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Home My WebLink AboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE'COMPLETED FOR APPLICATION TO BE ACCEPTED �/� Date: 03 27 2020 Permit Number: C J �J — l/ Building Permit Application I MAY 12 2020 Planning and Development.Services T. Lucie County, Perrr Building and Code Regulation Division 2300. Virginia Avenue,. Fort Pierce FL 34982 ' Phone: (772) 462-1553 Fax: (772) 4624578 Commercial Residential X PERMITTYPE:CONCRETE SLAB PROPOSED IMPROVEMENT.LOCATION:2014'NETTLES,BLV,D'JENSEN,'BEACH FLORIDA34957.,� Iddress: 2014 NETTLES BLVD JENSEN BEACH FLORIDA 34957 Property Ta'�# �01 0017 000 3 Lot No. 14 Site Plan Name: CHRISTY PR2EBOWSKI Block No. Project Name: CHRISTY PRZEBOWSKI 0ETAILED DESCRIPTIQW6F WORK 70' X 22' 3000 PSI CONCRETE SLAB @ 6" IN THICKNESS WITH 2 #'5 STEEL'BARS.. CONSTRUCFION'INFORMV TION -'�s " w 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: 1540 +/" Sq. Ft, of First Floor: Cost of Construction: $ I a a 0.bd Utilities: —Sewer —Septic Building Height: 'OWNER/L'ESSEE.° CONTRACTOR NameCHRISTY PRZEBOWSKI Name:ROBERT E BURNS Address:91 CEDER ROAD Company:BURNS AND SONS CONCRETE INC Address:POST OFFICE BOX 2335 City: KINGS PARK, NEW YORK State:. Zip Code: 11754 Fax: Phone No. St G 3 53 -2 o S / City: PALM CITY State: FL Zip Code: 34991 Fax: Phone No772 260 3726 E-Mail:2651143@OPTIMUM.NET Fill in fee simple title Holder on next page ( if different from the Owner listed above) E-Mall BumsAndSonsCohcretelnc@gmail.com State or County License25364 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. Ir i SUPPLEMENTALCONSTRUCT,ION LIEN LAW INFORMATION ucaluVcn/cImuiNccn: _ IvoL Appucame 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: )WNER/ CONTRACTOR AFFIDVIT: Annliratinn ie hprphv marl. to hhfain a n.,mif fn do rho wnr4 and ne indt.•.fed I certify that no work or Installation.has commenced prior to the Issuance of a permit. St. Lucie Counttyv makes no, representation that is granting a permit will authorize the permit holder to build the subject structure which is In conWict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such structure. Please consultwith 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 RHPROVEMENTS 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 WiiH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT" t &� V no""� — :Signattimof,,OwnerkL6!isWContractor-as Agent For owner Sig lure of Contractor/LicenseHolder /1/G �d14 STATE OF FtORHWk-• / STATE OF FLORIDA COUNTY OF 5 F! i COUNTY OFsANTwcIE The for ing instrument was acknowledged before me kri The.forgoing instrument was acknowledged before me this IIday of . /W, . 20`1 by this 27 day of MARCH 2020 20_ by c V, ji/ j P L Pi �pyl I Z J/ (� � ROBERT E BARNS/PRESIDENT I OWNER jQ Name of person making statement. Name of person making statement, r3 Personally Known OR Produced IderyWjy�> /%///� � 11 Personally Known x OR Produced Identification ¢ Type of Identification Notary Public, State of New Yo Type of Id ntiflca Produced 6-%cy!%J ft C w1j No.OIBA6395488 Produce Qualified In Suffolk County - Commission Explrea 07/29/20 3 (Signature of Notary Public -State of Florida ) (Signature of Notary Public -State of Florida) f . •t, t4j+ ida Commission No. (Seal) Commission No. GG2487697097SIB73 (Seal) REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ncv. c/ q iu