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HomeMy WebLinkAboutBuilding Permit Application ALA.AP,,P.LICA,.BLE414F0 MUST BEC_OMPLETEDfOR APPLICATt0N TO BE ACCEPTED'
Date: J'1 I�1�/ ��Q��\ k Permit Number:. 2
o a
• C A,
RECEIVED
MAR 2 T 2017
B-u%!:ding•Peres t°Appr a tt'ton
Planning and Development Services PERMITTING
wilding,and Code Regulation ir`slon. St. Lucie Co�;nt)�, FL
Efi
2300VIrginia Avenue,Fort.Pierce,FL 34982:
Phone:(.772)462-1553 Fax.:(77.2).462-157& Commercial Residerttlal.x
PERMIT APPLICATION FOR: :Buildinq
PR©POSED IMPROVEM NT LOCAT10311
Address:505 xaet#es,b]VldA:Je .sera:be.a'O"':1:34•,9�7
Legal Description: NETTLES ISLAND INC,A CONDO-SECTION II PARCEL 505 ANDPRO-RATA SHARE IN COMMON ELEMENTS(OR 1424-1258)
,Rroperxy Tax 1D#: 4502-501-0691-000-1 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front `� Back:. Right SK&: Lekt SV&:
DETAILED DESCRIPTION�FWORK-.'
poured concrete slab a. inPr�n"rzn '. Ines
3f�o a,tia ��X� � w� s- R Ch
S �J1�t sib
CONST-RUCT'ION INFORMATION
Additional work to be nertormed under t is permit—checFaVfEft apply.
�1VAC Gas Tank' Gas"Ploing _"'Shutters _Windows/Doors
L< electric Q Plumbing OSprinkiers• E Generator `.Roofer— Roof pitch
Total Sq. Ft of Construction: 450 So. Ft.of First Floor:
st.x�f.C rasirruct"iota:. 0$G :Utilities. Sewer Spec Bwikd ng HeSght '6� 5
OWNER/LESSEE ; tCON RACTO'R:
Name George Voigt Name: Michael Roberts
Atli i r�ess:-'06'Nettlee Blvd Cico;rl parry: `�pecitil'Forces .
City: Jensen Beach State:FL Address: 1235 NE Dixie Hwy
Zip Code: 349,57 Pax: CKy: Jensen._Beach., State:FKL
Phone No.772 229-544.7 Zip Code: 34957 Fax:
E1tvferl.`traifLer ri 5hhj tioY n�rn Whurar>e.No. U-2 3 4 29k .
�ffr ec6lfwoesurs_om.
Fitt l e simple Atle��dlder a itextV age�(it lit rer�t 1= tvlall ce .
I 'from th Dwderlisted above) 'State or'Conntyticense: CGCO59083
If value-of,constrajctig.nU-$Z5W.gr more,aaRECORD•Ei?Notice 4t:.Commencement is required.
.. Sl1'PP.LEM:ENTA`L�CoNSTRL}CTiONtIEN:.'LAW,1,NF4RMATTION` ;
DE51.GNER/FiNGINEER.- _Mpt-Applicable M 0RTQhVk0MPAf I f_1 'N,ot Appliicable
Name: SenybEngeneering Services Name:
Ad dress:a,a s.Scenic Hwy ste tOO Address,:
City: Lake Wares State: City: State:
Zip: 33853 Phone: 863589-5980 Zip: Phone:
r FEE SIMPLE TITLE HOLDER: Not Applicable I BONDING COMPANY: Not Applicable
Name: Name:
Address: Address,.
City: City:
Zip: Plhon,e: ZFpic
t 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.Aease,consult with.your Home.Owners Association and!revlew yAur"deed:far anyxestrictions Whicln naay apply .
In.consideration ofthe granting aft-his requestedperniit;A do bee reby agree thatil wdll;vn allYespects,�perform the work
in accordance with'the approved plans,the Florida Building Codes and St.'Lucie`Courity Amendments.
Tans are exernpt';from undergoing alfutl concurrency review:xoorr➢acldifiions,
accessory structures,swimming.pools,:fences,walls,signs,screen rooms-and accessory uses to another non:-residential,use
1 1A1"tNltliG.TO OWNER.Your failure to icond 1otice oo nn rpe celm�ia r Anayr �sult+o�/�a 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
jc6mm.enc' •wolk:or':recd.rdf'n our-N'oti.ceo.f Commen.cemen.t:
s
atu o Lessee/Contra sAgent for Owner Signitu-ffi 6 76r t'"erase Holder
STATE OF.ru STATE.Of FL
OR4»A
COUNT 'COUNTY10F
The ojf in instrt was acknowled dbefore me Thefo ojing instr%lmien�t was acknowledged before me
this '"( ;da�/,of Mn/ 2O��by this_day of��rC' .20 �by
1
(Name f person acknowledging) (Na a of person acknowledging)
( gnature df Notary Public-State of Florida) ignatu of Notary Public-State of Florida)
Personally Known✓ OR Produced Identification Personally Known ✓ OR Produced Identification
Type of-Identification Produced Type of Identification Produced
Commission No.` `-P •"--;(Sea) SUMN(60t�INS
SUZANNE COLLINS NY COMMISSION.#FF195945
MY COMMISSION#FF19 945 �',. � EXPIRES:FEB 24,2019
EXPIRES:FEB 24,2019 N4Z�W Banded through 1st State Insurall9B
Revised 07/ 5/2f11.4 Wm -IF Bonded through tat State Insurance
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW Rf%EW 'REVIEW REVIEW REVIEW REVIEW
..DATE - /
CO
IVIPlETE
INITIALS