HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: APRIL 6, 2020 Permit Number: _ IN
Building Permit Applic tion MAY 4.2020
Planning and Development Services
Building and Code Regulation Division permuting j}�a
2300Virginia Avenue,FortPierceFL34982 StLuc,
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Resi en al-� Ccunty FL
PERMITTYPE:NEW CONSTRUCTION
PROPOSED IMPROVEMENT LOCATION:
Address: 2151 NETTLES BOULEVARD, JENSEN BEACH, FL, 34957
Property Tax ID #: 4502-501-0154-000-5 Lot No.151
Site Plan Name: NETTLES ISLAND Block No.
Project Name: THOMPSON
I. DETAILEDbESCRIPTION OF WORK:
NEW CONSTRUCTION OF CBS HOME
�1 Oz� r66 k,--
I Cu sl 9a 14 c
CONSTRUCTION INFORMATION:
a
Additional work to be performed under this permit —check all that apply:
J�Mechanical Gas Tank _ Gas Piping _Shutters
Electric Plumbing
�i _ Sprinklers _ Generator
Total Sq. Ft of Construction: /ySq.Ftt.. of First Floor:
�_
Cost of Construction: $ �t�Vi ��Q Utilities: 61
ewer _Septic Building Height:
_ Windows/Doors
ARoof Pitch
,OWNER/LESSEE;"
CONTRACTOR:
Name STEPHEN B. THOMPSON
Name: MACK MATOS
Address: 24 FANNING AVENUE
Company: MEL-RY CONSTRUCTION
City: EAST•HAMPTON, NEW YORK State: _
Zip Code: 11937 Fax:
Phone No.
Address: 10967 S. OCEAN DRIVE
City: JENSEN BEACH State:FL
Zip Code: 34957 Fax: 772-229-9440
Phone No
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-MailMACK@MEL-RY.COM
State or County License CGCO5941 2
It value of construction is 52500 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
Name: BRADEN & BRADEN ARCHITECTS
MORTGAGE COMPANY: _ Not Applicable
Name:
Address: 417 COCONUT AVENUE, R2
Address:
City: STUART State: FL
Zip: 34998 Phone 71J72-287-8258
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY: _Not Applicable
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 conliict 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."
Signature oMwner7 L s ee/Contractor as Agent for Owner
Signature ense Holder
STATE OF FLORIDA
STATE OF FLORIDA _
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COUNTYOF SI l/ilLr G
COUNTYOF SI �arc.Z
The forgoing instru ent was acknowledged before me
The forgoing instrument was acknowledged before me
this � day of Lpin i 1 .20 7-0 by
this'2A day of i I 20_ZO by
l e IG a"4,g
A�Lk VV411161
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Name of person making statement.
Name of person making statement.
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Personally Known ro ice r1tific tion
Personally Known OR Produced Identification
Type of Identificati n
Type of Identificatio,i
yPh Notary Public State of Florida
Produced uan R Schafer
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4P No . Public State of Ffi ida
Produced bb
Commission GG 306812
Expires 03/O6/2023
R Schafer
My Commission GG 30aa{2
Expires 03/06/2023
4s�My
y
(Signature cfNotary Public- State of Florida)
(Signature of N tary Public- State of Florida )
Commission No. (Seal)
Commission No. (Seal)
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Rev. 2177ly