HomeMy WebLinkAboutBuilding PermitALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 01/19/2021 Permit Number:
•
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: Mechanical
PROPOSED IMPROVEMENT LOCATION:
Address: 849 Nettles BLVD Jensen Beach, FL 34957
Legal Description: NETTLES ISLAND INC, A CONDO -SECTION II PARCEL 849 ANDPRO-RATA SHARE IN COMMON ELEMENTS (OR 885-1369: 3378-984)
Property Tax ID #. 4502-501-1035-000-2 Lot No.
Site Plan Name: Block No.
Project Name: Ceo
Setbacks Front Back: Right Side: Left Side:
[DETAILED DESCRIPTION OF WORK:
1416 ctianJ-nu/- lit!A r7v O.-� PwrI6 41;1(e J�;t- LiAls
3 ihon 4MW 9HW Neo+
1 Y. so sCrFR
CONSTRUCTION INFORMATION:
Additional work to be e orme un ert Is permit —check all apply-,
ZHVAC Gas Tank ❑Gas Piping Shutters ❑
_ Windows/Doors
❑ Electric ❑ Plumbing Sprinklers Generator ❑ Roof Roof pitch
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction: $ �55-,f9_ Utilities:'n Sewer F-1 Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Pierre M Ceo Patricia L Ceo Name: W.S. HIXON
Address: 849 Nettles BLVD Company: AIR PLUS
City: Jensen Beach State: FL Address: 3261 SE SLATER STREET
Zip Code: 34957 Fax: City: STUART State: FL
Phone No. Zip Code: 34994 Fax:
E-Mail: Phone No. 772-486-2002
Fill in fee simple Title Holder on next page ( if different E-Mail: AIRPLUSFL@YAHOO.COM
from the Owner listed above) State or County License: CAC#1816064
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
L
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: x Not Applicable
Name: _
Address:
City:
Zip:
Phone:
State
MORTGAGE COMPANY:
Name:
Address:
City:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable BONDING COMPANY:
Name: _
Address:
City:
Zip:
Phone:
Name: _
Address:
City:
Zip:
I certify that no work or installation has commenced prior to the issuance of a permit.
Phone:
x Not Applicable
State:
x Not Applicable
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 your Notice of Commencement.
s
Signature of Ow r/Lessee tractor a ent for Owner Signature of Cont actor/Lice Holder
STATE OF FLORIDA
COUNTY OF MARTIN
The forgoing instrument was acknowledged before me
this �-F day of JOO►llMN,_V 20.?Lby
(Name of persofi acknowledging )
(Signature o No ry Public -State of Florida I
Personally Known X OR Produced Identification
Type of Identification Produced
Commission No
Revised 07/15/2014
REVIEWS FRONT ZONING
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DATE
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INITIALS
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i�tary Public
State Of Florida
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Expires 11/2/2024
SUPERVISOR
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STATE OF FLORIDA
COUNTY OF MARTIN
The forgoing instrument was acknowledged before me
this 19 day of January 20 � by
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(Name of perso acknowledging )
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(Signature of N("Aaryublic- State of Florida )
Personally Known x OR Produced Identification
Type of Identification Produced
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Commission No. Notary Pu4kal)
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PLANS VEGETATION
REVIEW REVIEW
Expires 11/2/2024
SEATURTLE MANGROVE
REVIEW REVIEW