HomeMy WebLinkAboutBuilding Permit Application Feb 1318,02:19p Jensen Beach Plumbing 7722256779 p.1
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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED C+�
pate: Permit Number:—I b ��(�3 j
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Building Permit Application
Planning and Development Services FEB. 1 G 2018
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982 Permitting Department
Phone:(772)462-1553 Fax:(772)462=1578 Commercial �_ Residential st•Lucle Countv
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT LOCATION:
Address:
Legal Description: Nettles Island Inc,A Condo Tract 3-N Section II Sheet 6 of 11 or 590_368
Property Tax ID#: 4502-501-1604-000-2 Lot No.
Site Plan Name: Block No.
Project Name: Nettles Island Marina
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Repair Water lines to Dock and some boat pump out lines damaged during Hurricane Irma
CONSTRUCTION INFORMATION:
Additional work to be ertormed under thispermit—check all that appy:
HVAC Gas Tank Gas Piping _Shutters ❑Windows/Doors
Electric Plumbing Sprinklers Generator Roof Roof pitch
Total Sq, Ft of Construction: SFt.of First Floor:
Cost of Construction:$ a2 cS� OG Utilities:nSewer OSeptic Building Height:
OWNER/LESSEE: CONTRACTOR:
dame 3n n Qovp 0 c_,p �7, Name: Ld;nn�z
Address: I S ',� C s- , b1` *1-2Company ,Jensen Beach Plumbing
City: State:FL Address: 1086 NE Industrial Blvd
Zip Code: 34957 Fax: State:FL
Phone No.772-260-8036 Zip Code: 34957 Fax:772-225-6779
E-Mail:nimarina@earthlink.net Phone No. 772-225-6600
Fill in fee simple Title Holder on next page(if different E-Mail:JBPlumbing@bellsouth.net
from the Owner listed above) State or County License:24654
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
Feb 1318.O2:2Op Jensen BeeiuhPlumbing 7722256779 p2
SUPPLEMENTAL CONSTRUCTION LIENILAW INFORMATION:
DESIGNERIENGINEER: 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:
Acldress:lcali NE IndusWalBW 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 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 permitiapplications 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:Yourfaillure 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 ording your Notice of Commencement.
STATE OF FLORIDA STATE OF FLORIDA
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 13 day of February 20 1??by this 13 day ofFeWao 20_4e by
Name of person making statement Name of person making statement
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Type of Identification
Produced Produced
J_�N_na4turee c i% za a I a
Commission No. my r-CHNI, No.
bers.20ja Commission Se
'Pu 7 F VV"-SON
JA- Ff:1 69717
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETA`nON SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.9/2117
RECEIVED
permitting Department
St. Lucie County
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