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HomeMy WebLinkAboutPermit Application ALL APPLICABLE INFO MUST BE COMPLETED=FOR APPLICATION TO BE ACCEPTED p� Date: Permit Number: 1© 050z �EWED _-- ------- -=----•------ ---- . Building Permit Application JUL 2'52017 Planning and Development Services PERMITTING Building and Code Regulation Division St. Lucie County, FL 2300 Virginia Avenue,Fort Pierce FL 34982 Phone:(772)462-1553 Fax: (772)462-1578 Commercial Residential PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line PROPOSED`IMP,ROVEIVIENT LOCATION, Address: Legal Description: R. tc- Property Tax ID#: y�Oa- - - dD� - Lot No. Site Plan Name: Block No. Project Name: V-)e�\-Q-S SS�iQ.rc� Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTIOWOF WORK CONSTRUCTIQN INFORMATION Additional work toe performed under this permit-check all that appy: HVAC Gas Tank ❑Gas Piping _Shutters L3 Windows/Doors 11 Electric 0 Plumbing Sprinklers Generator Roof Roof pitch Total Sq. Ft of Construction: S Ft.of First Floor: Cost of Construction:$ Utilities:0Sewer E]Septic Building Height: OUVNER/.LESSEE CONTRACTOR Name Name: y"`--\ Address:y8� Company: L ry yr city: ��� �C1 State`L Address: wit Zip Code: _jyg�`� Fax: City: \ 2 s C_'0__ State:_';�LL Phone No. Zip Code: 3y�' Q� Fax: E-Mail: PhoneNo.-1�c�i - ',�0o O - 1�) a� Fill in fee simple Title Holder on next page(if different E-Mail: from the Owner listed above) State or County License: O� If value of construction is$2500 or more,a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: ,._ - DESIGNV/ENGINEER: Not Applicable MORTGAGE COMPANY: Not Applicable Name:4kS l Name: Address: Address: City: Qy—tolindin State: FL City: State: Zip: 32Q(t Phone:LL0 2424-39M Zip: Phone: FEE SIMPLE TITLE HOLDER: �Not Applicable BONDING COMPANY: Not Applicable Name: Name: Address: Address: City: City: Zip: Phone: Zip: Phone: 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 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 our Notice of Commencement. _4��aa kc_t� b - S Signature of Owner/Lessee/Contractor as Agent for#vner Signature of Contractor/License Holder STATE OF FLORIDA STATE OF FLORI COUNTY OF COUNTY OF Lucie— The UGILThe for oing instrument was acknowledged before me The for oing instrument was acknowledged before me this��day of s 20`Qby this day of 20 J1 by (Name of person acknowledging) (Name of person acknowledging) (Signature of Notary Public-State of Florida) (Signature of Notary Public- f Florida) Personally Known OR Produced Identification Personally KnownOR Produced Identification Type of Identifica tion Produced Type of Identificati n6 Produced e STELL Commission No. (S Commission No. � •';�^"YP d�-. (�S�AayUNTER }-, h i . R RING M _ arY Public-State of Florida iv ia.. issloN#FF34os29 Commission Y Comm.Expires Jan 23,2019m Revised 07/15/201 Bended through National Notary Assn. REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE 8 INITIALS may. I L. LU 1 I 1:35PM No. 3959 r. 4 ,�ti'Es tst Nettles Island Inc., a condominium Sol South Ocean Drive,Jensen Beach,FL 94957 0 p• (172)229,2990 FAX(772)229-9909 May 12,2017 I i Ronald Rittenbaugh 469 Nettles Blvd. Jensen Beach,Fl.34957 Re.Lot 469 Construction Plans The review of your plans for a new modular home lot#469 is complete.the site plan ,complies with the required setbacks,and meets Nettles Island,Inc.two vehicle parking space requirements,we have no objections. Any modifications that affect the foot print of-the house must be resubmitted to Nettles Island for approval.Please adhere to the enclosed Nettles Island Procedures Governing Contractor and Building Activity on Nettles Island.Please provide us with a copy of the permit before proceeding with construction or demolition. Upon completion,please send a copy of your final survey for our files. Respectfully - �j Q oward Rickert or Janice McLa�ghlin Architectural Chairperson CC:Laura Jones,LCAM,File hktbh Fnn10 a i