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HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED ) l� Date: 7-2 -/Y Permit Number: 9 0 „,-., -inat ,•...„ ,,,,., RecFNFD.. ` +" ,�. APR .i 6 2018 inisysimitimmatistamossoi Building Permit Application S Parthenr Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 K Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential PERMIT APPLICATION FOR: 9g, J,-t!'©i PROPOSED INPROVEME"NT LOCATION: = Address: 309 /0-79/es Blvd Tentc4 5etc,4/ iL. 3 V95-7 Legal Description: �87L/e5 ' /gno1 2fC. (e'/ 2/7) Property Tax ID#: I/ O,2- 5'O1- 01/95-- ODD 7 Lot No. 309 Site Plan Name: //lei�e// Block No. Project Name: 309 Setbacks Front Back: Right Side: Left Side: DETAILED.DESCRIPTION OF WORK / Q �0r�//e fe Apo/`74,-04 .67)a /ieo►'o va/ 0� ,ec5-LJ ..1/2 mail/e A0re e 4'/7I 7C/0r 0.al roo,,, CONSTRUCTION INFORMATION Additional work to be performed under this permit-check all that apply: _Mechanical _Gas Tank _Gas Piping —Shutters _Windows/Doors Electric _Plumbing _Sprinklers _Generator —Roof Pitch Total Sq. Ft of Construction: 65-F Sq. Ft.of First Floor: .4',-F Cost of Construction:$ /70Doa Utilities: ewer Septic Building Height: .0P7`, OWNER/LESSEE CONTRACTOR: Name,705epA ✓/+ d `i1a /2 .J�ace4 Name: m _�in•f"Li Address: /5- .Li ) %� ..e�On L n 19. Company:%�ir�, .5 ifl' & t 5-Vc.• i4c. City: /7f/.Tion .. State:4/"/ Address: 616/.. ./Y eh w'" 521. Zip Code: /4/4/6 6? ' ' Fax: • City: Jense., gees o/ _ State:JAL- Phone No.. 5855-- 330- 7/97 Zip Code: 3V75-7 Fax: 77)-;.3;-. /9/ E-Mail: )ace4law@ Wny- tvc6C. C 0 PI Phone No 7//72 - 210 -3715 Fill in fee simple Title Holder on next page(if different E-Mail aa,.-.4. .n 5✓""7 7-4c yaeao -cow, from the Owner listed above) State or County License 6.8e 1.2 5 198'/ If value of construction is 2500 or more,a RECORDED Notice of Commencement is required. i SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION DESIGNER/ENGINEER: ''-\Not Applicable MORTGAGE COMPANY: _Not Applicable Name: . . .;. Name: . . ._ ..__: Address: \ ' Address: City: S e City: State: Zip: ,;. Phone \ Phone: FEE SIMPLE TITLE HOLDER: Not Ap i-. . e BONDING COMPANY: Not Applicable Name: e: Address: Addre • City: City: Zip: Phone: Zip: 'hone: OWNER/CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do th- ork 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. Pleaseconsult 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 commencin: work or ecordin: o otice of Commencement. 4 r /. Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor ice a Holder STATE OF FLORIDA a��K AA STATE OF FLORIDA ,w / COUNTY OF (. V`� �‘ o COUNTY OF 0{'4; �; The for I instrurr nt was cknowledg efore me The for oing instru ent was acknowledged before me this \'7 of eC', \ ,20 l by this 1 day of < , , 20 (R.-by i f . 4_11 '--A i'l/V\ C) VI" 1 (4) _____ f r,k 0044A lAA . • (Name of pe s acknowledge g) (Nam;\of person acknowl-.:ing) ------ e� \I V (Signature of Notary Public-State of Florida) /(Signature of Notary P blic-State o 'lorida) Personally Known OR Produced Identi, ation V Personally Known OR Produced Identification Type of Identification Type of Identifica for I fi Produced UL-- . Produced •��--'' Corn missi :46`:;i4 ,t • DURA- i(Eaf( a-b Commission Na'. ,v,i MY COMMISSION 0 FF237911 •s".•.. RAL ! 1=— '4.-- --4,r-i617. P�.- EXPIRES June 04.2019 r MY COMMISSION Q FF237911 4U,)•l OA '%?•a�o.�' EXPIRES June 04,.2119 REVIEW ONT ZONING SUPERVISOR PLANS V c ( 1. 1ea► R,..•,.,!z 4'. "' GROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE :. RECEIVED DATE COMPLETED ley. 7/2014 .tj;ES.4.-'44n REC ,F.�D. APR 1. 1018; NettlesIsland Inc.. , a condom eft At uedn l'.-��h A c FL 34957 9801.South Ocean Drive,. ensen a h, LORD (772):229-2930 FAX(772)229-9901 www.nettlesislandcondo.com April 6, 2018 Joseph Jacek, Jr #309 , Lisa Jacek .. /, .). pip 15 Widgedon Landing , ,l. . i. Hilton,NY 14468 RE: Lot 309—House Demolition The review of your house demolition request for Lot 309 is complete. The Association approves of the removal of the unit from lot 309 provided that the lot will be finished with acceptable pavement for RV parking. The sewer manhole on the lot may not be covered and must remain accessible to the Nettles Island Condo Association. 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 Frank Fisher or Howard Kickert Architectural Committee Chair CC: Laura Jones, LCAM, File FF/lk 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 compliance 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.