HomeMy WebLinkAboutBuilding Permit Application I
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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED u
Date: February 1,2017 Permit Number: 11
RECEIVED FEB 0 7 2017
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential XXXX
PERMIT APPLICATION FOR: Addition
�.P..ROPOSED IMPROVEMENT LOCATION:
Address: 633 NETTLES BLVD. JENSEN BEACH, FL 34957
Legal Description: NETTLES ISLAND INC.,A CONDO-SECTION II PARCEL 633 AND PRO-RATA SHARE IN COMMON
ELEMENTS(OR3710-1739; 3821-2524)
Property Tax ID#: 4502-501-0819-000-5 Lot No.
Site Plan Name: MCC-633-01 Block No.
Project Name: McClory
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
SECOND FLOOR ADDITION TO RESIDENCE. ADDING BEDROOM ABOVE KITCHEN AREA.
FdbNSTRUCTION INFORMATION:
Additional work to be ertormed under this permit—check all that apply:
ZHVAC Gas Tank Gas Piping _Shutters Windows/Doors
Electric 0 Plumbing Sprinklers Generator Roof PIanS Roof pitch;!
Total Sq. Ft of Construction: S . Ft.of First Floor:
Cost of Construction:$ 110,000.00 Utilities:]Sewer 0Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name JAMES G.&GENEVIEVE C. McCLORY Name: RYAN N.WATLEY
Address:633 NETTLES BLVD. Company: WATLEE CONSTRUCTION INC
City: JENSEN BEACH State:FIL Address: 11708 SE DIXIE'HIGHWAY
Zip Code: 34957 ;Fax: City: HOBE SOUND State:FIL
Phone No.860-214-8591 Zip Code: 33455 Fax: 772-223-0684
E-Mail:jim6032@hotmaii.com Phone No. 772-223-0604
Fill in fee simple Title Holder on next page(if different E-Mail: RYAN@WCIFL.COM BP@WCIFL.COM
from the Owner listed above) State or County License: CBC1252388
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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SUPPLEMENTAL CONSTRUCTION 1IEN LAW INFORMATION:
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: X Not Applicable
Name: Braden&Braden Name:
Address:417 SE Coconut Ave#2 Address:
City: Stuart State: FL City: State:
Zip: 34996 Phone: (772)287-8258 Zip: Phone:
FEE SIMPLE TITLE HOLDER: . x 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
comD;wMing work or recording our Notice of Commenceme
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Signatyf6of Owner/Lessee/Contractor as Agent fo wner Signatu a of C ntractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF COUNTY OF
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this log"`day of Vv3or,, 20 Zby this L*I`1 day of 20 by
(Name of person acknowledging) _ _ (Name of person acknowle ing)
(Signatur tary Public-States of Florida
)p p (Signature ary Public-State of Florida)
Personally Known �F` Pr'ba[7C�ddehtiilla� Personally KnownARB
Type of Identificatio MY COMMISSION R FF9 Type of IdentificatMY 6AA1MlSSiA'`P ' EXPIRES epte EXPIRES 23,2pt8
Commission No. F s3 F .m Commission No. F
F 23,
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
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