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HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: 1705-0084 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 x PERMIT APPLICATION FOR: Building - Sf K PROPOSED IMPROVEMENT LOCATION: Address: 387 Nettles Blvd.,Jensen Beach, FL 34957 Legal Description: Lot 387, Nettles Island Condominium Property Tax ID#: 4502-501-0573-000-8 Lot No.387 Site Plan Name: Block No. Project Name: Setbacks Front 10 Back: 5 Right Side: 0 Left Side: 8 DETAILED DESCRIPTION OF WORK: CBS 2 story impact openings, single frame residential CONSTRUCTION INFORMATION: Additional work to e nertormed under this permit—c ec a apply: RHVAC 0 Gas Tank ❑Gas Piping _Shutters Windows/Doors ZElectric IZI Plumbing L]Sprinklers 0 Generator Z Roof Roof pitch Total Sq. Ft of Construction: 1949 Sq. of First Floor: 780 Cost of Construction:$ 315,000.00 Utilities:LJ Sewer Septic Building Height: 22 tt OWNER/LESSEE: CONTRACTOR: Name Daniel J.and Brenda I. Regan Name: James W.Newman Address:904 Champlain St. Company: JWN Builders LLC City: Ogdenburg State:NY Address: 1701 SE Carvalho St. Zip Code: 13669 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 next page(if different E-Mail: jwnconstruction@comcast.net from the Owner listed above) State or County License: CRC1328282 1f value of construction is$2500 or more,a RECORDED Notice of Commencement is required. „-SUPPLEMENTAL CONSTRUCTION LIEN iAW INFORMATION: DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable Name: Name: Address: Address: City: State: City: State: Zip: Phone: Zip: Phone: FEE SIMPLE TITLE HOLDER: T Not Applicable BONDING COMPANY: Not Applicable Name: Name: Address: Address: City: City: Zip: Phone: 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,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. Qiv S Signa ure of Owner esse /Co actor as Agent for Owner Sign�EEYOF of Contractor/License Holder STATE OF ORIDI_ ORI COUNTY OF .ff-)_ JC, COUNTY OF - ,L.0 C, — The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this 2C—day of 20/aby this a* day of __50tle 20 by (Name of person acknowledging) (Name of ers ackn wle ing) ( ignature of NotZ�OR Public- ate of Florida) (S gQature f otary Pu Ic-StState of Florida) Personally Known Produced Identification Personally Known ✓ OR Produced Identification Type of Ide I iqa Ian Type of Identification Produced .F,. NrWMAN Com Expires ion#GG 09467g Commissio n. *_ April 20, 2021 lSeal) Commission gc�� :...... s SHaRnN k uEWRZ ea P;°,;'`�� 8ondedein Insurance 800 385 7019 Commission#GG 094675 ” � Dolled Thru Troy Fain Insurance800 n,&7019. Revised 07/15/2014 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW RE IEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE �� �� INITIALS Y 00 ALL APPLICABLEE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED ' r Date: S Permit Number:MEMO& a �,.i y•�� 'n''e-.- t r cx�: , W..fj1 ii'•G•rc Building Permit Application MAY 13 '��'�� Planning and Development Services PEgWiIT 11,dC Building and Code Regulation Division St. Lucie Coun:y, 2300 Virginia Avenue,Fort Pierce FL 34982 Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential l/ PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line yPROPOSED 11111PRQ1lEMIVT LOCATIQN s S i Y t � Address: Legal Description: 1Ve7f,4eS / � � Z &Y- 7 IJ'2 /,t�� sf,�.n �O _ � , Act � v � RecoOei) i;. njig:Book /6 b9cia 1, J* K lie Viral,e cRds C9 . Property Tax ID#: ? '_5_0 r� 6_0 1 O 5-73 00 Lot No.� Site Plan Name: ,mA Awb 19R5� )RegiwV 1,oT ST /VL�><f�,�� ZS/s� Block No. Project Name: ��1/ Setbacks Front_ Back:�Right Side:�_Left Side: _ 4 t F IT6 5 el) P S Q. C, 57�9 C IS S oyj CONSTRUCTION 1NFORIVIATION ' 3 � s ffi a work to e e orme un er this permit—check a anp_y: PElectric H C Ei Gas Tank L_J Plumbingns Total Sq. Ft of Construction: �.^ G � ; ��— 5 1, d&Q— Cost of Construction:$ LA owN�l�/LESSEE 3 Name d �d7l,/�- rV1A���c4CC�• ��.5� i(l9 C{..t�0 �1 . Address: c c City: © S Zip Code: Fax: 3/: P � \ Phone No. E-Mail: Fill in fee simple Title Holder on next �SZ;) � WN from the Owner listed above) OLa«V1 wu11Ly ucense: If value of construction is$2500 or more,a RECORDED Notice of Commencement is required. i 0 DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _ of Applicable Name: N Name: Address: Address: City: . State City: State: Zip: Phone: —6 Zip: Phone: FEE SIMPLE TITLE HOLDER: _ of Applicable BONDING COMPANY: e—Pdot Applicable Name: Name: Address: Address: City: City: Zip: Phone: 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..rorisylt with.your Home;Owner9,Association and revie V your deed.for'any restrictions,which may apply. Jn consideratiori,of the,granting of'this requested permit,I.do hereby agree that I.will,in all respects,-perform the wgrk , 4h ka orcl ' e With th"e'approved plans,the H&ida 13uifding�Cnd'e`S'and St:.Lucie County Ameridrrieri s. ^• The•following-building permit applications are exempt from undergoing a full-concurrency review:room additions, accessory structures,swimming•pools,,fences,.walls,signs;screen rdoms'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 yoit intend to obtain'financing,consult witfJe,nder or an attorney before commencing work or recording our Notice of Commencement. • � r Signatur Owner/Agent/Lessee Signature of ontractor/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF +/t COUNTY OF— The forgoing instru t�nras acknowledged before me The forgoing instrument was acknowledged before me this day of 20 by this a day of 20A7 by (Name of perso knowled i :g) (Name of person ackno edging) (Signature o Notary Pu�te of Florida (Signature of Notary.Pu is-.St to of F orida) Personally Known OR Produced ification Personally Known OR Produced Identification Type uce Type of Identification:ProEH� ' S `notary Publjc,$tato of Florjda Seal ': Com ssip t�Fq. Florir�e x�ires•Julyy7,2,017.: z Go7588 sJuly 2 17 Revised 07/15/2014 =.REVIEWS ,; :. FRONT ;. -ZONING '.', SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER•," -REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW COMPLETE INITIALS