HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO
Date: , L1 !_ h+1A
BE CO
Planning and Development Services
FOR APPLICATION TO BE ACCEPTED
Permit Number:
RECEIVED
Building Permit Application APR 2 9 2019
Building and Code Regulation Division Permitting Department
2300 Virginia Avenue, Fort Pierce FL 34982 St. Lucie county
Phone: {772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Other
PROPOSED IMPROVEMENT LOCATION:
Address: 1070.1 S. Ocean Drive, Lot 847, Jensen Beach, FL 34957
Legal Description: Venture Out at Indian River Inc Lot 847
Property Tax ID #. 4511-510-0048-000-5 Lot No. 847
Site Plan Name: Block No.
Project Name:
Setbacks Front 10 Back: 5 Right Side: 0 Left Side: 8
DETAILED DESCRIPTION OF WORK:
adding garage with impact overhead door
CONSTRUCTION INFORMATION:
Additional work to je nej orme under this permit —check
E1HVAC Gas Tank ❑Gas Piping
. a
app y:
Shutters
a Windows/Doors
L_J
_
Electric 0 Plumbing
V
Sprinklers
� Generator
� Roof F Roof pitch
Total Sq. Ft of Construction:
34181.22
S Ft. of First Floor:
F
Cost of Construction: $
Utilities:
Sewer
Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Richard and Diana Boisclair
Name: James Newman
Address: 22 Tyler Ln
Company: JWN Builders, LLC
City: Norwich State: CT
Address: 1701 SE Carvalho St
Zip Code: 06360 Fax:nn/�y�
City: Port St. Lucie State: FL
Phone No. �T
Zip Code: 34983 Fax: 772-871-9500
E-Mail:
Phone No. 772-871-9500
Fill in fee simple Title Holder on next page (if different
E-Mail: jwnconstruction@comcast.net
from the Owner listed above)
State or County License: CRC1328282
If value of construction is $2500 or more, a RECORDED Notice of Commencement is requirea.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER:
Name: rn 91
Addres oo C
City. V►1
Zip: 0,s.3y110 Phone:
FEE SIMPLE TITLE HOLDER:
Name:
Address:
Citv:
Zip: Phone: _
of Applicable
U39W--3 ft�
Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY:
Name:
Address:
City:
Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
Not Applicable
St. Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
The following building permit applications are exempt from undergoing a full concurrency review: room additions,
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for
improvements to your property. A Notice of Commencement must be recorded and posted on the jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencing work or recording vour Notice of Commencements
Signature of Owner/Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF sT. LUCIE
The forgoing instru nt wa$_a1#nowIedge1 before me
this L day of 20 y
n
(Name of person acknowledging)
("Signature of Notary- Public- State of Florida )
Personally Known V/OR Produced Identification
Type of Ide
tin::,, SHARON . WMAN
Commission Isd�3•. ;:= Commission#GG09467�eal)
pyres April Z0, 2021
Bonded Thru Troy Fain Insurance 80M85-7019
Revised 07/15/2014
Holder
SPATE OF FLORIDA
COUNTY OF S'_ LUCIE
The forgoing instru ent was acknowledged before me
this �Q day of A 10 20 4 L_ by
(Name of pers acknowledging)
(Signature of Notary Public- State of Florida )
Personally Known �OR Produced Identification
Type o
;t ���., SHARON K. NEWMAN
Commi sior c .= Commission# GG 094675 (Sell
Expires AI)M 20, 2021
Bonded Thru Troy Fain Insurance 800- M7019
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