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HomeMy WebLinkAboutBuilding Permit Application 0 ALL APPLIC LE NFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: vl 0 Building PermdAlication Planning and Development Servicesf fic VtJ ,tics 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: Building S PRO'PO$ED IMPROVEMENT LOCATION Address: 20 Nettles Boulevard Jensen Beach, FL 34957 Legal Description: Nettles island inc., a condo-section II parcel 20 and pro-rata share in common elements (or 1510-2935;3502-654) Property Tax ID#: 4502-501-0206-000-5 Lot No.20 Site Plan Name: Block No. Project Name: Setbacks Front C9:5 Back: Right Side: la Left Side: DETAILED DESCRIPTION CON`ST RUCTION INFORMATION' ' 7.1 .� . - t,r • i . dd*i iona work to b-e-5067formed under this permit-c ec a apply: HVAC Gas Tank Gas Piping _Shutters I ^I Windows/Doors Electric Plumbing Sprinklers E]Generator RRoof Roof pitch Total Sq. Ft of Construction: S . Ft. of First Floor: ► G© Cost of Construction: $ © Utilities: Sewer Septic Building Height: 01NNER/LESSEE CONTRACTOR: Name Peter oan Casano Name: IvIaCK , a OS Address: 1036 Cedar rive Company: Mel-Fiy Construction 1 Lae ne 1 Ocean rive 18436 City: State:_ Address: Zip Code: Fax: City: Jensen each State: Phone No.570-445-11-2-9 Zip Code: 34957 Fax: 29-944T E-Mail:joa-n-i-eL43@yahoo.com Phone No. 772-229-9W39-- Fill in fee simple Title Holder on next page ( if different E-Mail: MaC me -ry.com from the Owner listed above) State or County License: 23630 E e of construction is$2500 or more,a RECORDED Notice of Commencement is required. SUPPLEMENTAL;CONSTRUCTION lEN-LAW INFOkMATIO..N DESIGNER/ENGINEER: _No Applicable MORTGAGE COMPANY: _ Not Applicable Name: 9ra-�-cAJ � h/ 4•4Cydoa3Z Name: Address: 417 S t C L9CO V r7Z' VZ' Address: City: < �V State: City: State: Zip: 3 %-S J94 Phone 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, 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/Les�,ee/Contrac/tor as Agent for Owner Signature of Contractor/License Holder STATE OF FLORIDA / G1� STATE OF FLORIDA LLA( C_ COUNTY OF �. COUNTY OF !]� Th ' r oing instru n wa cnowledg efore me The forgoing instrument was acknowledged before me this ay of 20 by this 16 day of_VeV"V ,�, ,20 Q by 4rACN_C_ik or�ac\('mocb S. Name of person m g statement Name of person making statement Personally Known OR Produced Identification Personally Known � OR Produced Identification Type of Identification Type of Identification Produced Prod (Signature o No t i d ljblic-Stat EFtotrlidgF ( i turg d N t Fy Public-S e rW o. ,1 W(Y OMMISSION N FF2271 a° u`c'S Notary Public-State of Florida Commission e +•� Commission # S@21, 30 ��ZZ X? ES May 05,2019 i' 1' Commission No. •�.J3 ( e I�Na, s« ��, roc' My Comm.Expires May 27,2019 11 Bonded thro,:gh National Notary Assn. ` REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev. 8/2/17 I