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All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED !
Date: ! �( � Permit Number:
Building Permit Applicata'on
Planning and Development Services j
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: 29
Ped
PROPOS E INP'R'®uE.MENT L®CAl'ION:
Address: 5-3
Ael#les 3y95- '.j .
Legal Description: �/e �eS �S/4hd �rl�•• Zd 3`�p >O - �Q�'1-I�—��s3
Property Tax ID#: 5-0 -50) - 0,213 9- 000 -S I Lot No. 53
Site Plan Name: 4e le5 i;i Block No.
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Project Name: �3 i
Setbacks Front Back:, Right Side: Left Side:
®E A LED DkSG PTION ®'F 1NOR�K
Zo'jVle 145e 2j0h- 'i-o.,7 l! �av4/ 4 J74'!I1 a ;l Aome 4M►
11
1.-41.1 ro O.'n
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CO:NSTRUCTIO INFORM TION:
Additional worF—to—Fe--pertormed under this permit—check all that appy:
_Mechanical _Gas Tank _Gas Piping _Shutters it _Windows/Doors
_Electric _Plumbing _Sprinklers _Generator _Roof
Total Sq. Ft of Construction: 70Z Sq. Ft.of First Floor: '„Q
Cost of Construction: $ /YeQ90 Utilities: Sewer _Septic I Building Height: 177l
0 f iRR/LESS ;E: CONI"d ACTO�IR�,
Name A119r1na L. G lfa, Name: W4fn �� i
Address: 7 ZE /'• Company: M
City: /' r2Q 0�'D State: Address: �6� ."! 2 car f/
Zip Code: 37///.2 _9 Fax: City: ✓e,)5-ei l��G State:
Phone
-
Phone No. O/� - 89� " y0 95 zip Code: 3 y9�Jr7 �i Fax: 772 23Z ZJ�/
E-Mail: Phone No /7772 - J;0 —37)5-
Fill in fee simple Title Holder on next page (if different E-Mail a clam ,n •if%L/7 C (9 ��/�a�. CA�•�
from the Owner listed above) State or County License
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If value of construction is 2500 or more,a RECORDED Notice of Commencement is required.
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S ''PRLEI�iENTAL =T11@
N LIIEN LAW INf®RI\/IATI®N:
DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: _Not able
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applica DING COMPANY: Not Applicable
Name: Q
�e:Address: 7dres�City: y:
Zip: Ph Zip: e:
OWNER/CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the wor stallation 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 workpr recording our Notice of Commencement.
Signature of Owner/L ssee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA "
COUNTY OF 3rA—L�C4� COUNTY OF
The r o instrume was cknowled before me The f rgo instrument was acknowledg efore me
this��day of 20by this, any of 20 by
aM AAc�
(Name ol person acknowledging) (Name of person acknowledging)
" 6 rA
CersonfallyKn
ar Pu lic-State o Flo da
(Signat 'P c stt UFF y_°` ;`�: Notary Public-State of FFlorida
rsonally Known'. a _ .OR P�Er4lfses(�rl��Fitt4��9n own r= ti Produced ldetrf�co —^
Type of Ide ^toL' ?'J> M Comm.Expires May 27,2015r1 ton .���������,, ANGELA M HUFF
ed _.Y.a`;` y P 1 ZParn�a��
Srrded throuah National Notary Assn., Produced se°/��'c's_ Notary Public State of Florida
T =•¢ _ .•E Commission#FF 234730
M Cor ires May 27,20154
Commission No. (Seal) Commission No. T _la y ����
���„� _ Bonded hro gfi National Notary Assn.
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev. 7/2014
1, S1 jl
Nettles- Island Inc., a condo nini_urn
9801 South Ocean 6rive,Jensen-Beach, FL 34957
R' -OR, ( ,2)229-293®
FAX(7712)229-990:1
www.nettlesislandcondo.com
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October 20, 2017 j
NormaMcRary
53 Nettles Blvd.
Jensen Beach, FL 34957 I'
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RE: 53 Nettles Blvd.
The review of your Adjacent Property Protection Plan for lot#53 is complete. We
approve of the removal of the unit from lot 53,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, j
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_ Frank Fisher or Janice McLaughlin V
Architectural Committee Chair
CC: Laura Jones, LCAM, File
Please be advised that Architectural Committee assumes no responsib',1 qty for the
structural adequacy, capacity or safety features of proposed construction, alteration or
addition; or for performance,workmanship or quality of work of any contractor or of the
completed alteration or description and shall not be relied upon as an approval or
warranty regarding engineering and structural design,building or zoning code
compliance,feasibility or marketability for any purpose, or compliancic with applicable
building ordinances, standards, or regulations. By approving the plans and specifications,
neither the Architectural Committee or the members thereof,the Association,the Board,
its employees and representatives assumes any liability or responsibility therefore, or for
any defect in any structure constructed there from, and said person further specifically
exclude from such approval any implied warranty of merchantability'and fitness for any
purpose.
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I E C Oil'5 Li,
s�}.uGiG UOu it
Planning&Development Services ASBESTOS NOTICE
Building&Code Regulation Division i
2300 Virginia Avenue
Fort Pierce,FL. 34962
Phone:(772)462-2172 Fax:(772)462-6443
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Asbestos Notice to Contractor
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October 25, 2017 {I
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ADAM SMITH BOBCAT SERVICE INC {
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ADAM SMITH
661 NE SPENCER ST }
JENSEN BEACH, FL 34957 i
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RE: Building Permit Number 1710-0621
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. II
Signature
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Date
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10/25/2017 11:30:00 AM !j
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