HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 01/08/19
Permit Number:
- - Building Permit Appkafi®n
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: 1190 NETTLES BLVD, JENSEN BEACH FL 34957
Legal Description: NETTLES ISLAND INC, A CONDO -SECTION II PARCEL 1190 AND PRO -RATA SHARE IN COMMON
ELEMENTS (OR 4123-1611)
Property Tax ID #: 4502-501-1377-000-1
Site Plan Name: NETTLES ISLAND
Project Name: KRUG RESIDENCE
Setbacks Front Back: Right Side: Left Side:
Lot No.
Block No.
DETAILED DESCRIPTION OF WORK:
�emW2 and �gloCe. (ll) PC-7TSingle- vwj W►ndovas (NDAA4 R -ou3a 05) 9
(3� PGT iC�e w iv)d awS (N a>tt I� o� �y. o I o�nd C I) PCT h�v r%c rel 121'
V Ind'DV\1 W # F+ - 0 L OSS A ll v'i aS are, 'tMpaC+.
CONSTRUCTION INFORMATION:
CONTRACTOR:
Name JAMES KRUG
Name: DAVID LAPRADE
Additional work to be oej rmed under
this permit— check
a a appy:
Address: 3570 SE DIXIE HWY
HVAC L _I 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: $ 15,800
Utilities:cnSewer Septic
Building Height:
OWN ER/LESSEE:
CONTRACTOR:
Name JAMES KRUG
Name: DAVID LAPRADE
Address: 1190 NETTLES BLVD.
Company: THE GLASS PROFESSIONALS
City: JENSEN BEACH State: FL
Zip Code: 34957 Fax:
Phone No. 814-233-5333
Address: 3570 SE DIXIE HWY
City: STUART State: FL
Zip Code: 34997 Fax: 772-286-0461
Phone No. 772-286-0459
E -Mail:
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 value of construction is.52500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY: Not Applicable
Name:
Address: 3570 SE DIXIE HWY
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 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 w' \ err or ay before
commen orl\ordecof�hne vour Notice of Commencement.
of Owner/ Le—s-szelContractor as Agent for Owner I Signatuk Vf Contractor/L1LESnseTHolder
STATE OF FLORIDASTATE OF FLORIDA n
COUNTY OF MaHirn COUNTY OF IvICIY"�1 n
The forgoing instru ent was acknowledged before me
this C4 day of Ik0 20j_3 by
-David `( aPro"AlZ
Name of persgn making statement
Personally Known ✓ OR Produced Identification
Type of Identification
Produced
(Signature of Notary Public-
-s-Itate
Commission No. I (..� w -T
REVIEWS FRONT I ZONING
COUNTER REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17
The forgoing instr_qment was acknowledged before me
this `() day of "Lk 20-n by
�0�y l d
Name of per making statement
Personally Known V OR Produced Identification
Type of Identification
BRENDALCP igna ur
of Notary Public- StatE RAJ BRENDALOPi
PAY COMMISSION t GG 23, 07
/� ;
No. C)o
MY COMMISSION # C
EXPIRES: July1,C2@f3missi
IRES: July 1,
Bonded Ttw Nalary Pu is Urdemttlors
Bonded Ttuu Notary Public
SUPERVISOR
PLANS
VEGETATIONS
EA TURTLE
MANGROVE
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW