HomeMy WebLinkAboutBuilding Permit Application_A U11,101111"aft • • "111MILANIVIUMU •
Date:
Permit Number:
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 4624553 Fax: (772) 462-1578 Commercial Residential X
Address: 1324 Nettles Blvd., Jensen Beach
Property Tax ID #: 4502-501-1511-000-3
Site Plan Name:
Project Name: Abbiss
Replace 17 windows and 1 door size -for -size
Additional work to be performed under this permit —check all that apply:
_Mechanical
Electric
Gas Tank
_
_Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 22,282.00
Name Jane Abbiss
Address: 8 Sterling Hill Ln., Apt. 833
City: Exeter
Zip Code: 03833
Phone No. 603-686-6277
E-
Mail: carpelunacy@aol.com
Fax:
_Gas Piping
_Sprinklers
Shutters
_
—Generator
ScFirst Floor:
Lot No.
Block No.
X Windows/Doors
Roof
Utilities: _Sewer _Septic
Building Height:
Name: Roberto Sanchez
Company: The Home Depot
State. NH Address: 9208 Florida Palms Dr.
Fill in fee simple Title Holder on next page (if different
from the Owner listed aIfto�e�
City: Tampa
Zip Code: 33619 Fax:
Phone N o 754-224-2010
Pitch
State; FL
E-Mail robertosanchezthd@expeditepermit.com
State or County License CGC1522717
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 Not0ce of Commencement 0s required.
SUPPLEMENTAL C+ONSTRUC`fION LIEN LAW 1N'FORIUTATI�N
DESIGNER/ENGINEER: Not A licable
pp
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 AY RESULT IN YOUR PAYING
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCE ENT UST BE RECORDED AND
POSTED ON THE JOB SITE BEFORE TFIE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
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Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF ��.�
COUNTY OF � ��
I'
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this day of � , 20 by
this . � day of'� �� , 2 by
Name of person making statement. � � ti �
Name of person making statement. c� � � �
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Personally Known OR Produced Identifl�a�o�
Personally Known OR Produced Identificati�n�
Type of Identification � °i � � �
Type of Identification � �, � � ��
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Commission No. ��� ` (Seal) `'' �«;�;=J-a's'
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Commission No, �,9. � �'"`�� (Seal) u`'�'���e
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev. 7 1
10977743 - RC