HomeMy WebLinkAboutWINDOW/DOOR INSTALLATION RESIDENTIAL ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: 7�(� c
. RECEIVED
Building Permit Application
Planning and Development Services JUIN 3 0 2017
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax:(772)462-1578 Commercial Residential::
PERMIT APPLICATION FOR: Window/door
PROPOSED IMPROVEMENT LOCATION ':'
Address: 1132 Nettles Blvd Jensen Beach, FL 34957
Legal Description: NETTLES ISLAND INC,A CONDO-SECTION II PARCEL 1132 AND PRO-RATA SHARE IN COMMON ELEMENTS(OR 3984-362)
Property Tax ID#: 4502-501-1319-000-7 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK. .';;
Remove front door and replace with impact
Remove 3 bay windows in dining room and replace with impact
CONSTRUCTIQN INFORMATION,
Add
Itiona workto e performed under
t Is permit—check a appy:
HVAC GasTank []Gas Piping _Shutters Q Windows/Doors
11 Electric ❑Plumbing Sprinklers E]Generator E] Roof Roof pitch
Total Sq. Ft of Construction: SFt.of First Floor:
Cost of Construction:$ 4,500.00 Utilities:n Sewer Septic Building Height:
OWNERAESSEE': CONTRACTOR':
Name Fred Hansen Name: Nathan Cooke
Address:80 Oak Hill LN Company: Cooke Construction, Inc
City: Leicester Stater Address: 1278 Business Park Place
Zip Code: 05733-9460 _ Fax: City: Jensen Beach State:FL
Phone No. ..,_d ___ _• _ _ Zip Code: 34957 Fax:
E-Mail:1938smokey@gmail.com Phone No. 772-530-0659
Fill in fee simple Title Holder on next page(if different E-Mail: nate@cookeconstructioninc.com
from the Owner listed above) State or County License: CGC1520585
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEM,ENTAL CONSTRUCTION LIENLAWI INFORMATION;
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: 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 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 recording your Notice of Commencement.
s
Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORID�j� STATE OF FLORIDA
COUNTY OF /YS° �/i✓I COUNTYOF
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this -dayof �ovtL 20 1l-7by thi__day of 20 t7 by
INIAC. (-0®�Of- Loc,Le
(Name of pe on acknowledging (Name of person acknowledging)
G
(Signature of Notary Public- ate of Florida) (Signature of Notary Public-State of Florida)
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. 1709 Z L l ` � (Seal) WALTER D PAYNE II Coission No..& z 44, YN
(SWTER D PAE II
fir° ;moo'•, Notary Public •State of F orida Notary Public-State of Florida
Commission #GG 244.67 Com GG 94467
My Comm.Expires Aug 25;2020 �;� Nly Comm:Expires Aug 25,2020
Revised 07/15/2014 �'�0� � ��` Bonded throw h National Notar Assn. ;:�`�,
9_ - y Bonded Through-Naiinnal Notary Assn.
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