HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 09/06/18 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: Window/door
PROPOSED IMPROVEMENT LOCATION:
Address: 2013 NETTLES BLVD., JENSEN BEACH, FL 34957
Legal Description: NETTLES ISLAND INC, A CONDO -SECTION I PARCEL 13 AND PRO -RATA SHARE IN
COMMON ELEMENTS (OR 1209-2608)
Property Tax ID #: 4502-501-0016-000-6
Site Plan Name: NETTLES ISLAND
Project Name: OLIVER RESIDENCE
Setbacks Front X Back:
Right Side: Left Side:
Kom01Ca
Block No.
I DETAILED DESCRIPTION OF WORK: I
REMOVE AND REPLACE FRONT ENTRY DOOR. IMPACT CGI FD160 (NOA# 17-1226.05)
CONSTRUCTION INFORMATION:
Additional work to be nerformed under t ispermit—check all apply:
HVAC Gas Tank ❑Gas Piping _ Shutters ✓� Windows/Doors
11 Electric 0 Plumbing Sprinklers El Generator E]Roof Roof pitch
Total Sq. Ft of Construction: _
Cost of Construction: $ 3,300
SFt. of First Floor: _
Utilities:Sewer Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name MARY OLIVER
Name: DAVID LAPRADE
Address:2013 NETTLES BLVD
Company: THE GLASS PROFESSIONALS
City: JENSEN BEACH State: FL
Zip Code: 34957 Fax:
Phone No. 772-708-8155
E -Mail: cnfsd@comcast.net
Address: 3570 SE DIXIE HWY
City: STUART State: FL
Zip Code: 34997 Fax: 772-286-0461
Phone No. 772-286-0459
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E -Mail: PERMITS.GLASSPROS@GMAIL.COM
State or County License: 19363
it vawe or construction is >Zsuu or more, a RECORDED Notice of Commencement is required.
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SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name: MARYOLIVER
MORTGAGE COMPANY: _ Not Applicable
Name: DAVID LAPRADE
Address: 2013 NETTLES BLVD., JENSEN BEACH, FL34957
Address: 2013 NETTLES BLVD
City: JENSEN BEACH State:
Zip: Phone
City: STUART State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY: Not Applicable
Name:
Add rens: 3570 SE DIXIE HWY
City:
Zip: Phone:
Address:
City:
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 thepermit 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 wer-lc or Ge,cordinvuvour Notice of Commencement. r- • .,
Signature of Owner/ Lessee/Contractor as Agent for Owner I Signature of Contractor/1-kdnse Holder
ATE OF FLORIDA STATE OF FLORIDA
)LINTY OF 1 ''�G�I t1 COUNTY OF
ie forgoing instrument was acknowledged before me
is 1I day of �—)e y11i� ,��, 20 1 by
Name of person making statement
Personally Known V OR Produced Identification
Type of Identification
Produced
(Signature of Notary Public- 4tate of Florida )
i � r7 _
Commission No. (�2 )Li'0(. t (Seal)
REVIEWS FRONT I ZONING
COUNTER REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17
The forgoing instrument was acknowledged before me
this V- day of
i "�o L6L a _-(rl (L=
Name of person making statement
Personally Known ✓ OR Produced Identification.
Type of Identification
Produced
(Signature of Notary Public- State of Florida )
Commission No. (Seal)
SUPERVISOR I PLANS I VEGETATION I SEA TURTLE I MANGROVE
REVIEW REVIEW REVIEW REVIEW REVIEW
CGI FD160
36!. X 80"
CGI FD160 NOA#17-1226.05
Project flame:
Oliver Residence
Saint Lucie County License No.: 11566
Scale: N.T.S.
51&" lac/O'1
3013 nettles Blvd.
!Kw
Jensen Beach. ft 54957
3570 S.E. DiHie Iluiy • Stuart. FIL 34997
IL h: (773) 708-8155
lass rofessionals@ mail.eom
(773) 386-0159 9 P 9