HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 7/11/19 Permit Number: U 1
RECEIVE[>
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JUL 2 8 2019
Building Permit Application
Planning and Development Services Permitting Department
Building and Code Regulation Division St. Lucie county
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT TYPE:Reroof
;PRO.PO$EDAM`PF OVEMENT LO;CATIO'N
Address: 2054 NETTLES BLVD. JENSEN BEACH, FL. 34957
Property Tax ID#: 4502-501-0057000-5 Lot No.
Site Plan Name: NETTLES ISLAND INC. CONDO SECTION 1 PARCEL 54 Block No.
Project Name:
DETAILED DESCRIPTION OF WORK
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CONSTRUCTION INFORMATION:
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Additional work to be performed under this permit—check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters _Windows/Doors 0`1-- cd
Electric _Plumbing _Sprinklers _Generator Roof / L Pitch
Total Sq. Ft of Construc ion: T 2(,}� Sq. Ft.of First Floor:
Cost of Construction:$ /0/ 9 8SC , �duu. ®� Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE`
CONTRACTOR.-
Name KENNETH &DIANE MUIR Name:STEVE FRONTERA
Address:2054 NETTLES BLVD. Company:STEVE FRONTERA ROOFING, INC.
City: JENSEN BEACH State:_ Address:P.O. BOX 9661
Zip.Code: 34957 Fax:N/A City: PORT ST. LUCIE State:FL.
Phone No.772-229-2492 Zip Code: 34985 Fax: 772-336-8568
E-Mail:MUIRK@BELLSOUTH.NET Phone N0772-336-3880
Fill in fee simple Title Holder on next page(if different E-Mail STEVE.FRONTERA@ATT.NET
from the Owner listed above) State or County LicenseCCC1326920
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
If value of HVAC is$7,500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAIN INF.ORIVIATION "a
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY:' _Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
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 in'stallation 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 COMMS AY RESULT IN YOUR PAYING
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OMMENCT MUST BE RECORDED AND
POSTED B SITE ORE THE FIRST INSPECTION ND TO FINANCING, CONSULT
WIT LEND R AN ATT NEY BEFORE RECORDI UR E OF COMMENCEMENT."
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Signatu a Owner/Lessee Contractor as Agent for Owner Signa re o
Contractor/Licensetfer
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF MA CA A COUNTY OF MAe4l %
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this Ja day of .,wll 20A by this 1_ day of 'ZwA�4 20 IT by
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Name of person making stag ment. Name of person makings tement.
Personally Known ✓ OR Produced Identification Personally Known OR Produced Identification
Type of Identification Type of Identification
Produced Produced
(Sid ature of Notary Public-State of Florida) (Signatidre of Notary Public--State of Florida)
Commission No. (Seal) Commission No. (Seal)
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
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otary Public State of Florida ' ids v'4ltir
Carmefa Frantantoni_ o+�`Y°+y�eNotary Public Stte of Florida
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