HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Num r
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Building Permit Appli ation JUN 08 2020
Planning and Development Services P`i m '`- ; ` `' +.i'�E e n t
Building and Code Regulation Division S t. L I-C i e C 0 U 4 r L•Y r Fl-
2300 Virginia Avenue,Fort Pierce FL 34982 - -- ---
Phone:(772)462-1553 Fax:(772)462-1578 Commercial Residential x
PERMIT TYPE:demo
PROPOSED IMPROVEMENT LOCATION:
Address: 320 nettles blvd jensen beach fl
Property Tax ID#: 450250105060008 Lot No.320
Site Plan Name: nettles island Block No.
Project Name:
DETAILED DESCRIPTION OF—WORK.
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demo of a mobile home
CONSI"RUCTION INFORMATION:`
Additional work to be performed under this permit-check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters _Windows/Doors
_Electric _Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction:) Sq. Ft.of First Floor:
Cost of Construction:$ riD Utilities: —Sewer —Septic Building Height:
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OWNEk/LESSEE CONTRACTOR:
Name lura lower Name:robert snith
Address:320 nettles blvd Company:smithomes
City: jensen beach State:_ Address:2903 industrial ave two
Zip Code: 34957 Fax: City: ft pierce State:fl
Phone No. Zip Code: 34946 Fax:
E-Mail: Phone No 772-223-1179
Fill in fee simple Title Holder on next page(if different E-Mail flvestarhousing@comcast.net
from the Owner listed above) State or County License crc005706
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 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:
OWNER/CONTRACTOR AFFIDVIT:Application is hereby made to obtain a permit to do the work and installation 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 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 JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
LAI AYLVI 19LZ:��
Signature of Owner/Lesseettontractor as Agent for Owner Signature of c or/License Holder
STATE OF FLORIDSTATE OF FLORIDA \ �
COUNTY OF k9.c R _ COUNTY OF
The�grr oing instrument was acknowledged before me The forgoing instruu ent was acknowledged before me
this,Mr
day of ��r ,20�y thi�sr.� day of �J�y1 ,2L—
1. ) L" V\ V � e� �:' 1 Q`\
Name of person makingt�atement. Name of person making statement.
Personally Known `- OR Produced Identification Personally Known L--'-- OR Produced Identification
Type of Identification Type of Identification
Produced Produced
(Signature of Notary P I' - (Signature of N aW'0 j5,ic-�Stat4`PfI&tftJER
STELLAM HUNTER -�:y;� •�Q
otary
Pu 1;C
-State of Florida
a�•c��r State of Florida :,\�Ty�.; Commission 1
Commission No. � HO�o Commission
b GG 281062 Commission No. M Ccrn, xpiresg� 023
05 Soncedthro� h vat
.`9'f•°vc�.°`�•' My Comm.Expires Jan 23,2023 ' Tonal NotaryAssn.
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE .
RECEIVED
DATE
COMPLETED
ev.2/7/19