HomeMy WebLinkAboutBuilding app signedALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
1300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Boat lift
Address: 145 NETTLES BLVD
Legal Description: NETTLES ISLAND INCA CONDO -SECTION II PARCEL 145 ANDPRO-RATA SHARE IN COMMON
ELEMENTS
Property Tax ID q: 4502-501-0331-000-0
Site Pian Name:
Project Name: WALKER BOAT LIFT
Setbacks Front Back: Right Side:
INSTALL AN ELEVATOR LIFT ALONG AN EXISTING SEAWALL
HVAC I _I Gas Tank "Gas Piping
Electric 0 Plumbing []Sprinklers
Total Sq. Ft of Construction:
Cost of construction: $
Name MATTHEW WALKER
145 NETTLES BLVD
Lot No. 145
Block No.
Left Side:
Shutters ❑ Windows/Doors
Generator 0— Roof
S Ft. of First Floor: _
Utilities:ll Sewer F]Septic
City: JENSEN BEACH State:FL
Zip Code: 34957 Fax:
Phone No. 586-260-4772
E -Mail: MATTHEW.D.WALKER68@GMAIL.COM
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
If value of construction Is $2500 or more, a RECORDED Notice
Building Height:
Name: KATHLEEN ANNE PORTER
Company: KAPCON LLC
Address: 12100 SW MARTIN HIGHWAY
City: PALM CITY State: FL
Zip Code: 34990 Fax:
Phone No. 772-634-2927
E -Mail: IAN S E AC OAST@G M AI L C O
State or County License: C0152596b
DESIGNER/ENGINEER: x Not Applicable
Name: SEE BOAT LIFT SPECS
Address:
City: State: _
Zip: Phone:
FEE SIMPLE TITLE HOLDER: — Not Applicable
Name:
Address:
City:
Zip: Phone: _
MORTGAGE COMPANY:
Name:
_ Not Applicable
Address:
SUPERVISOR
City:
Zip: Phone:
State:
BONDING COMPANY:
Name:
_Not Applicable
Address:
COUNTER
City:
REVIEW
Zip: Phone:
REVIEW
I certify that no work or installation has commenced prior to the Issuance of a permit.
St. Lucie Countyy makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in contlict 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, 1 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 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 Commencement.
Signature ofOwner/ Agent/ Lessee
A)_a1&11& Po4a4,
Signature of Contractor/License Holder
STATE OF FLORID& STATE OF FLORIDA
COUNTY OF IYAI w e-3 s, h COUNTYOF %Mclt�-� i h
The for ping instru ent was acknowledged fore me
this I day of 20y C , JZ
rA'kt-C('-e r', C),
(Name of per on acknowledging
)7)
(Signature of Notary Public- State of Florida )
The f r oing Instrument was acknowledged before me
this day of &" IA -h . 20_,Wby
Personally Known OR Prodmced I�ientlfication�""'� Personally Known
Type of Identification Produced—'i-%.- IvOrr 6t2c I^ Type of Identificat
Commission No. 571 374'ntaV°u„(Seal) CAMERON GREGSE� l
� ;�, � ComnJsnlon 11 GC,:1510 7
i ExtIur. I I 1 /N
r"u, ldit' Ibxninil 111'.. uagol N.If y.^.�nvicnn
Revised 07/15/2014
OR Produced Identification
STACI EVANS
Notary Pubiiq-7@ Florida
— commissioA 338460
My Comm. Expires Jun 1, 2023
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS