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All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 1-19/2021 Permit Number: GL,\ 53
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0, RECEIVED
r _ Building Permit Application JAN 2 6 2021
Planning and Development Services
n r tting Department
Building and Code Regulation Division Commercial Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: Stair Replacement
PROPOSED IMPROVEMENT LOCATION-.."-
Address: 2117 Nettles Blvd, Jensen Beach, FL 34957
Property Tax ID#: 4502-501-0120-000-8
Site Plan Name:
Project Name: Stair Replacement
DETAILED DESCRIPTION OF WORK:'
Replace exterior stairs at front door per attached plans.
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Lot No.
Block No.
Additional work to be performed under this permit —check all that apply:
_Mechanical _ Gas Tank —Gas Piping _ Shutters _ Windows/Doors _ Pond
_ Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction: _
Cost of Construction: $ 500.00
Sq. Ft, of First Floor:
Utilities: —Sewer _Septic Building Height:
;;OWNER/LESSEE:
CONTRACTOR:
Name James R McGrath
Name: Russell B Williston
Address: 2117 Nettles Blvd
Company: Corsair Property Solutions Inc.
City: Jensen Beach, FL State: _
Address:1071 NE Glass Dr
Zip Code: 34957 Fax:
City: Jensen Beach State: FL
Phone No. 315-406-1838
Zip Code: 34957 Fax:
E-Mail: pshaw0413@gmail.com
Phone No 651-238-7180
Fill in fee simple Title Holder on next page (if different
E-Mail russ@corsairpropertysolutions.com
from the owner listed above)
State or County License CRC1331855
If value of construction is 2500 or more, a RECORDED Notice of Commencement is required.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLE'IVI'E.NTAL CONSTRUCTION'LI'EN LAWINFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name: Russell B Williston
MORTGAGE COMPANY: X Not Applicable
Name:
Address: 1071 NE Glass Dr
Address:
City: State:
Zip: Phone:
City: Jensen Beach State: FL
Zip: 34957 Phone651-238-7180
FEE SIMPLE TITLEHOLDER: _ Not Applicable
Name: James McGrath
BONDING COMPANY: x Not Applicable
Name:
Address:
City:
Address: 2117 Nettles Blvd
City: Jensen Beach
Zip: 34957 Phone:305-406-1838
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 paying twice for
improvements to your property. A Notice of Commencement must be recorded in the public records of St.
Lucie County 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.
Signature of Ow�/ee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF fW -H o
Swop to (or affirmed) and subscribed before me of
1, Physical Presence or Online Notarization
this _2�2_ day of JIW 2024 by
';�ge
Signature of
STATE OF FLORIDA
COUNTY OF f'M (A O
Sworn to (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
this 2D day of . Ala 2026 by
James R, me -Cy" I 'Russt,l( w1, 061en
Name of person making statement. Name of person making statement.
Personally Known OR Produced Identification
Type of Identification
Produced FL 4A M20-41-57361-6
(Signature of Notary Public- State of FI rl P•.,
TAMARA A f
''•.NotaryPulc - St
Commission No. Cq Commission #
otiMy Comm. Expires
Bonded through Natinn:
REVIEWS I FRONT I ZONING
COUNTER REVIEW
DATE
RECEIVED
DATE
COMPLET
Personally Known OR Produced Identification
Type of Identification
Produced FIDL W 1123-1-11-61-D110
\n, _ n r. _. _... :<si�YP4'•.. TAMARAA
of Notary Public- State of .- if. Commission 1s GG 9 9 8
OF F, , ` My Comm. Expires Jun 1 2024
on d through National Ncta Assn.
iNo. G S zGIPPWP
12, 2024
SUPERVISREVIIEWOR I REV EW NS I VRE EWON I SEATURTEV EWLE I M EVI WVE