HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE NFO UST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 7 d �OP0 Permit Number: 2 o-liv ( �V
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°`�` °� Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:Concrete Restoration
PROPOSED,IMPROVEMENT LOCATION: °'
Address: 9801 So. Ocean Drive, Jensen Beach, FL 34957
Property Tax ID #: 4501-501-0000-000/0
Site Plan Name: Outdoor Resorts @ Nettles Island, Plat Book 16, Pages1, 1A-1J, St. Lucie County
Project Name: NETTLES ISLAND, INC., A Condominium
DETAILED DESCRLPTION OF WORK:
Concrete Restoration on pool equipment building
New Electrical Meter
Second Electrical Meter
CONSTRUCTION I,N'FORMATION:
Lot No.
Block No.
Additional work to be performed under this permit— check all that apply:
_Mechanical _ Gas Tank —Gas Piping _ Shutters _ Windows/Doors _ Pond
_ Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction: J
Cost of Construction: $ �/ Si `5 (��5/0
Sq. Ft. of First Floor:
Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Nettles Island, Inc.
Address:9801 So. Ocean Drive
Name:Luis F. Libreros
Company: Conquer Restoration by Golden Construction
City: Jensen Beach State: _
Zip Code: 34957 Fax:772-229-9901
Phone No.772-229-2930
Address:5877 Las Colinas Circle
City: Lake Worth State: FL
Zip Code: 33463 Fax:
Phone No561-827-7148
E-Mail:manager@nettlesislandcondo.com
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail goldenconstruction15@yahoo.com
State or County License Florida
If value of construction is 2500 or more, a RECORDED Notice of Commencement is required.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
S':UPPLEM,,ENTAL CONSTRUCTION°L1,EN�LAW
INFORMATION
DESIGNE
Name:
ENGI EEI-
_ Not,Applicable
MORTGAGE COMPANY:
Name:
Not Applicable
Address:
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Address:
City: S
Zip:
Phone 72Z-
State:
D-Zl
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone:
_ Not Applicable
BONDING COMPANY:
Name:
x Not Applicable
Address:
City:
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 paying twice for
improvements to your property. A Notice of Commencement must be recorded in the public records of St.
Lucie County 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 your Notice of ComMencernent.
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4--27:: 4-
Signatur wner/ Lessee/Con act r as Agent for Owner
Signature of Contractor/License Rblder
STATE O LORIDA
STATE OF FLORIDA
COUNTY OF St. Lucie
COUNTY OF 2g "&L� L
Sworn to (or affirmed) and subscribed before me of
Sw to (or affirmed) and subscribed before me of
x Physical Presence or Online Notarization
hysical Prese ce or Online Notarization
this ath day of July 2020 by
this ' 1's' day of 2020 by
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Name of pers making statement.
Name of person making statement.
Personally Known x OR Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
(Signature of Notary Public- State of Florida)
(Slg'nrattda of Notary P� Wi%'State oC&Wq"R71N0
Commission No. t NciaryPL0iC9$ts&FWWa
,�••,� •c MSYCO I.. 183= FjM74
Commission No. * * �{ ��020
Al Kristen Gail Oliveira
9 `ate EXPIRES:
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REVIEWS
FR
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PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
iev.5/6/20