HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE�INFO MUST BE COMPLETED FOP;,APPLICATION TO BE ACCEPTED � 2 �j I�
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x Building Permit Application
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 Residential x
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PR€�POSE1711 PR0AMENT LOCATION.
Address: 65 AQUA RA DR JENSEN BEACH; FL 34957
Legal Description: RIVER WATCH BILK 3 LJT 3 _—
Property Tax ID#: 4511-815-0007-000-2 _ _ Lot No..3
Site Plan Name: EBERLE DOCK/BOAT LIFT Block No. 3
Project Name: EBERLE DOCK/BOAT LIFT
Setbacks Front Back: Right Side: Left Side:
®.E7AILEfi� DEC TI �I OF t iOR
C NSTRUCTION N
Additional work to be pertort'ned under this per t=c iec a apply: -�
®HVAC Gas Tank E]Gas Pi Shutters ❑Windows/Doors
FlElectric Plumbing O Sprinklers Generator Roof
Total Sq. Ft of Construction: _ Sq. Ft.of First Floor:
Construction: --------- (--1 f—I
Cost of Construction:$ t-CW. n .`__. Utilities:"Sewer U Septic Building Height:
{3' INERf LESSEE Cf� ITRACTOR z
Name
GLENN EBERLE VName: R.WILLIAMS
Address:66 AQUA RA DR Company: WILCO CONSTRUCTION INC
City: JENSEN BEACH State:f_: Address 4675 N US 1
X4957 FORT PIERCE_' FL
Zip Code: Fax: City: State:
Phone No.561-317-4733 _-_ Zip Code: 34946 Fax: 772-460-6929
E-Mail:GLENN@CESPECIALIST.COM Phone No. 772-460-6928
Fill in fee simple Title Holder on next page(if different E-Mail: WILCOINC@BELLSOUTH.NET
from the Owner listed above) State or County License: 21373
If value of construction is$2500 or more,a RECORDER Notice of Commencement is required.
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pp MORTGAGE COMPANY: -N .
®ESIGNER/ENGINEER: Not Applicable 'T of Applicable
Name: PAUL WELCH INC Name:
Address:',-184 SW BILTIAORE STREET 9114 Address:
City: PORT ST LUCIE _--..�— � State: Ft. ( City: State:
Zi p: 34984 Phone: 772-785-9888 Zip: Phone:
FEE SIMPLE TITLE HOLDER: __ Not Applicable BONDING COMPANY: _Not Applicable _
Name: 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 theperrnit 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-Horne Owners Association and review your deed ror 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 recording your Notice of Commencement.
s
Signatur r/Lessee/Agent Signature of Contractor/License Holder
STATE OF FLORID STATE OF FLORI
COUNTY OFCJ COUNTY OF
Ttte far oing instru t=nt was acknowledge before me The forgoing instru ent was acknowledged before me
this day of 1 0 , 20 �by this 1�day of 20 by
� 'I� I� 11L4�d�Y1S
.................
_
(Name of person acknowledging) (Name of person acknowledging)
A Aut".n f�
!Signature of Notary Public-State of Florida} (3tgnature Notary Public-State of Florida}
Personally Known ORPr ced Identification Personally Known � OR Produced Identification
Type of Identification Produced _— Type of Identification Produced
Commission<No.l'1��715LSall Commission No._ ,,,, ttp
i j
W,FA"', DA NFITZGERALD
DAWN FITZGERALD ,i t_ MY COMMISSION FF 077529
------ —MY-C0MMISSi("_FF-OX1529—_ mberi-7;-E699—
EXPIRES:0ecember17,^_017 ''�,,ef bK Bonded Thru Notary PuNo Underwriters
Revised 07/15/201 �? d" Bonded Thrr Notary Public Umtertritors 1� ���
+Rf� •`'
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
--.......... --- — -
DATE `—
COMPLETE 4 iS
�. INITIALS /,t0
a,TItE : i a4
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_
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DESIGNER/ENGINEER: Not Applicable ' MORTGAGE COMPANY: —Not Applicable
Name: PAULtWI-CHINO Name:
Address:1984 SW ULTMORE FrREET 91 t4 Address:
City: PORT ST LUCIE State: FL City: State:
Zip: 34964 Phone: n2a88-9886 Zip: Phone:
FEE SIMPLE TITLE HOLIER: Not Applicable BONDING COMPANY: Not Applicable
Name: 1 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 restrictlOns vdhich.rnay 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 recordingyour Notice of Commencement.
s
signatur rJ Lessee/Agent I Signature of Contractor/License Holder
STATE OF FLORID ll ,,.. STATE OF FLORI
COUNTYOF L llla COUNTY OF "CbL-1
The for oing instru ent was acknowledge before me The forgoing instru ent was acknowledged before me
this for
of 0• 20 t=Lby this day of 20 '0 by
(Name of person acknowledging) (Name of person acknowledging)
JAJXyJ!%
(Signature of Notary Publicltate of ) ( ignature of Notary�
—Florida) State of Florida)
Personally Known OR Pradiiced identification V Personally Known Ll� OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No.v'i-" 15 sea n Commission No. "'BUN
i DAVVN Ff7ZGF.RALD '°l
iGN V29— MY'- COMMISSION FF 077529
IIS:December 17,2917
6OMMISSFF GlZ7. - *0 �'0
EXPIRES:December 17,$017 ~ !t b Bonded Thru Notary Public Underwriters
Revised 07/15/201 �� ` Bolded Thor Notary mors
PublicUndvy-
.Flf; d`0. 1 5 1 Q-
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW ( REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE Li
INITIALS 1