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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