HomeMy WebLinkAboutApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: -'Of IslzOzO
Permit Mumaer:
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Builaing Permit Application
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Building and Code Regulation Division Commercial Residential
z3ee virginia Avenue, fort rierce Pt 39_-uz
Phone: (i it) w3L-177a Pax: (77c) 962-.578
PERMIT APPLICATION FOR:
PROPOSED IRIPROVEMENI EOCATION:
Address: 235 NETTLES BLVD.
Property tax ID e: 4a0�-a0�-04z�-000-$
-)ite Plan (game: DE' I CE$ 15C7IQD
ProjeCR Dame: REC10 R RESD.
DETAILED DESCRIF I lulu ul- wuRK:
,m5, HCC MEvv Dom, IM5, HCC I4EYv ECEvH i OR BOH, CIPT HIND IIC5 i HCC H PvvC GF,
ELECTRIC PERMIT BY OTHERS
New Electrical Meter Se�on[I EleEtn.zl Meter
COMM I RUI I (u1'v INFORRIATION:
Rddidonal work to be performed under this permit – check all that. apply:
rot No.
BIOCK Mo.
_Mechanical _ Gas Tank _ Gas Piping _ Shutters Windows/Doors Pond
Electric _ Plumbing _ Sprinklers — Generator Roof Pilch
Total Sq. F% of Construction: 27,000.00 Sq, F.. of First Floor:
Cost of COnstru[tion: $ utilities: _newer _ zeptic Building Reight:
OWNER]EESSEE:
Name GUY SCOTT RECTOR
Address:235 NETTLES BLVD.
City: aEldsEry BERCl1 3LaLe:
zip Cose: 34a01
Fax:
CONTRACTOR:
Larne:MICHAEL GUIDICE
Company: TREASURE COAST BARGE, INC.
Address: I fol) 5E• DIAIE CC i CPP RD
City: 5 , uHR, state: FE
PF10 .e Igo. Lip Codes: 34904 Fa-'
E -Mail: Phone No(772)220-3625
Fill in fee simple I isle Holder on next page ( if different E-Mail,reasurecoas,barge@yahoo.com
rrom tRe owner listen aeovel Mate or County Cicense--r'O'r
Ir value or construRion is za'u17 or more, a RECORDED Notice or Commencement is requires.
Ir value or Flmvs; is $r,auR or more, a RECORDED Notice or Commencement is requires.
i 5UPNEEMEM I AE CUMS I Rums I IOM LIED CAW IIVFURMA I ION:
UE5IGNER/ENGINEER: �., Not Applicable MORTGAGE COMPANY: _ Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
City:
Zip: Phone:
BIONDING COMPANY: Not Applicable
Name:
Address:
City:
Zip: Phone:
OWNER/ CONTRACTOR AFFIBVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
1 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 thepermit 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 tender pAW attcW.ney before commencinp, work or recording our Notice of Commencement.
Signature of Ow r//qLessee/ ntractor as Agent for Owner Signature of Contractor/License Halder
STATE OF FL
STATE OF
COUNTY OF 1Y.4 --J COUNTY OFOIV- W/��
Swor (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
this LZ day of 2020 by
d dt--
Name of person making statement.
Personally Known _ OR Produced Identification ✓
Type of Identification
Sworlo (or affirmed) and subscribed before me of
V Physical Presence or Online Notarization
this� L/day of QC -M-9 c of__. 2020 by
' �'t �C-A.4 e-�_ 0L4;A-r4-e—
Name of person making statement.
Personally Known OR Produced Identification
Type of Identification
' f ;
ALBEii f NL CORSO
-
r "� �!4ri•;
ALBERT &L COR,
Signature of Notary Publi :5ta o
pa:A�st25,2024
( gnature of Notary u
4
j EXPO: August 26,
'•'.��o1i
NGtery P&lic
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gwXd@d ltw f� dvy Abk UY
Commission No.
ommission No.
REVIEWS FRONT ZONING
SUPERVISOR
PLANS VEGETATION
SEA TURTLE
MANGROVE
COUNTER REVIEW
REVIEW
REVIEW REVIEW
REVIEW
Y REVIEW
DATE
RECEIVED
UAit:
COMPLET