HomeMy WebLinkAboutBuilding Permit All APPLICAB E INFO U``ST BE COM cTED FOR APPLICATION TO BE ACCEPTED
Date: 1 �T Permit Number: ' �h
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
PERMIT APPLICATION FOR:
Address: JA 7 0 Oe- + IGS A I ✓ey •i c_i4s cYl P-e-k FL-
Legal Description: Ne+-�- �G S Ts IQ-n -1 T Y14- O, Seef i O h i faLro'G
1 J I Y a-v1,A.. ro r ct.+-CL- i y) e o M✓Ko) r- 1� �.cn f5 C-1 36/ J Y�
Property Tax ID#: Lot No.
Site Plan Name: Block No,
Project Name:
Setbacks Front Back: Right Side: Left Side:
In C o5vh Si � ►- �
CONSTRUCTION INFORMATION
Additional work to be perfo-r-m-e-d under this permit-check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters _Windows/Doors
Electric _ Plumbing _Sprinklers _Generator _ Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
ost of Construction: $_� Utilities: _Sewer _Septic Building Height:
OWNERLESSEE, CONT 0
_ 3
r
Name C:, 'r b i =f- Ch • c - zr e: s.n J 7 t
dress l `.(� , �_ :"r' Company: 1�� Z y c r t I' t'.0 T 3
ty- ;,�� : ;Qie ., ►, su,M- •� State: /::L Address: 10 `� 6� ��� tt,I
pCoeap It M {11d ;4 x' City: ���9�Y; {4�ic��l� State:_IEL
Zip Code: S''7 Fax 77.7 02o79 �y�
E-Mail: Phone No -77 - CG IcR
Fill in fee simple Ti a Holder on next page (if different E-Mail ' D
from the Owner listed above) State or County License
If value of construction is 2500 or more,a RECORDED Notice of Commencement is required.
DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Deaf - �c.��� e�3 P�=" Name:
Address: 7 a as_ c C; 1 Address:
City: 6r_ S+LL c_ a State: L City: State:
Zip: 3 `?s 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.
si
Signature of Owner/Lessee/Contract r as Agent for Owner Signature of Contr ctor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
/ �.
COUNTY OF _ `� _ COUNTY OF
The f oing instru ent was acknowled a before me The forgoing instru ent was acknowledged before me
this�day of 20�by this day of 20JA by
(Name of person ack wledging) (Name of person acknowledging)
0_1
(Signature of tary Public-State of Florida ) (Signature of Notary Public-State of Florida)
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Ident I Type of Identification
Produced Y GELA M HUFF Produced F L L
. o ary Public-State of Florida
4
Commission#
[#e�1g730 Commission No. ,�••••••..
Commission �f :.?o. �, CARLA NELSON
oF,o,. Expires May t 2019 Notuy Publk-Stab of fbr
" Boonded throt National Notary ks ,
oawn as #FF 965535
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETA A Eat 41VIP OR
COUNTER REVIEW REVIEW REVIEW REVIE
DATE 2 /�
RECEIVED _T
_(• l
DATE
COMPLETED
ev.
1
' Jul. 17. 2017 2:47PM No. 4485 P. 1
4
• Nettles Island Inca o condominium
OW South Ocm DrWo,Jensen B"O,FL 34967
TM n0-390
FAX(TM 22" 01
Judy 14,2017
Chris Burgess
1278 Nettles Blvd..
Jensen Beach,Fl 34957
RE:wall AddWom W 1278
The review of your Adjac ut Prnpeaty Protection Plan for Lot#1279 is complete.The
Association approves of the well addit m as per the documents submitted with this
request on the right side of the garage,adjacent to the zero lot line,
please adhere to ell Nettles Wand governing documents including,but mat limited to the
Nettles Ialmd Procadmm Governing Contactor and budding Activity on Nettles Leland,
• and if required provide us with a copy of the Permit before commencing.
Fmk Maher or Janice Mclaughlin,
Ar&tectucxl Committee Chair.
CC:Laura Joy,LCAK File
QAMM
•
01/09/2009 23:07 7722#39 PAGE 02/02
�SECaf1CJ1 Inc.,, 0 condominium
Ao1 South ocean Chive,jwmn Bead%FL 34957
(772)22"M
FAX M 228- W1
Jul 142017 RECEIVED
� ys
NOV 0 8 Z017
Chris Burgess
1278NettlesBlvd.. Permitting Department
Jensenl3eaah,F134957 St. Lucie County, FL
RE:Wall Addition Lot 1278
The review of your Adjacent Proputy Protecdon Plan for Lot#1278 is complete.The
Association approves of the wall addition as per the documents submitted with this
request on the right side of the garage, adjacent to the MO lot line.
Please adhere to all Nettles island governing documents inchuling,but not limited to the
Nettles Island Procedures Goveming Contractor and building Activity on Nettles I. md,
and if required provide us with a copy of the Pcn xd before commencing.
RespeotEully,
a
Frank Fisher or Janice Mclaugh in,
Arditedural Committee Chair,
CC:Laura Jones,L.CAM,File
AM
0 ODD
FILE Mr"'1 1