HomeMy WebLinkAboutBuilding Permit Application All!APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 12-)-Y- / 7 Permit Nu J ber:
Building Permit Application
Planning and Development Services DEC 2 8 2017
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982 j
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential
PERMIT APPLICATION FOR: LP�,y����
PR011,001 MENT @CATIOi
Ad'dress:;-100I Ire-#&f 8 :r8ett4., ICL. 3P37
Legal Description: /l/C#/0f 7-4 Ic 39%y IV �0��/3F3
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Property Tax ID#A/5-o)-`5-W- Ol Q3 - 00D-.3 I i' Lot No..2/ae
Site Plan Name: OeeA/e S "' Block No.
Project Name:
Setbacks Front" Back: Right Side: Left Side
DET ED D SCRIPT ®N ®� WOR+K.
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Ma %�ib� h e� a off'
Ale
C�ONSTRU =TfON INS�O �+MAT)®N:
itiona worto ape Orme un er t is permit-check a :t at'app y:
Mechanical _Gas Tank _G'as Piping _Shutters Windows/Doors
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.:.Electric: _Plumbing _Sprinklers "" ':'' _;Generatlor �; _Roof
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T i tal:So'ft'of construction: 833 Sq.Ft:of First Floor 3
Cost of Construction:$ /940,on. Utilities: ASewer _Septic Building Height: 771''
011VN'E /LESSE C NO�RACA ,R:
Name&yrt/e`/If ie Aq1 Name: ��
Address:,;/0/ �l/r{f�✓S �v� Company:.,,&.' ��h ��.7� S✓r• i
City: cicn-fen
� 8e4.�, State:�L Address: �6l �.��`,''a J,�ltcC� 55
Zip code:,3075 7 Fax: City:Jgrse4 0�1 I State: Q
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Phone No. &(0 F-.Z2 152 Zip Code: 3093-7 1'1? Fax: 77223.2 `-2/9/
E-Mail: Phone No 7 - -?71r
Fill in fee simple Title Holder on next page(if different E-Mail / -AM y41�oe,- Cos117
from the Owner listed above) State or County License
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of construction is 2500 or more,a RECORDED Notice of Commencement is required.
SIJP'PLEMENTAL C«ONSTR TION LIEN LACI IN�®RMATI:®
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:
OWNER/CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work 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 grantin&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 hon-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.
Signature of Owner/Lessee/Contractor as Agent fH� E-2
Signature of,Contractor/License Holder
CD
STATE OF FLORIDA - STATE OF FLORID - W
COUNTY OF COUNTY OF ¢- N
The for ing instrument was acknowledged beforThe for oinginstru t was acknowledg�deforethi da of 20_ by �,;thisday of '7��p� 20by Y ¢_¢2tinU,
(Name of person acknowledging) •*••`!2 (Name of person acknowledging) a .robo
(Signature of o ary Public-State of Florida (Signature of N ry Public-State o Flori )
Personally Known / OR Produced Identification Personally Known/ OR Produced Identification
Type of Identification Type of Identification
Produced Produced
Commission No. (Seal)- Commission No. (Seal)
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE ' MANGROVE
COUNTER REVIEW " 'REVIEW REVIEW REVIEW REVIEW" REVIEW
DATE
RECEIVED
DATE
COMPLETED
Kev. 7/2014
s
Nettles .11Slad If1Co , a condaminium
980.1 South Ocean ®rive,Jensen Beach,FL 34957
OIRI (71172)229-2930
FAX(772)229-9901
www.nettlesislandcondo.com
December 8, 2017
Dave Rohl
2100 Nettles Blvd.
Jensen Beach, FL 34957 I
RE: 2100 Nettles Blvd. I '
The review of your Adjacent Property Protection Plan for lot#2;100 iso complete. We
approve of the removal of the unit from lot 2100 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 an'd Building
Activity on Nettles Island, and provide us with a copy of the permit. Ji
Respectfully
VE�'
Frank Fisher or Howard Kickert
Architectural Committee Chair
CC: Laura Jones, LCAM,File
Please be advised that Architectural Committee assumes no responsibility 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 conripliancli
e 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 fuither specifically
j exclude from such approval any implied warranty of merchantability and fitness for any
purpose.
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Planning&Development Services ASBESTOS NOTICE
;Building&.code-Regulation Division
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2300 Virginia Avenue
Fort Pierce,FL. 34982
Phone:(772)462-2172 Fax:(772)462-6443
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Asbestos Notice to Contractor
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December 28, 2017
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ADAM SMITH BOBCAT SERVICE INC
ADAM SMITH I,
661 NE SPENCER ST
JENSEN BEACH, FL 34957 I
RE: Building Permit Number 1712-0687
It is your responsibility to comply with the provisions of Section 469.003, Florida Statutes andto notify the Department
of Environmental Protection of any intentions to remove asbestos when applicable in accordance with state and federal
law. I
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Signature
z
Date
I'd!
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1 II
12/28/2017 12:24:58 PM