HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED (�
Date: SCANNED Permit Number:
BY
e • St. Lucie County
RXWED
Building Permit Application OCT o2
Planning and Development Services 1019
Building and Code Regulation Division Permitting Department
2300 Virginia Avenue, Fort Pierce FL 34982 St. Lucie County
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Dock/Seawall III
PROPOSED IMPROVEMENT LOCATION: �II
Address: T.B.D. I O$S I S. oc4a') IJY
Legal Description: WINDMILL VILLAGE BY THE SEA REPLAT THAT PORTION DESIG AS WATERWAY (OR 1017-2131
Property Tax ID #: 4511-809-0005-000-9
Site Plan Name: WINDMILL VILLAGE SEAWALL
Project Name: WINDMILL VILLAGE SEAWALL
Setbacks Front Back:
Right Side: Left Side:
Lot No.
Block No.
DETAILED DESCRIPTION OF WORK: 4- AMt%kV%V,. III
1. REPAIR OR REPLACE:22k11. FT. +/- OF SEAWALL WITHIN 18" OF THE EXISTING WETFACE
2. INSTALL CAP AND BATTER PILE FOR SEALWALL STABILIZATION
5E Corner loft I;L'Z --- t 33
CONSTRUCTION INFORMATION:
[JHVAC []Gas Tank ❑Gas Piping _Shutters []Windows/Doors
Electric OPlumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction: $ 112,000.00 Utilities: Sewer Septic Building Height:
O W N ERAESSE E:
CONTRACTOR:
Name ASSN INC WINDMILL VLG BY SEA CONDO #1
Name: ROBERT WILLIAMS
Address:10851 S. OCEAN DR. LOT 169
Company: WILCO CONSTRUCTION INC
City: JENSEN BEACH State:FL
Zip Code: 34957 Fax: N/A
Phone No. ROBERT FOSS 772-229-7769
Address: 10751 ORANGEAVE
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 $2500 or more, a RECORDED Notice of Commencement is required.
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: FORTPIERCE State: FL
Zip:34947 Phone: 772-224-9a26
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
commencing work or recordine vour Notice of Commencement.
s
Signature o caner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
COUNTYOFORIDA �>I �� C� COUNTYOFSTATE OF ORIDA SI 1 r i
The f rgoing instrumen w s knowledge efore me
this day of 20 t4by
(Name of person acknowledging)
t
(Signature of Notary Public- State of Florida )
Personally Known v
Type of Identification
Commission No.
Revised
OR Produced Identification
DAWN FI GE
w-eoMMISSi M
G 162348
EXPIRES: December 17, 2021
The for oing instrument as a�ckn/owledged before me
this day of C� . 20 12 by
(Name of peArson acknowledging )
(SIgnature of Notary`Publlc- state of Florida j
Personally Known IL OR Produced Identification
Type of Identification Produced
Commission
MY COMMISSION # GG 162348
REVIEWS
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ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
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REVIEW
DATE
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INITIALS