HomeMy WebLinkAboutBuilding Permit Application All APPLILABLL INFU MUS I tit LUMPLL 1 LU FUK APPLILA I JUN 1 U lit ALLLP 1 LU
Date: <A 1�`� Permit Number: c\O d S,
RECEIVED
E-51 0MIR
JUN 2 6 2019
Building Permit.Applin tiGne county, Permixting
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 TYPE:
_
PROPOSED 1MPROVEMENTLOCATION-0
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Address: 16 nettles blvd jensen beach",fl 34957
Property Tax ID#: Lot No.
Site Plan Name: Block No.
Project Name:
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DETAILED DE�SCRtPTiO OF WORK � ��
-
Replace 7 upper.windows-6 on back side and one on south side r7mi*66-1 W_zvDows ,
...Ex,:::its A -.s > ;k''U 'uF--tik 1 .3'z Ag�z�+€` '�h 'r fi':: Y "`°' y ,. r •': a F r;tiz.s«j A:<::�"#<s-ta 3'c,�,7,9 r` .t`7+ n.d,< d+. �,' �`
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CONSTRUCTIO( INFORMATION
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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: � Sq.Ft.of First Floor:
Cost of Construction:$ (l X1/0 Utilities: —Sewer —Septic Building Height:
��RAGTORYu
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'NameAllen and Kelly Brown Name:
Address:16 Nettles Blvd Company:
City:'Jensen Beach State: FL. Address:
Zip Code: 34957 Fax: City: State:
Phone:No.7725302008 Zip Code: Fax:
E-Mail:kbrow@bellsouth.net Phone No
Fill in fee simple Title Holder on next page(if different E-Mail
from the Owner1isted above). State-pr County License
If value of construction is$2500 or•more,a R, CORDED Notice of Commencement'is required.
If value of HVAC is$7,500 or more,a RECORDED Notice of Commencement-is required.
ST1�pLE1VIE�VAL4 C01�5RCTI—Ofil LE�1W �I1�0 MATlV ti �a ;
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DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:se astNatianalBank
Address: Address: pobox9012
City: State: City: swart State: a
Zip: Phone Zip: M995-9012 Phone:8w7&9991
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: 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 coMbIt.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 JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENINR OR AN ATTORNEY BEFORE RECORDING-YOUR NOTICE OF COMMENCEMENT!'
Signature o O er/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF COUNTY OF
The forgoing instrument was acknowledge before me- The forgoing instrument was acknowledged before me
this u day of �\ )N& ,20_ by this day of ,20_ by
Name of person making statement. Name of person making statement.
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Type of Identification
Produced L L = -Produced
M
(Signature of Notary blli - `%� kPAISGi
r ,, S�ioN#Goo22o2s -(Signature of Notary Public-State of Florida)
/ MI C0�1t.11�� T 15.2020
Commission NO.tl�7a ,ems
�Cp1�51?�tilrypahl;cunaenvrilecs Commission No. (Seal)
Bonded(hru.
r�OF f •
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION, SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.2/7/19