HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Q-
Date: �'�7 Permit Number:
:. .__ 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 _
PERMIT APPLICATION FOR: ,06"Wol,. f;oh
PRO'`OS/ED INP'R'OUf E'NT L®CATION:
Address: p OO It llltJ OvGl. iiyni -Peae4, A2• -?/-/%Jr7
Legal Description: eve 161 2h e. 3973',2d77
Property Tax ID#: TO)- 0 7 Yd -000 6 Lot No. Aoo
Site Plan Name: Block No.
Project Name: 600
Setbacks Front Back: Right Side: Left Side:
DfTA11LE DE�SG IPTtON ® WO'R+K:
Corn f�P ej�0 i�l ✓I n Nr�4 vc0/ 0 5-7z/ `''lobi Ae
a#17 7 r: roam
CONSTRUCTION INIFORM'gTl'ON:
Additional wor to be pertormed under this permit-check all that appy:
_Mechanical _Gas Tank _Gas Piping _Shutters _Windows/Doors
Electric _Plumbing _Sprinklers _Generator _Roof
Total Sq. Ft of Construction: 5-?q Sq. Ft. of First Floor: �y
Cost of Construction: $ 170000 Utilities: ewer _Septic Building Height:
Name ��r�O1 Name: aim 7'`1
Ad0;9' S�ai�g/i f U�'. +Ciimpany,:
dress:
Gify:. State: "Addre's`s` . ddl 4 -54eq,
Zip Code:Ny/Oq'.37/5-Fax: City: enson 12e, r, State: )L•
Phone No. LIAO- 7,2- 1-1- 0,771 Zip Code: 3 5757 Fax: 77.2 ZV--219
E-Mail: Phone No "772- .M A-60-3 7/S
Fill in fee simple Title Holder on next page(if different E-Mail Ctal//a ens i�h i C Ygo00•corr�
from the Owner listed above) State or County License
If value of construction is 2500 or more,a RECORDED Notice of Commencement is required.
SIJPPLEMENI"AL CONSTRU�TI®N LIErfN LAW I FOR+I�/IATI®'N:
DESIGNER/ENGIN R: _Not Applicable MORTGAGE COMPANY: _ Not Applicable
Name: Name:
Address: Address:
City: ate: City: State:
Zip: Phone Zi Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applic 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 thew and 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 reprding your Notice of Commencement.
Signature of Owner/Lessee/Contractor as Agent for Owner Signature-6 Contractor/License older
STATE OF FLORIDA( STATE OF FLORIDA
COUNTY OF 1`Y)Cih,Y, COUNTY OF o
The forgoing instrument was acknowledgeefore me The forgoing instrument was acknowledged before me
this day of IA-+ ,20 �,by this 10 day of 20i2 by
iA/i,rY1Pr.1i`�
(Name of person acknowledging) - (Name of person acknowledging)
(Sig ature of ota y Public-State of Florida) (Signat a of Not y Public-State of Florida)
Personally Known OR Produced Identification Personally Known OR Produced Identification f
Type of Ide tificat'on Virginia Jayne Type of Identifi ati
Produced vus �; NOTARYPU oduced MV S Lc(�gC' VrcgWa Jayne
STATE OFF RIDA y NOTARY PUBLIC
Commission No. `f �IZ1325 k(5 FF92 �mmission No.
�g21325. a STATE OF FLOR D
I Expires 912 /2019' Comm*FF92132
Expires 912312 1
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev.
i
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Nettles Island Inco� a condominium
9801 South Ocean,give,Jensen Beach,FL 34957
OR �► (772)229-2930
FAX(772)229-9901
i
August 8,2017
Charles De Gross
600 Nettles Blvd.
Jensen beach,Fl.34957
RE: 600 Nettles Blvd
The review of your Adjacent Property Protection Plan for lot 4600 is,complete. We
approve of the removal of the unit from lot 600,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 ��
&3��Fisher or Janice Mc ughlin
Architectural Committee Chair
CC: Laura Jones,LCAM,File
HK/JM/bh
APPROVED
Planning&Development Services ASBESTOS NOTICE
Building&Code Regulation Division
2300 Virginia Avenue
Fort:Plerce,FL. 34982
Phone:(7T2)462-2172 fax:(772)4624443
Asbestos Notice to Contractor
August 10, 2017
ADAM SMITH BOBCAT SERVICE INC
ADAM SMITH
661 NE SPENCER ST
JENSEN BEACH, FL 34957
RE: Building'Permit Number 1708-0221
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
8/10/2017 12:50:51 PM