HomeMy WebLinkAboutbuilding permitALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 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: Dock/Seawall
PROPOSED IMPROVEMENT LOCATION:
Address: 151 NETTLES BLVD
Legal Description:
NETTLES ISLAND INC, A CONDO -SECTION II PARCEL 151 AND PRO-RATA SHARE IN COMMON ELEMENTS
Property Tax ID #:
Site Plan Name:
Project Name: _
Setbacks Front
4502-501-0337-000-2
Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
CONSTRUCT A 12' X 24' DOCK REPLACEMENT - NO ELECTRIC
Lot No. 151
Block No.
Aaamonai work to Djevertormeo unaer tnis permit -- cnecK an [n appiy: E
�HVAC LWI Gas Tank ❑Gas Piping Shutters ❑ Windows/Doors
❑ Electric ❑ Plumbing ❑Sprinklers MGenerator ❑ Roof
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction: $ Utilities:]Sewer []Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name GLADYS GONZALEZ - SUNSET DREAM HOMES LLC
Name: SCOTT SZFRANSKI
Address: 17440 NW 82nd CT
Company: HARBOR BAY MARINE
City: HIALEAH State: FL
Zip Code: 33015 Fax:
Phone No. 786 413-8110
Address: 1525 SE CAMBRIDGE DRIVE
City: PORT ST LUCIE State: FL
Zip Code: 34952 Fax: (772)335-7080
Phone No. (772)335-7080
E-Mail: •mickey@ easternrail.net
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail: HARBOR BAY MARINE@AOL.COM
State or County License: 18367
If value of construction is 52500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable
Name: PAUL WELCH INC
Address: 1984 BILTMORE ST #114
MORTGAGE COMPANY: Not Applicable
Name:
Address:
City: PORTST LUCIE State:FL
Zip: 34984 Phone: 772-785-9888
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
BONDING COMPANY: Not Applicable
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
commenciniz work or recording vour Notice of Commencement. _ /
Signature of OAer/Kg4it/ Lessee
STATE OF FLORIDA
COU NTY OF i i - aA
The forgoing instrument was acknowledged before me
this is day ofr• 20 2W by
Signature
STATE OF FLO
COUNTY OF
The forgoing instrument was acknowledged before me
this fir` clay of -Pc '"la 'ij , 20_" by
akeLckS GOn2QAeZ. 7SC10 `4 SzAlafysL1
(NamLryuq—
a4
ackn ledgi (Name of person acknowledging }
1111111i41NJ1/I iy
"(Siodature of Notar Public- State \.• .....• <<c� �i(Signature of Notary Yjbli- State of Florida j
�1SSION�c�'•.•
Personally Known ✓ OR Pr cr uceQ�T � if IA -. Personally Known OR Produced Identification
Type of identification Produced Type of Identification Produced
SNRY43 Virginia C. Jayne
Commission N S' j S9� 2 • ASe �o51fl94 �`y..Qnu ; Commission No.&EW q �� �IF)ARY PUBLIC
•. a eOndeAtn�o �' R x �r2STATE OF FLORIDA
yp. acUmm# GG367473
Revised 07/15/2014
#N1� W'\\X & ce �e�e Expires 9/23/2023
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