HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: V O
• ALUM
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 x
PERMIT APPLICATION FOR: Renovation
PROPOSED"IMP ROVEMENT.LOCATION:"
Address: 6 NETTLES BLVD
Legal Description: NETTLES ISLAND INC,A CONDO-SECTION II PARCEL 6 AND PRO-RATA SHARE IN COMMON ELEMENTS(OR 640-97:3285-674)
Property Tax ID#: 4502-501-0192-000-3 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION'OF WORK: -
Repair deck damaged in hurricane Matthew. Reuse existing railing and composite decking. New
deck to be exact dimensions of existing.
CONS-,TRUCT,IAN'INFORMAT,ION.. =
Additional work to be performed under this permit—check all apply:
11HVAC Gas Tank ❑Gas Piping _Shutters Q Windows/Doors
11 Electric Plumbing Sprinklers Generator Roof
Total Sq.Ft of Construction: 100sf S Ft.of First Floor:
Cost of Construction:$ 2,000.00 Utilities:In Sewer E]Septic Building Height:
.OWNER/LESSEE: CONTRACTOR:
Name Edward H McIntosh Name: Nathan Cooke
Address:6758 Platte Rd Company: Cooke Construction, Inc
City: Beulah State:MI Address: 1278 Business Park Place
Zip Code: 49617 Fax: City: Jensen Beach State:FL
Phone No.231.882.4990 Zip Code: 34957 Fax:
E-Mail:emcintosh04@gmaii.com Phone No. 772-530-0659
Fill in fee simple Title Holder on next page(if different E-Mail: nate@cookeconstructioninc.com
from the Owner listed above) State or County License: CGC1520585
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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SUOLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:„
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLEHOLDER: _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.
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_Signature of Owner/Lessee/Agent Signature of Contractor/License Holder
STATE OF FLORI STATE OF FLORIDA 4fr�
COUNTY OF y' 4%01 COUNTY OF _ ✓n�
The for wing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this P day of� ✓-Lc. k 20 1"by this 4 -day of ✓ 20 l by
(Name of cknow (Name of person acknowledging)
(Signature of Notary Public-State of Florida) (Signature of Notary
y Public-State of Florida
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Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification P Type of Identification Produc
••".y 111I'i, WALTER D7UNET 11111I,
Commission No. �� Not y -state of Florida L��� tpi"PUe4 WALTER D Pate o II
.•_ Commission #GG 24467 Commission No. *� •��.5®try Public -State of Flo i a
My Comm.Expires Aug 25,2020 �N• .e Commission # GG 2446
one roug a Iona Notary Assn.
'• a,• M Comm.Expires Aug 25, 0
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Revised 07/15/201
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS ��