HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: SCANNED Permit Number: 1 �()q
BY
St. Lucie County
RECEEVED
Building Permit Application SEP r 1
Planning and Development Services 2017
Building and Code Regulation Division PERCOITTING
2300 Virginia Avenue, Fort Pierce FL 34982 St. Lucie County, FL
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
I PERMIT APPLICATION FOR: Dock/Seawall F;1 I
J�PROPOSED IMPROVEMENT LOCATION%
Address:. Unaddressed (NW Garner of Venture Out common area)
Legal Description: Venture Out at Indian River Inc. -Common use (as per plat dedication dated 7/10/1976)
Property Tax ID #: 451151000000007
Site Plan Name: Wrdwcf-wi
Project Name--�Mwy._Wu
Setbacks Front Back:
ffDETAILED DESCRIPTION OF.,V
I Install 50' retaining wall
Right Side:
Left Side:
Lot No.
Block No.
Additional work to be nertormed under this permit — check all apply:
EjHVAC 11 Gas Tank OGas Piping Shutters Windows/Doors
LIElectric El Plumbing OSprinklers ElGenerator El Roof Roof pitch
Total Sq. Ft of Construction: Sc Ft of First Floor:
Cost of Construction: $ Utilities: L]SewerE:]Septic Building Height:
'bWNER/LtSSE��
CONTRA R:
NameVenture Out at Indian River Inc.
Name: R.Williarns
Address: 10701 S. Ocean Dr.
Company: Wilco Construction, Inc.
City: Jensen Beach State:FL
Zip Code: 34957 Fax:
Phone No.7722292333
Address: 10751 Orange Ave.
City: Ft. Pierce State: FL
Zip Code: 34946 Fax: 7724606929
Phone No. 7724606928
E-Mail: managerv-3@earthlink.net
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: SCC 131151026
It value at construction is �2500 or more, a RECORDED Notice of Commencement is required.
S�PPLEMENTA
DESIGNER/ENGIN
Name:0ChQ_1 F
Address:
City:
Zip:
FEE SIMPLE TITLE
CONSTRUCTION� LIEN L
ER: NotA plica
Sta e;4-
'hone D 22-Lf
[OLDER: Not Applica
MORTGAGE COMPANY: Not Applicable
Address:
City: State:
Zip: Phone:
BONDING COMPANY: —Not Applicable
Name: Name:
Address: Address:
City: city:
Zi p: 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.LucleCoun makes no representation that is granting a permit will authorize the ermit holder to build the subject structure
which is In conlylict with any applicable Home Owners Association rules, bylaws or an9covenants that may (estrict 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 recordiniz vour Notice of Commencement.
Signatur—e f Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA
STATECIFFLORIDA
COUNTYOF 0&
COUNTY OF -
The fQ;g9ing instraent was acknowledgqd+efore me
The fQrgoing instrumVit was acknowledged before me
thisCXJ (Jay of 20j_J by
thlse�l dayof A-,JLA 20_�-Jby
M, Wns.
"Q4y-r�, -�kdia%�
Name of pers
,,qn making statement
Name of person
_paking statement
Personally Known .,�' OR Produced Identification
Personally Known 6,� OR Produced Identification
Type or went.111UL1011
Type or iucnuncatioti
Produced
DIW&
Produced
21W.
(Signature of Notary Public- state of Florida I
(Signature of Notary Public- State of Florida
commission No. ........ "bM" FrrZGFRALD
Commission No.
V. I� Y GE I S SE #FF F 0; 75 2 9
2-�_F
WCOMIRMISSIONOFFOT7529
EXPIRES: December 17, 2017
EXPIRES: Dec6mber17,2017
Buded Thai 14.ty Nblic Undwfte.
�ZDNING �__SUPERVISOR
REVIEWS
FRONT'�
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17