HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONI
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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: I )S' I SCANNED Permit Num
BY
St. Lucie County
Building Permit Applicatio
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
PERMIT APPLICATION FOR: Seawall Cap UPAIY
PROPOSED IMPROVEMENT LOCATION:
Address: 10751 S OCEAN DR. LOT B-9, JENSEN BEACH, FL 34957
Legal Description:
Property Tax ID #: 4511-311-0038-000-1
Site Plan Name: FLOSI
Project Name: FLOSI - SEAWALL CAP
Setbacks
Back: Right Side: Left Side:
IDETAILED DESCRIPTION OF WORK:
WPM
NOV 14 2019
Permitting Department
5i. L�gie Cgunty, FL
REMOVE AND REPLACE CONCRETE SEAWALL CAP ON EXISTING SEAWALL
Lot No. B-9
Block No.
CONSTRUCTION INFORMATION: III
ElHVAC Gas Tank E]GasPiping _Shutters ❑Windows/Doors
11 Electric 0 Plumbing Sprinklers 1:1Generator Roof Roof pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 12,500.00 Utilities: Sewer Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name MICHAEL FLOSI
Name: ROBERT WILLIAMS
Address: 10751 S OCEAN DR LOT B-9
Company: WILCO CONSTRUCTION INC
City: JENSEN BEACH State: FL
Zip Code: 34957 Fax: WA
Phone No. 772-201-0987
Address: 10751 ORANGE AVE
City: FORT PIERCE State: FL
Zip Code: 34945 Fax: 772-460-6929
Phone No. 772-460-6928
E-Mail: N/A
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 52500 or more, a RECURDED Notice or commencement is regwrea.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: x Not Applicable
Name: DANIELPAULRETHERFORD Name:
Address: 1402 HARTMAN RD Address:
City: FORTPIERCE State: FL City: State:
Zip: 34947 Phone: 772-224-9826 Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable BONDING COMPANY: _Not Applicable
Name:
Address:
City: _
Zip:
Name: _
Address:
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
commencine work or recordine vour Notice of Commencement.
Signature of Ow er/Less ontractor as Agent for Owner
STATE OF FLORIDA a I STATE OF FLORIDA � e,
COUNTYOF COUNTY OF
The f r ing instrument was cknowledggdj before me
this day of 20 I`"'ff by
(Name of person acknowledging)
(Signature of Notary` Public- State of Florida)
Personally Known V OR Produced Identification
Type of Identification Produced
Commission No. .• -DAWN FIOWOWD
MycOMMISSION#GG162348
Public
Revised
The for ing instru'knnowledged before me
this ldm n was ac
ay of Y*wl• 20 Lc�_ by
Rbjq:� i l if a(m
(Name of person acknowledging)
QbkP�
(Signature of Notary Public- State of Florida )
Personally Known OR Produced Identification
Type of Identification roduced
Commission No.
DAWN FITZGERALD ^^
EXPIRES: December 17,
2021
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
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REVIEW
DATE
COMPLETE
INITIALS