HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONy..
ALL APPLICABLE INFO'MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: l '1 l 1 I 0 1 V3
SCANNED
BY
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u St. Lucie County Rtic
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Building Permit Application 01 IN
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Planning and Development Services
Building and Code Regulation Division pevR`\ttae
St.
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Dock/Seawall
PROPOSED, tMPROVEMENT,LOC'A7t' N_xr „ x. i P ,....=
rz114
Address: RIOMAR COURT
Legal Description: RIVER PARK -UNIT 10- BILK 83 LOT 7
Property Tax ID #: 3419-575-0008-000-8 Lot No. 7
Site Plan Name: Block No.
Project Name: TABBERT SEAWALL REPAIR
Setbacks Front Back: Right Side: Left Side:
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"DETAlRED [7i SGRIPI CON O
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CONSTRUCT A 150 LF SEAWALL REPLACEMENT AND REPLACE/RECONFIGURE AN EXISTING DOCK
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C f NSTFtUCfI0Ct1 INF;OR,MTION
rtiona wor to a erorme un ert ispermit—c ec a appy:
11HVAC E] Gas Tank Gas Piping _Shutters Windows/Doors
Electric Plumbing Sprinklers Generator Roof Roof pitch
e r,
Total Sq. Ft of Construction: S Ft. of First Floor:
'a �Sewer
Cost of Construction: $ IL , 1 6 i7 • du Utilities. Septic Building Height:
O�AINER�LESSEE' _
CONTRACTOR"
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Name JANET TABBERT
Name: OWNER/BUILDER
Address: 114 RIOMAR COURT
Company:
City: PORT ST LUCIE State: FL
Address:
City: State:_
Zip Code: 34952 Fax:
Phone No. 772-267-8086
Zip Code: Fax:
E-Mail: DARRELLJULIE@BELLSOUTH.NET
Phone No.
Fill in fee simple Title Holder on next•page (if different
E-Mail:
State or County License:
from the Owner listed above)
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
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5�1PP IMENTAL�CONSTRUG1fC3N`E'1EI LAW )NFO
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M TION * 6
DESIGNER/ENGINEER: Not Applicable
Name: PAUL WELCH, INC
MORTGAGE COMPANY:
Name:
_ Not Applicable
Address: 1984 BILTMORE DR #114
Address:
City: PORT ST LUCIE State: FL
Zip: 34982 Phone 772-785-9888
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY:
Name:
_Not Applicable
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
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.
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OWNER/BUILDER
Sign�a/tufe of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA
5} ULLCv2.
STATE OF FLORIDA
COUNTY OF
COUNTY OF •
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this day of NC)Yeri b-kt 20 k 9 by
this_ day of 20_ by
Name of pers making statement
Name of person making statement
Personally Known OR Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of Identification
Produced
lau(-�� Vo-- - - - - - - - - - - - - - -
Produced
-
ignature of otary Public- St `e�Fbgrid�ry pu611c State o};Flwl
4 Si ature of Notary Public- State of Florida )
- Tracey Mascola
Commission NoTF�I'I I .dS�Ij:ommisalonFFa71a97
Co mission No. (Seal)
a, Expims 04126/2920
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
A
RECEIVED
✓1
DATE
COMPLETED
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Rev.8/2/17