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Building 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