HomeMy WebLinkAboutBuilding Permit Application.r�
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SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER:
Name: JaM waymn
_ Not Applicable
MORTGAGE COMPANY:
Name: David Kruse
Not Applicable
Address: 945 Neeles Blvd.
STATE OF FLORIDA
Address; S45Ne1t1es BNd
COUNTY OF Ski.
City: d>neen Beach
Zip: Phone
State:
City: Ped Saint Lucie
Zip: Phone:
State:
FEE SIMPLE TITLEHOLDER:
Name:
_ Not Applicable
BONDING COMPANY:
Name:
_Not Applicable
Address: 1853 Smmare street
Personally Known OR Produced Identification
Address:
Type of Identlfica jn y�
Produced 44
City:
City:
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(Sig a of to ublic- S of Florida )
Zip: Phone;
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Zip: Phone:
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No. MYCo(,gd3goN MGG052274
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. Lurie 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 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 recording vour Notice of Commencement.
Rev. 8/2/17
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF 42rnA1
COUNTY OF Ski.
The for oing Instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this day of .+q✓G . 20J� by
this 7 day of A✓d . 20JJ6y
b",15 ACuSE
P-4Ji4, A_ -
Js -Name of person making statement
Name of person making statement
Personally Known OR Produced Identification
Personally Known OR Produced Identification
Type of Identiftcgti0
Produced Py�
Type of Identlfica jn y�
Produced 44
c
r
(Sig a of to ublic- S of Florida )
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No. MYCo(,gd3goN MGG052274
'• ••
mission No. a n WCOMMISSI ] 057274
ar a< EXPIRES: December 4,2020
y, < EXPIRES: December 4,2020
��OF M1�p BOMadTw BudpetNolerybervidsOF
FlOpo Banded TIM Bleipt Notary Sehka
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 05/07/2018 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 X
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT LOCATION:
Address: 945 Nettles Blvd.
Legal Description: NETTLES ISLAND INC, A CONDO-SECTION II PARCEL 945 ANDPRO-RATA SHARE IN COMMON ELEMENTS (OR 4123-739)
Property Tax ID #: 4502-501-1131-000-5 Lot No. 1
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Change out residential air conditioning system; replace with a Carrier 3 ton 14 seer system; 8kw
heater
CONSTRUCTION INFORMATION:
Itlona work to og-pertormed under tIs perm it —checka appy:
��
zvi\JAC Gas Tank ❑Gas it_ Shutters ❑ Windows/Doors
11 Electric ElPlumbing ❑Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: SFt. of First Floor:
Cost of Construction: $ 3800 Utilities:n Sewer E]Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name John Woyton
Name: David Kruse
Address: 945 Nettles Blvd
Company: AC Doctors Inc
City: Jensen Beach State: FL
Address: 1853 Biltmore Street
City: port Saint Lucie State: FL
Zip Code: 34957 Fax:
Phone No. 610-716-7165
Zip Code: 34984 Fax:
E-Mail:jaywoyton@msn.com
Phone No. 772-344-3944
Fill in fee simple Title Holder on next page ( if different
E-Mail: acdoctorsinc@gmail.com
State or County License: CAC058461
from the Owner listed above)
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.