HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: lie
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Building Permit Application
Planning and Development Services MAR 2 7 2017
Building and Code Regulation Division PEP,MITTiNG
2300 Virginia Avenue,Fort Pierce FL 34982 St. Luc'e_County, FL
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Dock/Seawall
PROPOSED IMPROVEMENT LOCATION:
Address: 380 NETTLES BLVD
Legal Description: NETTLES ISLAND INC,A CONDO-SECTION II PARCEL 380N
Property Tax ID#: 4502-501-0566-000-6 Lot No.380
Site Plan Name: Block No.
Project Name: DESAUTELS DOCK
Setbacks Front Back: Right Side: Left Side:
DETAI LED,DESCRIPTION OF WORK:
REPAIR AND RECONFIGURE AN EXISTING DOCK -- N o f-r-L-e-�vrl.C--
CONSTRUCTION INFORMATION: .
Additional work to e e orme under t —checkispermit a apply:
11HVAC E] Gas Tank Gas Piping ❑_Shutters Windows/Doors
Electric ❑ Plumbing Sprinklers ❑Generator ❑ Roof
Total S6. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction:$ I Utilities: 0Sewer 0Septic Building Height:
OWNER/LESSEE: CONTRACTOR: '
Name GUY DESAITELS Name: '
Address:380 NETTLES BLVD Company: TREASURE COAST,BARG INC
City: JENSEN BEACH State:FL Address: 1200 SE CUTOFF ROAD
Zip Code: 34957 Fax: City: STUART State:FL
Phone No.954-294-1215 Zip Code: 34994 Fax: (772)221-1611
E-Mail:Guy.desautels@citrix.com Phone No. (772)201-9777
Fill-in fee simple Title Holder on next page(if different E-Mail: JERNER@BELLSOUTH.NET
from the Owner listed above) State or County License: 20077
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: PAULWELCH Name:
Address:1984 SW BILTMORE ST#114 Address:
City: PORTSTLUCIE State: FL City: State:
Zip: 34984 Phone: (772)786-9866 Zip: Phone:
FEE SIMPLE TITLE HOLDER: 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.
Signature of Owner/Agent/Lessee Signature of Con rbctor License older
STATE OF FLORIDA STATE OF FLORID
COUNTY OF &3L-A, )osr6 COUNTY OF� ` a
The forgoing instrument w s acknowledged before me Th Instru t was acknowledged before me
this + day of 20 14 by th s ay of ,2011by
(Name of person acknowle ng) Nam of person acknowledging
(Signature of otary Public-State of Florida) ature of Notary Publi tate of FlVdentificatiWon
Personally Known�OR Produced Identification Personally Knr7 OR Produce
Type of Identification Produced Type of Identification Produced
Commission No.�'I �'1 Y"""•' EVAESCARZAGA
l ;=g• ( I) m ission No. 0"4N Notary Pu&%X 01Florida
r MY COMMISSION#FF 1 Lucie Crlcfnforo
EXPIRES:July 21,2 18
a •••.o:P Bonded ThruNota Pu6licUn writers A4P Cnmmrs:s-ar:CF 07982
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATI N SEA TURTLE MANGROVE
COUNTER REVIEW REV EW REVIEW REVIEW REVIEW REVIEW
DATE +
COMPLETE kA
INITIALS 1