HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: •�3• Permit Number: / " I?OJ'
RECEIVED
Building Permit Application 9
Planning and Development Services APR 12 2Q1�
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: Window/door
PROPOSED IIVIPRQVEME:NT LOCATION:
Address: 260 Nettles Island Blvd, Jensen Beach FL 34957
Legal Description: Nettles Island Inc.,A Condo-Section 11 Parcel 260 and Pro-Rata Share In Common Elements (or 3035-2727)
Property Tax ID#: 450250104460009 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK >'
c 0 <
Replace all existing windows & dd storm shutters /kpr t 77.1 E P&e-[ vF` el IT
CONSTRiUCTION INFORMATION
Additional work to be nertormed under t ispermit—check all th t appy:
HVAC Gas Tank ❑Gas Piping Shutters Windows/Doors
Electric ❑ Plumbing Sprinklers 1:1 Generator F] Roof Roof pitch
Total Sq. Ft of Construction: SFt. of First Floor:
Cost of Construction:$ $8,213.00 UtilitieslnSewer Septic Building Height:
OWNER/LESSEE ;CONTRACTOR
3
Name Barbara Turner Name: Rick Murray
Address:5060 William Street Company: Shoreline RV& Mobile Home Repair
City: Claremont, Ontario, Canada State:_ Address: 1290 N.E. Business Park Place
Zip Code: L1Y 1 B7 Fax: City: Jensen Beach State:FL
Phone No.905 649-1917 Zip Code: 34957 Fax:
E-Mail:pturner506O@gmail.com Phone No. 772 334-4334
Fill in fee simple Title Holder on next page I if different E-Mail: rim9815@aol.com
from the Owner listed above) State or County License: CRC057268
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: x Not Applicable MORTGAGE COMPANY: x Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: 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 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
commencin work or recording our Notice of Commencement.
01041�_IIZ4111,,� le,—,4 - s
Signature of Owner/Lesse Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF S+ . U_L t-e, COUNTY OF ul�r�
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this L day of 20 Eby this 1b day of "ll'Z i t- ,20 li7 by
ls�oC\
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary Public-State of Florida) (Signature of Notary Public-State of Florida)
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Id Type of Identification P o uc d
"►St
CARIKNELSON
�,�: apY P� • CARLA NELSO�
Commiss' n' u�pLpi -Sisti4flkido Commissi [ ""o%
Commission N FF 965535 _; , .: o afy Public-State �3 da
Commission N FF 965535
nu, Comm14a �%;Q, Y om .capites Fe
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Revise
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS