil
1jHVAC GesTank �GasPiping _Shutters ❑Windows/Doors
Electric 0 Plumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: Sc Ft. of First Floor:
Cost of Construction: $ 44,soo • DO Utilities: LL]Sewer E]Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name PERZEE, JOHN & JANET
Name: ROBERT WILLIAMS
Address:13701 LAUERMAN ST UNIT 77
Company: WILCO CONSTRUCTION INC
City: CEDAR LAKE State:IN
Zip Code: 46303 Fax: NIA
Phone No.219-405-6113
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 required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: �II
DESIGNER/ENGINEER: —Not Applicable T MORTGAGE COMPANY: x Not Applicable
Name: DANIEL PAUL RETHERFORD
%- 1402 HARTMAN RD
City: FORTMERCE
Zip: 34947
Phone: 772-224-9e26
State: FL
FEE SIMPLE TITLE HOLDER: x Not Applicable
Name:
Address:
City:
Zip: Phone:
Name:
Address:
City:
Zip:
Phone:
BONDING COMPANY: _Not Applicable
Name: —
Address:
City:
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 f Owner/Lessee/Contractor as Agent for Owner
STATE OF FLORIDA C� r ,1 ,
COUNTY OF (a cyl
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STATE OF FLORIDA (
COUNTY OF -
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The f oIn tyr a c nowled efore me The fo going instr nt w s acknowledged efore me
this Xdat10>(�, 20�by this [ day of 20 by
gdow
(Name of person acknowledging) (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 # GG 162346
Revised
(Signature of Notary Public- State of Florida )
Personally Known OR Produced Identification
Type of Identification Produced
Commission No.
My COMMISSION # GG 162346
—EXPIRES' nornmMr 17 9071
Bonded Tbnl Notary Publl4 Underxrftels
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS