HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED 1
Date: `'f" � � � Permit Number: C;U
21ro L=
O
i:... -p`, Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION:
Residential X
Address: 1154 Nettles Blvd
Property Tax ID #: 4§02-501-1341-000/0 Lot No. 1154
Site Plan Name: Replair existing front steps. stringers to be replaced Block No.
Project Name: Front Steps 1154 Nettles
DETAILED DESCRIPTI.ON OF WORK:
The current steps are in need of repair. current step threads are worn and weather and will be replaced the stringers will be replaced as well due to
age and condition.
New Electrical Meter n/a Second Electrical Metern/a
CONSTRUCTION' INFORMATION
Additional work to be performed under this permit —check all that apply:
Mechanical
_ Electric
Gas Tank
Plumbing
Total Sq. Ft of Construction: N/A
Cost of Construction: $ $125.00
Gas Piping
_ Sprinklers
_ Shutters _ Windows/Doors _ Pond
Generator Roof Pitch
Sq. Ft. of First Floor: N/A
Utilities: —Sewer _Septic Building Height:
O.W N E R/LESSEE:
CONTRACTOR:
Name Michael and Rebecca Jarry
Name:Applicant to do work applicant
Address 1154 Nettles BLVD
City: Jensen Beach fForida State: _
Zip Code: 34957 Fax:
Phone No.603-490-1586
Company:
Address:
City: State:
Zip Code: Fax:
Phone No
E-Mail:mjary162@msn.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail mjary162@msn.com
State or County License
If value of construction is 2500 or more, a RECORDED Notice of Commencement is required.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
DESIGNER/ENGINEER:
Name:
Address:
City:
Zip: Phon
FEE SIMPLE TITLE HOLDER
Name:
Ad d ress:
City:
Zi - Phone:
Not Applicab
State:
Not Applicable
MORTGAGE COMPANY: Not Applicable
Name: .
Address: State:
City: ° Zip: phone: .
BONDING COMPANY:
Address:
City:
Zip: Phone:
_Not- Applicable
P-
li nceis hereby made to obtain a
the issuance of a pepermit to do the work and installation as indicated.
OWNER/ CONTRACTOR AFFIDVIT: Appd
I certify that no work or installation has comme P the
St. Lucie Coconfli t with no any pies applicable Home that is
Asgoclat Association ru esill abylaws or and orize the p covenit ants that may older to restrict bor prohibit such
which is in
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
rthe Floe
d permit, I do here
in accordance with the approved plans,da Building Codes and SteLucie Couaby are that I lnity Amendments.
Thethe work
t from
going a full
ncurrency review: room
The following building wimmin applications
ools, fences, walls, signs, screenrrooms and accessory uses to another non-residential use
accessory structures, g P
INCEMENT MAY RESULT IN YOUR PAYING
"WARNING TO OWNER'. YOUR FAILURE
TWICE FOR IMPROYEMENTS TO YO
POSTED ON THE SITE 03 O
WITH ,Y LE O N
as
STATE OF FLORI
COUNTY OF_
A NOTICE OF COMME
tTY. A NOTICE OF COMMENCEMENT MUST,BE RECORDS® AND
INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
RECORDING YOUR NOTICE OF COMMENCEMENT."
er
The forgoing instrume t was acknowledge- before me
this day of , 20� by _
Name o person making statement.
Personally Known OR Produced Identification
Type of Identificatior�� �J c�I J/ -
Produced O ` 11J \
(Signature of No �' y, Y 1� ,, tate �L�0EiAa4AUGHN
`=otra State of Florida -Notary Publi
+= Commiss g3,do GG 270079
Commission No. =* „ v Golrhmission Expires
REVIEWS I FRONT I ZONING
COUNTER REVIEW
DATE
RECEIVED_
DATE
COMPLETED
Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF
The forgoing instrument was acknowledged before me
this _ day of
Name of person making statement.
Personally Known OR Produced Identification
Type of Identification
Produced
(Signature of Notary Public- State of Florida )
Commission No. (Seal)
I
VEGETATION S REVIEWE LE MANGROVE
SUPERVISOR PLANS I
REVIEW REVIEW I REVIEW 1.