HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUSTBECOMPLETED FOR APPLICATION TO BE ACCEPTED
•J Date: �! •�, l� Permit Number:
RECEIVE®
Building Permit Application FEB / 6 201
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: Shutter
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Address: 1147 NETTLES BLVD.JENSEN BEACH FL.34957
Legal-Description:
NETTLES ISLAND INC.A-CONDO, SECTION11, PARCEL 1147,
Property Tax ID#: 4502-501-1334-000-8 Lot No.
Site Plan Name: Block No.
Project Name: NETTLES ISLAND
Setbacks Front Back: Right Side: Left Side:
3s%".
INSTALL ONE ACCORDION SHUTTER ON THE SMALL OPENING ON THE CARPORT ONLY.
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Additional work to < e e orme ' under this permit—check allapply:
HVAC E]Gas Tank ❑Gas Piping ✓_Shutters Q Windows/Doors
11 Electric 1:1 Plumbing Sprinklers Il Generator Roof Roof pitch
Total Sq. Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ 900.00 Utilities:uSewei Septic Building Height:
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NameTIMOTHY NELSON Name: VAUGHN HOSKINS
Address:1147 NETTLES BLVD. Company: V H EXTERIORS INC
City: JENSEN BEACH State:FL. Address: 543 NW WAVERLY CIRCLE
Zip Code: 34957 Fax: City: PORT ST. LUCIE State:FL.
Phone No.803-944-0740 Zip Code: 34983 Fax: 772-871-2567
E-Mail: Phone No. 772-871-6484
Fill in fee simple Title Holder on next page(if different E-Mail: VHEXTERIORSINC@GMAIL.COM
from the Owner listed above) State or County License: 21579
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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DESIGNER/ENGINEER: X Not Applicable MORTGAGE COMPANY: x Not Applicable
Name: TOWN&COUNTRY IND. Name:
Address:400 WEST MCNAB RD. Address:
City: FT.LAUDERDALE State: FL. City: State:
Zip: 33309 Phone: 954-970-9999 Zip: Phone:
FEE SIMPLE TITLE HOLDER: X Not Applicable BONDING COMPANY: X 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 thepermit 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 obtai ' ncing, consult with lender or an attorney before
com encin w or recording our Notic ncemen
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Signatu a of Owner/0see/Contractor as Agent for 0 rl&r Signature of Co ractor/Lice se Holder °y...
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STATE OF FLORIDA z �A STATE OF FLORIDA a m{
COUNTY OF STLUCIE NNoOQ COUNTY OF ST.LUCIE �n
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The f rgoing instru ent was acknowledged before m Is T= he forgoing instr ent was acknowledged bef !m
this day of20 by �A his day o 20 b 3z
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(Name ofer on acknowl dging) (Name of pe6&acknowledging)
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(Signature of Notar ublic-State of Florida) (Signa ure of Notarylic-State of Florida)
Personally Known ✓ OR Produced Identification Personally Known v/011 Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. (Seal) Commission No. (Seal)
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS