HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Planning and Development Services
Building and Code Regulation Division
2360 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Permit Number: Cpma
Building Permit Application
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PERMIT TYPE:
PROPOSED IMP;ROUE`MENT=LOCATION'
Address: 211 Nettles Blvd., Jensen Beach, FL 34951
Property Tax ID #: 4502-501-03Q7-000-0 Lot No: 211
Site Plan Name: Block No.
Project Name:
f DETAILED DESCRIPTLON
Replace kneewall, landing and steps
CONSTRl1CTlON INFORMATION
Additional work to be performed under this permit —check all that apply:
_Mechanical _ Gas Tank —Gas Piping _ Shutters
_Electric _Plumbing _Sprinklers _ Generator
Total Sq. Ft of Construction:
Cost of Construction. , 20655.60
Sq. Ft. of First Floor:
Windows/Doors
_ Roof Pitch ,
Utilities: _ Sewer _ Septic Building Height:
OWNER/LESSEE E n 4-
r
CONTRAITO'R
Name Lazara Monduy
Name: James Newman
Add ress: 11522 SW 109th Rd., Apt. Y
Company: JWN Builders LLC
City: Miami State: _
Address:1701 SE Carvalho Street
Zip Code: 33176 Fax:
City: Port St. Lucie State: FL
Phone No. 305-505-1173
Zip Code: 34983 Fax: 772-871-9500
E-Mail:
Phone No 772-871-9500
Fill in fee simple Title Holder on next page ( if different
E-Mail jwnconstruction@comcast.net
from the Owner listed above)
State or County License CRC1328282
it value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION UEIV I INFORMATION
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DESIGNER/ENGINEER:_ Not Applicable
MORTGAGE COMPANY: Not Applicable
Name: Don J. Nuelle
Name:
Address: 11634 SW Bowena
Address:
City: Port St. Lucie State: FL
City: State:
Zip: 34987 Phone 561-62"975
Zip: Phone:
FEE SIMPLE TITLE-HOLDER: _ Not Applicable
BONDING COMPANY: Not Applicable
Name`
Name:
Address:
Address:
City:
City:
Zip: Phone:
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,
accessorystructures, 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 QF COMMENCEMENT MUST BE RECORDED AND
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IFj�YQU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YINOTICE OF COMMENCEMENT."
Owner/ Lesse as Agent for Owner
Signatur of Contractor/license Holder
Signature of /Contractor
STATE OF FLO 1pq
STATE ' F FLO
OF ),►aC�i'e-
COUN OF L.Lck_�y
)EtCOUNTY
The forgoing instrument w s acknowledged before me
this day of_ 3QQ J , 20D_ by
The for oing instr ment was acknowledged before_ me
this day of 20AI by
UkA /A0JWi
Name of person making statem n .
Name of person making statement.
y
Personally Known OR Produced Identification
Personally Known OR Produced identification
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Type of Id ng
I Xyfl Ci
Type of Identification
Produced
Produced
(Signature Notary Publ - "pf Flori !�°
Notary P blic -State of Florida
(Signature of Notary P „ a WARON84"MAN
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Al..�:_
/ a Cq�mmission # GG 254336
Commission GGZ o My Cbd 1�xpires Sep 11, 2022
Commission#GG094675
Commission No. ExpiresAprElg®$Q�1
Bonded through National Notary Assn.
ndadThmTray Fain lnsurance800.385-70i9
REVIEWS
FRONT
ZONING
SUPERVISOR
PLAINS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 2/7/19