HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED r
Date: Permit Number: ' W
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Building Permit Application
Commercial Residential X
PERMIT TYPE:
PROPOSED IMPROU;EMENT�LOCATION��^
Address: 2010 Nettles Blvd., Jensen Beach, FL 34957
Property Tax ID #: 4502-501-0013-000-5
Site Plan Name:
Project Name:
Lot No. 2010
Block No.
Install new aluminum standing seam roof, install new PGT impact windows, install new hardi plank siding,
Install new front and rear porch
Additional work to be performed under this permit —check all that apply:
_Mechanical _ Gas Tank —Gas Piping _ Shutters
_ Electric _ Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 54,000.00
_ Sprinklers _ Generator
Sq. Ft. of First Floor: _
_ Windows/Doors
Roof Pitch
Utilities: —Sewer _Septic Building Height:
,OWNER%LESSEE }�
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C®NTRACTOR. ,5w 1H y ' s
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Name Christopher L and Susan G Fotos
Name: James Newman ,
Address: 2862 SE Calvin Street
Company: JWN Builders LLC
City: Port St. Lucie State: _
Address:1701 SE Carvalho Street
Zip Code: 34952 Fax:
City: Port St. Lucie State: FL
Phone No. 772-999-1004
Zip Code: 34983 Fax: 772-871-9500
E-Mail:
Phone No 772-871-9500
Fill in fee simple Title Holder on next page ( if different
E-Mail jwnconstruction@comcast.net
from the Owner listed above)
State or County License CRC1328282
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
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DESIGNER/ENGINEER: — Not Applicable
MORTGAGE COMPANY:
_ Not Applicable
Name:
Name:
Address:
Address:
City:
State:
City: State:
Zip: Phone
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 IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING Y0J* NOTICE OF COMMENCEMENT."
Sig ure of Owner/ L see/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF ST. LUCIE
The forg ing instrument was acknowledged before me
this day of 20,M by
lip
Name of person making statement.
Personally Known __�OR Produced identification
Type of Identification
Produced
re of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF ST.LUCIE
The forgoing instrument wa acknowledged before me
this day of 20,Z by
Name of person making statement.
Personally Known V OR Produced Identification
Type of Identification
Produced _ A
0 MWI! n. IYCYYMM SHARON K. NEWMAN
a commission # GG 094675 Commission # GG 09467b
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
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