HomeMy WebLinkAboutPermit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED T(
Date: � �Y• 1� Permit Number: o 00
R'f = RECEIVE®
Building Permit Application OCT 0 4 2017
Planning and Development Services
PERMITTING
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982 St. Lucie County, FL
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial )— Residential x
PERMIT APPLICATION FOR: Dock/Seawall
67T01'11111M :111111uI ' ' • r • • 111111111
Address: 9815 S OCEAN DR #2 JENSEN BEACH FL 34957
Legal Description: NETTLES ISLAND INC, A CONDO TRACT 3- N SECTION II (SHEET 6 OF 11) (OR 590-368)
Property Tax ID #: 4502-501-1604-000-2
Site Plan Name:
Project Name: NETTLES ISLAND MARINA
Setbacks Front Back:
Right Side: Left Side:
Lot No.
Block No.
REPAIR STORM DAMAGED MARIGNAL AND FINGER PIERS IN SAME LOCATION.
iermlt
❑HVAC ❑Gas Tank ❑]Gas Piping UShutters
❑Electric El Plumbing []Sprinklers ❑Generator
Total Sq. Ft of Construction:
']]4� ��// S Ft. of First Floor:
Cost of Construction: $ � bL l lJ I . outilities.. Sewer ❑ Septic
❑ Windows/Doors
❑ Roof
Building Height:
OWNER/LESSEE. ,I m
CONTRACTOR: : `:
Name BRETON WAVERLY CORPJ RAYMOND KOOPMAN. PRESIDENT
Name:_ftVhYAq0U
Address:9815 S Ocean Dr #2
Company: TREASURE COAST BARGE INC
City: JENSEN BEACH State: FL
Zip Code: 34957 Fax:
Phone No. 772-260-8036
Address: 1200 SE CUTOFF ROAD
City: STUART State: FL
Zip Code: 34994 Fax: (772)221-1611
Phone No. (772)201-9777
E-Mail:nimarina@earthlink.net
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail: JERNER@BELLSOUTH.NET
State or County License: 20077
If value of construction is $2500 or more, a RECORDED Notice oT Commencement Is requneu.
a t�
DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: _ Not Applicable
Name: PAULweLCH Name:
Address: 1984Sw BILTMORE ST #114 Address:
City: PORTSTLUCIE State: FL City: State:_
Zip: 34984 Phone: (772)785-9888 Zip: Phone:
FEE SIMPLE TITLEHOLDER: _ Not Applicable I BONDING COMPANY:
Name:
Address:
City:
Zip:
Phone:
Name:
Address:
City:
Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
_Not Applicable
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
rnmmenrine work,or regordin9 vour Notice of Commencement. _ n
STATE OF f GRIBA-'��
COUNTY OF yC
Thef rgoing instrument was acknowledged before me
this Tdayof SL--P f 20Rby
X'-P tKd /a.%V1.P chi �
(Name of person acknowledging )
(_5grrc1ful;p,cif Notary Public -State of Florida )
Personally
Type of Idl
STATE OF FLORIDA ��
COUNTY OF
The fo �ggo��ing instru en wa acknowledged before me
this ";ay of V 20_Vy
jName person acknowledging )
r
(SI a ure of Not Public- toe f Florida )
Personally Know OR Produced Identification
Type of Identification Produced
MYCOMMISSIONIFF1S7339
Commission ..+„..__-mar /c al Commission No.
.---o.r�.;ES JariOYrY 5, 2019
Revised 07/15/2014 I-110 _M--14
(Seal)
P" , Public Slate of Florida
L . -a rristoforo
Mt CO>,,nm,,on FF 079827
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COUNTER
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