HomeMy WebLinkAboutNettles Island Club House permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
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V 1.c ' ' , Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial x Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:Outdoor Resorts at Nettles Island, Inc
PROPOSED IMPROVEMENT LOCATION:
Address: 9801 S Ocean DR, Jensen Beach, FL 34957
Property Tax ID #: 4502-501-1615-000-2 Lot No.37S
Site Plan Name: �1Batboorftssorts II. - j T& 14nL) Block No. 41 E
6
Project Name: t0l<S T�SIAnO (-ILib ilt)ij
DETAILED DESCRIPTION OF WORK:
Replacement of Windows and Door with Impact
FLwH d6-0511.09
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit —check all that apply:
Mechanical
Electric
_Gas Tank
_ Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 22,000.00
_ Gas Piping
_ Sprinklers
_Shutters _
_ Generator
Sq. Ft. of First Floor:
Windows/Doors
Roof
Utilities: _Sewer _Septic Building Height:
Pond
Pitch
OWNER/LESSEE:
CONTRACTOR:
Name Outdoor Resorts at Nettles Island, Inc
Name: Jeffrey Walsh
Address:9801 S Ocean DR
Company: Liberty Impact Windows and Doors
City: Jensen Beach FL State:
Zip Code: 34957 Fax:
Phone No.
Address:257 SE Monterey Road East
City: Stuart State: FL
Zip Code:34994 Fax:
Phone N0772-444-7112
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
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State or County License 1528257
-- ----- ---••--•- . ".+..+v — -51mici n MLa Wv v[u IYo IICe UT Commencement Is required.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNS /R, ENGINEER: — Not Applicable
MORTGAGE COMPANY: Not Applicable
N0,11e: l�n� L.)iS
Name:
Address: 04
Address:
City: <r State: L
City: State:
Zip: 3!Vgyt _ Phoneme - _te
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
BONDING COMPANY: Not Applicable
Name:
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
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 IMPROYEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED ON THE JOB SITE PEFQRE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER mAeCATTORNEY BEFORE RECORDING YOUR NOTICE OF COMM "
Signature of V Wrier/ Lessee/Contractor as Agent for Owner
Signature of C tractor/License Holder
STATE OF FLOR 1 _
STATE OF FLORIDA
COUNTY OF�
COUNTY OF
The forgoing instru ent was acknowledged before me
The forgoing instru lent wa acknowledged before me
this_ day of �, 20 by
this day of 20j by
Nam n akingsta ement.
Namoiojj�ejrsorjaking statement.
Personally Known
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OR Produced Identification
Personally Known OR Produced Identifica
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