HomeMy WebLinkAboutBuilding Permit Application ALL A, PLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: �� "7j l ' I Permit Number:
Building Permit Application OCT 3 1 2017
Planning and Development Services
Building and Code Regulation Division St. Lucie Coounty,F'ER'v"!I unty
, FL
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Dock/Seawall
PROPOSED IMPROVEMENT LOCATION:
Address: 1244 NETTLES BLVD
Legal Description: NETTLES ISLAND INC, A CONDO-SECTION II PARCEL 1244
AND PRO-RATA SHARE IN COMMON ELEMENTS (OR 1743-2206)
Property Tax I D#: 4502-501-1431-000-8 Lot No.1244
Site Plan Name: NETTLES ISLAND Block No.
Project Name: HEINS DOCK REPAIR
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
REPAIR/ REPLACE AN EXISTING DOCK IN SAME LOCATION AND DIMENSIONS
CONSTRUCTION INFORMATION:
Additional work to be per—formed per-formed under this permit—check all that apply:
_HVAC _Gas Tank —Gas Piping _Shutters _Windows/Doors
Electric _Plumbing _Sprinklers _Generator _Roof
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name ALFRED HEINS Name: ; 1' LJ t
Address:1244 NETTLES BLVD Company: TREASURE COAST BARGE INC
City: JENSEN BEACH State:FL Address: 1200 SE CUTOFF ROAD
Zip Code: 34957 Fax: City: STUART State: FL
Phone No.(845) 794-5054 Zip Code: 34994 Fax: (772)221-1611
E-Mail:ALHEINS@LOCALNET.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.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: Not Applicable
Name: PAULwELCH Name:
Add ress: 1984 SW BILTMORE ST#114 Address:
City: PORT ST LUCIE State: FL City: State:
Zip: 34984 Phone: (772)785-9888 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.
QW0111 I '//'""', , e��Q
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Signatur of Owner gent/Less& Sig ature of Contractor/License Holder
STATE OF-FLORIDA N���>e� STATE OF FLORIDA
COUNTY OF .Syitta�. COUNTY OF �Ct IIL!
The forgoing instrument was acknowledged before me The 4_19y
instr w acknowledged before me
this !I day of (^' ol3crL 20 �by this of ,20�by
(W-1 &o-e, 6_0 t
(Name of person acknowledging) (Name of person acknowledging /
+1hIr'P
(Signature of Notary Public-State of-Fk rf d )A/Y Signature of Notary Public- at of Flori j
Personally Known OR Produced Identification Personally Known i" OR Produced Identification
Type of Identification Produced Type of Identification Produced
2 ,�/q KATHt_EEN S. BES
ETFF-
Commission No.l, �f792>'rotary qw State of New Yor Commission No. (Seal)
NYS Reg. o. 0 I BE4783769
Clualifiec in Sullivan County I
►&, Notary Pubiic State of Florida
Revised 07/15/2014 ;Q Lucia Cristo on F
My Comm ss ion F 079827
r s 12/29/2017
Gap
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DATE
COMPLETE
INITIALS