HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
DPermit Number:
� ate: !an . 0
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
PRO�P.OSED IMPROVEMENT LOCATION,.,
Address: 396 Nettles Blvd, Jensen Beach, FL 34957
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Legal Description: Nettles Island Inc, a Condo -Section 11, Parcel 396
Pr i perty Tax ID #: 4502-501-0582-I 00-4
Site Plan Name:
Project Name:
1 ,
Setbacks Front Back: Right Side:
Left Side:
DETAILED DESCRIPTION bll WORK
Replace entry door on west side of home with impact full light mini blind door
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Lot No. 396
Block No.
CONSTRUCTION INFORMATION:
Additio-nai work to be nerformed,, un er t is permit —check all apply:
HVAC _ Gas Tank ❑Gas Piping Shutters Windows/Doors
❑ Electric ❑ Plumbing Sprinklers ElGenerator ❑ Roof Roof pitch
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction: $ s ?� ` Utilities. _ Sewer Septic Building Height:
OWNER/LESSEE �'
CONTRACTOR:: ;
Name Bonnie L. Phillips
Name: James Newman
Address: 5280iSW 123rd Avenue
Company: JWN Builders, LLC
Address: 1701 SE Carvalho St.
City: Cooper City State: FL
Zip Code: 33330 Fax:
City: Port St. Lucie State: FL
Phone No.
Zip Code: 34983 Fax: 772-871-9500
E!Mail:
Phone No. 772-871-9500
Fill in fee simple Title Holder on next page (if different
'E-Mail: jwnconstruction@comcast.net
from the Owner listed above)
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State or County License: CRC1328282
Iit value or construction is ,Sz5UU or more, a RECORDED Notice of Commencement is required. I
SUPPLEMENTAL CONSTRUCTION LIENIAW INFORMATION',_.:
DESIGNER/ENGINEER: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
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MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
Address:
City:
Zip: Phone:
BONDING COMPANY: Not Applicable
Name:
Address:
City:
Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
St.jLucie 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
steel cture. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
Inconsideration 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 T � VER:Your failure to Record a Notice of Commencement may result in your paying twice for
improve -s toroperty. A Notice of Commencement must be recorded and posted on the jobsite
before t it t'on. If you intend to obtain financing, consult v�rith lender or an attorney before
comma n v�orcording your Notice of Commencement. �''/
Sir'e of Owner/Lessee/Contractor as Agent for Owner
SOF FLORIDA
CyTY OF ST. LUCIE
The forgoing instrument was acl Howled eel before me
this � day of 20 by
I
i
1
(Name of peqon acl9nowledging )
ature of Notary Public- State of Florida )
Inally Known OR Produced Identification
of Identification -Produced
,� SHARON K.i NEW
No. = �' siun # GGU9
ExpiresApol20, 2021
1;.
07/15/2014
Signature
STATE OF FLORIDA
COUNTY OF ST. LUCIE
The forgoing inst ument s a cnowledged before me
this � day of 20 y/ 0 by
(Name of p on ac owledgi )
(Signs ure of Notary Public- State of Florida )
Personally Known rOR Produced Identification
Type of Identification Produced
" R "' SHARON K. NEWMAN
Commission No. � ''"�d�P" ,1
.* fission # GG 4�)
�y , ,%i' Expires Apri120, 2021
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