HomeMy WebLinkAboutBuilding Permit Application i
All APPLICABLE INFO MUST BEICOMPLETED FOR APPLICATION TO BE ACCEPTED
/ Number: :
Date: �—� 7 I Permit Number: � I
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax:i(772)462-1578 Commercial Residential
PERMIT APPLICATION FOR:
P� OPOSED INPROUEM°ENT LOCATION• C
Address: 2I y9 Zrefl .eSZ J--n1e� elic,4 L• y�11 i�
Legal Description: /1/B2�1�1 �S/�hy -yr ✓ V,21 /�2 o
N� - /
Property Tax ID#: 0/5 2- 000- Lot No.2/�
Site Plan Name: Block No.
Project Name: 2/y9
Setbacks Front Back: Right Side: Left Side:
DET'A L' D DE�SNR�I'PTIO'
GQ1 P G le yP�&7 Ort 919 �.VO verl 07' �� � //5��� O di�e OI�i P
Girl " 74 CIO: re /•QOM
' CONSTRI�JCTION :NF®RI\/IAl'ION:
Additional work to be performed under this permit—check all that appy:
_Mechanical _Gas Tank _Gas Piping _Shutters i _Windows/Doors
_Electric _Plumbing �j _Sprinklers _Generator Roof
Total Sq. Ft of Construction: 119 57d Sq. Ft.of First Floor:
Cost of Construction: $ /700.0, Utilities: eSewer _Septic: Building Height:
OWN'E /LESS 15--- R:
°Name=/'9Gr#oL:; A�i/�a ;l/qr1 f—.Na"me''
r :;
'Address: ':h'2:y0- �/�a10 �l✓ Company: // 1" 'r ' "� /_?o� Za Sr. illi•
City; ,..W.� ;;j State:�. ;Address:` Sf-
Zip Code: 33 y// I Fax: f City: � nJBn Z' ieuc7i Stater
Phone No. V/- 72.3 O pY 7 Zip Code: 5 y��7 Fax:
E-Mail: Phone No -77.2 "260 '37/57
Fill-in fee simple Title Holder on next page (if different E-Mail Q cr� �rr�.��Li i,qC (F y jao• corms
from the Owner listed above) State or County License CRC /2'r/(79
If value of construction is 2500,or more,a RECORDED Notice of Commencement is required.
SUPFL IUI�E�M1ITAL CONSl'RlJCTION LIEN LAMEOW,ff
DESIGNER/ENG I _ Not Applicable MORTGAGE COMPANY: Not Applicable
Name: Name:
Address: Address:
City: tate: City: State:
Zip: Phone Zi Phone:
FEE SIMPLE TITLE HOLDER: _ Not Appli a BONDING COMPANY: Not Applicable
Name: Na
Address: Address:
City: City:
Zip: one: Zip: P e:
OWNE CONTRACTOR AFFIDVIT:Application is hereby made to obtain a permit to do the work a installation as indicated.
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 our Notice of Commencement.
I ,
Z4,e"�,�01'
Signature Owner/Lessee on racto as Agent for Owner Signature of Contractor License Holder
STATE OF FLORIDA / STATE OF FLORIDA
COUNTY OF COUNTY OF ,�'►!1
The forgoing instrum nt was pckniowledged before me The forgoing instrument was acknowledged before me
this %6 day of C 20 1? by this day of ;cuS ,20-0 by
�(�.� St�it�1 �s�.rn �'►�1
(Name of person acknowledging) (Name of person acknowledging)
(Signatu a of Notar Pub ic-State of Florida) (Signatur of Notary ub ic-State of Florida)
Personally Known OR Produced Identification Personally Known OR Produced Identification +�
Type of Identi ica 'ort Type of Identification
Produced r Ce 4`6 Virginia Jayne Produced—P L-\CZAa Jayne
NOTARY PUBU (� NOTARY PUB C
Commission No. �2'�2 o I) STATE OF FLO Wommission No. C�C� ��2� ) STATE OF FL R A
CamrtdC FF92132 Comm#FF921
Expires 9123! 0 9
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION, SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 7/2014
Nettles Wand inc.A � cond6min'JUM
9801 South®ca;a6Delve,Jensen Beacb,FL 34957
OR��� &72)229-2930
FAX(772)229-9901
August 8,2017
Marh Billane
2149 Nettles Blvd.
Jensen beach,F134957
RE:2149 Nettles Blvd
The review of your Adjacent Property Protection Plan for lot#2149 is complete.We
approve of the removal of the unit from lot 2149,provided that the lot will be finished
with acceptable pavement for RV parking.Lot must be clean and debris free.
Please comply with Nettles Island Procedures Governing Contractor and Building
Activity on Nettles Island,and provide us with a copy of the permit.
Respectfully
� L-
rank Fisher or Janice McLa
Architectural Committee Chair
CC:Laura Jones,LCAM,File
HK/JM/bh
� I
APPROVED
' I
Planning i3'Development Services ASBESTO�
"y; r
Building&Code Regulation Wision S NOTICE
2300 Virginia Avenue 1
Fort Pleree,FL. 34982.
Phone-(7721462-2172 Fax(772)462-6443
i
Asbestos Notice to Contractor
August 10, 2017 1
i
ADAM SMITH BOBCAT SERVICE INC
ADAM SMITH
661 NE SPENCER ST
JENSEN BEACH, FL 34957
RE: Building Permit Number 1708-0223
It is your responsibility to comply with the provisions of Section 469.003, Florida Statutes and to notify the Department
of Environmental Protection of any intentions to remove asbestos when applicable,in accordance with state and federal
law..
,
Signature
I
Date
I
I '
8/10/2017 1:04:24 PM
i I