HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1 ti's Permit Number:
r c ama
RECEIVED
Building Permit Application
OCT 1 $ ''019
Planning and Development Services
Building and Code Regulation Division ST. Lucie County, Permitting
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: 1068 Nettles Blvd., Jensen Beach, FL 34957
Legal Description: Lot 1068, Nettles Island Inc.,A Condo, Section II
Property Tax ID#: 4502-501-1255-222-0 Lot No.1068
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK: .
install front and rear entry doors PGT Impact
Install three PGT impact windows OA) 4BTS11ve mf' 4Lve-
CONSTRUCTION,INFORMATION:
Additional work toe e orme under this permit—check a appy:
HVAC rI Gas Tank ❑Gas Piping _Shutters Q Windows/Doors
11 Electric 0 Plumbing Sprinklers Generator Roof Roof pitch
Total Sq.Ft of Construction: SFt.of First Floor:
Cost of Construction:$ 10000.00 Utilities:cn Sewer E]Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Sunset Dream Homes, LLC Name: James Newman
Address:17440 NW 82nd Ct Company: JWN Builders, LLc
City: Hialeah State:FIL Address: 1701 SE Carvalho Street
Zip Code: 33015 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@concast.net
from the Owner listed above) State or County License: CRC1328282
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION'
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:
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 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 wi h lender or an attorney before
commenci4g work or recording our Notice of Commencement.
s
SignaZrr
of Owner/Lessee/Contractor as Agent for Owner Signatur of Contractor/License Holder
STAF FLORI STAT OF FLORIDA r
COUNTY OF_, L✓J�s� COUNTY OF LS� L 1�-
The for oing instrument w s cknowledged efore me The forgoing instrumgut was c nowledged before me
this Zday of Otzy,20 �by this day of (� X20 �q by
1
(Namegpersacknowledgin ) (Name of pnersonacknowled ' g)
(Signature of Notary Pub' -State of Florida) (Sig ature of Notary Pu ic-State of Florida)
Personally Known Personally Known � R Produced Identification
Type of Identificati ) I PdSHARON K.NEWA Type of Identificatio PI;� �+Fd
Commisslon#00 094675 , Commission# 0 475
Commission No. ? f` �z IwAprllgeod) Commission No. r�= iresApril 2 , .N
Troy I—Insurance 800.385.7019 %°�,q`,. Bonded Thtu Troy Fain Insurance 800.386.7019
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
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