HomeMy WebLinkAboutbuilding permit (2)ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
C(Dur4TY
Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fart Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: Window/door
PROPOSED IMPROVEMENT LOCATION:
Address: 73 Nettles Blvd., Jensen Beach, FL 34957
Commercial Residential x
Legal Description: Nettles Island, Parcel 73, St. Lucie County, Florida
Property Tax ID #. 4502-501-0259-000-1
Site Plan Name.
Project Name:
Setbacks Front Back
DETAILED DESCRIPTION OF WORK:
Right Side: Left Side:
Install all new windows (2) existing doors to remain
,P 06 11 -043a), v o
Lot No. 73
Block No.
CONSTRUCTION INFORMATION:
mitiona war to nr ormapp y:
❑HVAC Gas Tank Gas Piping _ Shutters Q Windows/Doors
Electric ❑ Plumbing El Sprinklers ❑ Generator ❑ Roof Roof pitch
Total Sq. Ft of Construction:
d
Cost of Construction: $ 6 1 0 o ID .00
OWNER/LESSEE:
Name Robert W. and Marcia L. Zenk
Address: 73 Nettles Blvd.
S Ft. of First Floor: _
Utilities: Sewer Septic
City: Jensen Beach State: FL
Zip Code: 34957 Fax:
Phone No. jP C] 1 J5"_ 9
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
CONTRACTOR:
Name: James Newman
Building Height.
Company: JWN Builders LLC
Address: 1701 SE Carvalho Street
City: Port St, Lucie State: FL
Zip Code: 34933 Fax: 772-871-9500
Phone No. 772-871-9500
E-Mail: iwnconstruction@comcast.net
State or County License: 1328282
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION. LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Nnt Applicable
Name:
Address:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY: Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY:
Name:
Address:
City,
Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
Not Applicable
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 with lender or an attorney before
commencing work or recording your. Notice of Commencement-4
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VSina—tunre�o-f Owner/Lessee/Con ctorAgent for Owner
STATE OF FLO A
COUNTY OF
The fopging instru nt w`as a nowledged before me
this day of 20 d} by
(Name of,99ARn acknowf egging )
(Signature of Notary PU61ie-State of Florida
Personally Known __C_�OR Produced identification
Type of Identificati
Commission No. :__
Commission # 4675
o fifes April
Bon4ea Thru tray Fain Insurance a69 3a5 ia1H
Revised 07/ 15/2014
REVIEWS FRONT ZONING SUPERVISOR
COUNTER REVIEW REVIEW
DATE
COMPLETE
INITIALS
SignAure of Contractor/License Holder
STATE OF FLORI A
COUNTY OF
The forgoing instru ent was knowledgbefore me
this 6 day of 20 by
{Name of Pelson -acknowl
re of Notary Public- State of Florida )
Personally Known __�OR Produced Identification
Type of Identificatio r4 ce
Commission No. :;' ,,I Commission 75
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PLANS REVIEW I VEGETATION + S REVIEW MANGROVE