HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE IN{ FO'M^UIST BE COMPLETED FOR APPLICATION TO BE ACCEPTED C
Date: i aL - 2A �6V Permit Number: .ZOO/- O(�
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• =RECEIVEDBuilding Permit ApplicationPlanning 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: Boat lift/ DcC�
PROPOSED `IMPROVEMENT 'LOCATION:'
Address: 1070 NETTLES BLVD, JENSEN BEACH, FL 34957
Legal Description: NETTLES ISLAND INC. A CONDO -SECTION II PARCEL 1070 AND PRO RATA SHARE IN COMMON ELEMENTS
Property Tax ID #: 4502-501-1257-000-4
Site Plan Name: ORTEGO
Project Name: ORTEGO - DOCK & BL
Setbacks Front Back: _
Right Side: Left Side:
Lot No.
Block No.
DETAILED DESCRIPTION OF WORK: III
1. REPLACE EXISTING DOCK (240 SQ FT)
2. FURNISH AND INSTALL 1 PC. BOAT LIFT WITH SUPPORT PILES
CONSTRUCTION INFORMATION:
rtiona wor to e e orme un ert ispermd-checka apply.
11HW Gas Tank ❑Gas Piping _Shutters ❑Windows/Doors
Electric Plumbing []Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Constructions: S Ft. of First Floor:
Cost of Construction: $ 2.WiU 195• Utilities:[]Sewer Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name ORTEGO, MITCHEL
Name: ROBERTWILLIAMS
Address: 1070 NETTLES BLVD
Company: WILCO CONSTRUCTION INC
City: JENSEN BEACH State: FL
Zip Code: 34957 Fax. NIA
Phone No.512-299-2133
Address: 10751 ORANGE AVE
City: FORT PIERCE State: FL
Zip Code: 34945 Fax: 772-460-6929
Phone No. 772-460-6928
E-Mail: NIA
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail: W(LCOINC@BELLSOUTH.NET
State or County License: SCC131151026 29115
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name:
MORTGAGE COMPANY: x Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable
Name:
BONDING COMPANY: _Not Applicable
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 with lender or an attorney before
commencing work or recording vour Notice of Commencement.
s
Signat�ner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA C L I I STATE OF FLORIDA I
COUNTY OF �I l -u-c& COUNTY OF ti- t _u LQ.e
The f going instru t was acknowlecigg�l before me The forgoing instru ent� was acknowledged before me
this dayof 2 by this�dayof lLt'1 20dU by
RCd9*4- Wil1,ops R ,- �&L flld(m
(Name of person acknowledging) (Name of person acknowledging)
Qlb I a"! i
(Signature of Notary Publ' - State of Florida) (Signature of Notary P blic- State of Florida )
Personally Known OR Produced Identification Personally Known Llll�OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission
Revised
162M
Commission No.
DAWNFnZGERALD
EXPIRES: December 17, 2021
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