HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONSCANNED
MW It. Lucie Coun
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED 11(� 1n ty
Date: A}Un00 atom -IS Permit Number:[
�8
03NNVOR
Building Permit Application o o ; .
0
Planning and Development Services O�J
Building and Code Regulation Division �b
2300 Virginia Avenue, Fort Pierce FL 34982 -
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Dock/Seawall.
PROPOSED IMPROVEMENT LOCATION
Address: 10701 S. OCEAN DR LOT 878
Legal Description: VENTURE OUT AT INDIAN RIVER INC LOT 878 (OR 4105-2396 )
Property Tax ID #: 4511-510-0079-000-1
Site Plan Name: REYES
Project Name: REYES - DOCK & BL
Setbacks Front Back:
DETAILED DESCRIPTION OF WORK:
1. INSTALL A 220 SQ FT DOCK
2. INSTALL 1 PC. BOAT LIFT
Right Side: Left Side:
Lot No.
Block No.
I.CONSTRUCTION INFORMATION:
Additionalworl(tol3griprtormed under tis permit — cneCK
�HVAC Gas Tank ❑Gas Piping
all
apply:
_ Shutters
❑ Windows/Doors
Electric 0 Plumbing
Sprinklers
Generator
Roof Roof pitch
Total Sq. Ft of Construction:
S
Ft. of First Floor:
Cost of Construction: $ 22,830.00
Utilities:nSewer
Septic
Building Height:
,OWNER/LESSEE:
CONTRACTOR:
Name JORGE REYES
Name: ROBERT WILLIAMS
Address:16391 SW 53RD TER
Company: WILCO CONSTRUCTION INC
City: MIAMI State: FL
Zip Code: 33185 Fax: NIA
Phone No. 305-799-1320
Address: 10751 ORANGE AVE
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: DANIEL PAUL RETHERFORD
MORTGAGE COMPANY:
Name:
X Not Applicable
Address: 1402 HARTMAN RD
Address:
City: FORT PIERCE State: FL
Zip: 34947 Phone: 772-224-9826
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.
s
Signature of Ow1Ner4Les&eete6fftractor as Agent for Owner Signature Contr se Holder
STATE OF FLORIDA mac± ' / / ; `� STATE OF COUNTY OF FLORIDA,'I ' ,
COUNTY OF ��ll AA.IX_/t_M,
The fo oing instru� e/n�t w�s ^aceknfo ledgg efore me
this 7 day of d L ?W 20 Lgby
person
(Signature of Notary
Known _V OR Produced Identification
Type of
The forgoing 'instrument was acknowledge ¢ before me
this day of , 20 -` I by
Ge��
(N of person acknowledging)
(Signature of Notary Public- StSte of Florida )
Personally Known ✓ OR Produced Identification
Type of Identification Produced
Commission No.
My COMMISSION g GG
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
10
INITIALS
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