HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: St'' BY ED Permit Number.
St. Lucie CM&NED RECEIVL
BY
Build ingg3PbrMlV( 00licati n NOV 14 2019
Planning and Development Services
Building and Code Regulation Division Permitting Department
2300 Virginia Avenue, Fort Pierce FL 34982 tR? COg(nty, FL
Phone: (772).462-1553 Fax: (772) 462-1578 Commercial _ T
PERMIT APPLICATION FOR: Dock/Seawall/E00+ f-
PROPOSED IMPROVEMENT LOCATION:
Address: 118 QUEEN CHRISTINA CT. FORT PIERCE
Legal Description: QUEENS COVE -UNIT 2- BLK 21 LOT I
Property Tax ID #: 1414-702-0009-000-2 Lot No.
Site Plan Name: HILL Block No.
Project Name: HILL-SW/DOCK/BL
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK: f
1. REPLACE EXISTING DOCK IN SAME LOCATION / CONFIGURATION (384 SQ. FT.)
2. INSTALL 1 BOAT LIFT
3. INSTALL 64 L. FT. OF SEAWALL WITHIN 18" WATERWARD OF EXISTING
CONSTRUCTION INFORMATION: I
I
❑HVAC ❑ Gas Tank
11 Electric 0 Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 47,000.00
Piping
❑_
Shutters
❑
Windows/Doors
nklers
❑
Generator
❑
Roof
=
Roof pitch
S Ft. of First Floor:
Utilities:i Sewer ❑ Septic
Building Height:
OWNER/LESS IEE:
CONTRACTOR:
Name DAVID HILL
Name: ROBERT WILLIAMS
Address:118 QUEEN CHRISTINA CT
Company: WILCO CONSTRUCTION INC
City: FORT PIERCE State: FL
Zip Code: 34949 Fax: WA
Phone No. 813-422-1420
Address: 10751 ORANGEAVE
City: FORT PIERCE State: FL
Zip Code: 34945 Fax: 772-460-6929
Phone No. 772-460-6928
E-Mail: DAEHILLINDC@HOTMAIL.COM
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:
DESIGNER/ENGINEER: _ Not Applicable
Name: DANIEL PAUL RErHERFORD
MORTGAGE COMPANY: X Not Applicable
Name:
Address: 1402 HARTMAN RD
Address:
City: FORTPIERCE State: FL
Zip: 34947 Phone: 772-224-9826
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: X Not Applicable
Name:
BONDING COMPANY: _Not Applicable
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
STATE OF FLORIDA e l�FLORIDA � 1 i ,Cl `�
COUNTY OF COUNTY OFy lr
The for
owl ing instru �e a ack dge before me
this I day ci 20 by
ice( )b&L mmjnr
(Name of person acknowledging)
Eal 14"L�
(Signature of Notary Public -State of Florida )
Personally Known V OR Produced Identification
Type of Identification Produced
MY COMMISSION#GG 162348
The forgoing instr in t was ac cnowledge efore me
this _L day of �20 by
d � �Ah ems
(Name of person acknowledging)
(Signature of Notary Public- State of Florida )
Personally Known ✓ OR Produced Identification
Type of Identification Produced
Commission No. DAWN FI
MY COMMISSION #GG 62348
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