HomeMy WebLinkAboutBuilding Permit ApplicationALL'APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: \ o \4l Permit Number: 1, W" LI-J'S
RECEIVED
Building Permit Application OCT 18 2019
Planning and Development Services ST: kdfriB BbURlYq �Viiillfi@
Building and Code Regulation Division j
2300 Virginia Avenue, Fort Pierce FL 349821
Phone: (772) 462-1553 Fax: (772) 462 1578 Commercial Residential X
1 PERMIT APPLICATION FOR: Other
L PROPOSED IMPROVEMENT LOCATION:"
Address: 1068 Nettles Blvd., Jensen Beach, FL 34957
Legal Description: Lot 1068, Nettles
Inc., A Condo, Section II
Property Tax ID #: 4502-501-1255-222-0 ; Lot No.
1068
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF'WORK:
Install block in opening on north and south side of pull under area
NOTE: work is completed and inspected by engineer. Letter is supplied with permit application.
CONSTRUCTION'. INFORMATION -
Additional wor to ne nertormed under this permit— check a app y:
11HVAC Gas Tank � ❑Gas Piping _ Shutters Q Windows/Doors
Electric 0 Plumbing []Sprinklers E Generator 11 Roof Roof pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ / Q�� Utilities: _ Sewer Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Sunset Dream Homes, LLC
Name: James Newman
Address:17440 NW 82nd Ct
Company: JWN Builders, LLc
City. Hialeah State:FIL
Address: 1701 SE Carvalho Street
Zip Code: 33015 Fax:
City: Port St. Lucie State: FL
Phone No.
Zip Code: 34983 Fax: 772-871-9500
E-Mail:
Phone No. 772-871-9500
Fill in fee simple Title Holder on eext page (if different
E-Mail: jwnconstruction@concast.net
from the Owner listed above)
State or County License: CRC1328282
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
ti
DESIGNER/ENGINEER: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address: f
City:
Zip: Phone:
MORTGAGE COMPANY:
_ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY: Not Applicable
Name: _
Address:
City:____
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, fence's, 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 fVst inspection. If you intend to obtain financing, consult with lender or an attorney before
commenci6k work or recording vour Notice of Commencement. .f
as
�TE OF FLORI
UNTY OF
The forgoing instrument a acknowledged . fore me
this a day of L1v20by
(Signature of Notary
Personally Known V
Type of Identification
Contractor/License Holder
STATE OF FLORIDA,,,) � J COUNTY OF.
The forgoing ins rume as acknowledged before me
this!_ day oIU 20 10 by
(Name of
Publ' - State of Florida) mature'W Notary Public- to of Florida )
OR Produced Identification Personally Known OR Produced Identification
Produced I Type of ld
z
,,,•".,K, :%,•q�%, SHARON K, NEWMAN
ONAWdNK.NEWMAN (Seal) Commissi s Commiselon#00094676 (Seal)
06MM161191f0Ot1094676 �E; ExolresAprl120,2021
19008 Aprll 20, 2021 , ,h" MOW TW Troy Pun Inown
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