HomeMy WebLinkAboutBUILDING PERMIT APPLICATION0
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: r g
SCANNED
- - - BY RECEIVED
' St. Lucie County
Building Permit Application
Planning and Development Services DEC 042018
Building and Code Regulation Division ST. Lucie County, Permitting
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PERMIT APPLICATION FOR: Other
PROPOSED IMPROVEMENT IMPROVEMENT LOCATION:
Address: 2308 GRAND OAK AVE, FORT PIERCE, FL 34981
Legal Description: SOUTHERN OAK ESTATES SECOND REPLAT (PB 42-36) TRACT A- LESS THAT PART MPDAF....
Property Tax ID #: 3404-712-0001-000-2
Site Plan Name: SOUTHERN OAKS HOA
Project Name: SOUTHERN OAKS HOA
Setbacks
Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Lot No.
Block No.
1. FURNISH AND INSTALL 1 PC. 5' X UP TO 40' +/- LONG TYP. TIMBER PED. BRIDGE
CONSTRUCTION INFORMATION:.
rtiona wor to e e orme under t—checkispermit a apply:
11HVAC IDGasTank ❑Gas Piping In— Shutters Windows/Doors
Electric ElPlumbing Sprinklers ElGenerator 13 Roof = Roof pitch
Total Sq. Ft of Construction: S� of First Floor:
Cost of Construction: $ 7,000.00 Utilities: Sewer OSeptic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name SOUTHERN OAK ESTATES POA
Name: ROBERT WILLIAMS
Address:2308 GRAND OAK AVE
Company: WILCO CONSTRUCTION INC
City: FT PIERCE State: FL
Zip Code: 34981 Fax: NIA
Phone No. 772-332-5510 - HAROLD MELVILLE
Address: 10751 ORANGE AVE
City: FORT PIERCE State: FL
Zip Code: 34945 Fax: 772-460-6929
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 regwrea.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name: DANIEL PAUL RETHERFORD
MORTGAGE COMPANY: x_ Not Applicable
Name:
Address: 1402 HARTMAN RD
Address:
City: FORT PIERCE 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
commencine work or recordinia vour Notice of Commencement.
Signature of Owner/Lessee/Contractor as Agent for Owner
s
Signature of Contractor/License Holder
STATE OF FLORIDA I e. ,^ STATE OF FLORID t
COUNTYOF lll� COUNTY OF L�7CQJL
�
The f oing instru e t M as knowledged kefore me
this�cii j' , 20Iby
�.�°�'
(Name of person acknowledging )
(Signature of Notary Pu lic- State of Florida )
Personally Known OR Produced Identification
Type of Identification Produced
Commission No.
MYCOWISSION03162348
Revised 07
The forgpi m ng instr ent was cknowledged efc re me
thisday of kl3e • 20 by
LI
(Name of person acknowledging)
Dau�h h:q::!Z
(Signature of Notary Public- otate of Florida
Pu)
Personally Known V OR Produced Identification
Type of Identification Produced
W COMMISSION # GG 182348
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
Z
INITIALS