HomeMy WebLinkAboutBuilding Permit Application-updatedAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO HE ACCEPTED
Date:
P
Permit Number:
Building Permit Application
Planning and Development Services
e
Building and Code RegulationDivision Commercial Residential X
2300 Virginia A venue, Fort Fierce FL 34982
Phone: (772) -1 Pic: (772) -1 '
PERMIT APPLICATION FOR: pgck and Boat lift
PROPOSED IMPROVEMENT LOCATION:
Address:54 Nettles Blvd
Property Tax i D #; 4 2-5 - 4 - 00.5 Lot No.
Site Plan Name: 4 Nettles Hurd Bloch No.
Project Name: 54 Nettles Hurd
DETAILED DESCRIPTION OF WORK:
Remove existing moorin
piles and installing new 218
New Electrical [deter Second Electrical Meter
CONSTRUCTION INFORMATION:
foot dock and install 1 K lift
Additional work to be performed under this permit —check all that apply:
Mechanical Gas Tank Gas Piping Shutters it ind W5/Dv rs Pond
Electric Plumbing �Sprinklers Generator � Roof Pitch
Total Sq. Ft of Construction: 2 ��f=l— p . Ft. of First Floor- Imo`
Cost of Construction: --- " Utilities: Sewer Septic Building Height: �
OWNERAESSEE: CONTRACTOR.
Na me David Hurd
irne:n1d Duncan
Address:.54 Nettles Blvd .Southeast General Contracting Devi
city: Jensen Beach FL State: Address:3379 SE Brier Vista Dr
Zip Code; : Port S Lucie *FL
Fix: �t state.
Phone No. .._._- .T� Zip bode: 4 2 Fax:
E-Mit Phone No772-634-6961
Fill in fee simple Title Holder on next Page (if different E-Mailcopelandjoyc@gmaii.com
from the Owner listed v State or County LicenseCGC 1 325
H value W onstructlon Is 2500 or more,. 8 RECORDED Notice of Commencement is required.
If value of HAVC is $7,,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: X Applicable _
� lllloTAaE CoIF"11'. X Not Applicable
Name: Name:
Address: _Address:
City: State: it
- hate,
i Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDEN: X Not Applicable BONDING
Ir11Y. X Not Applicable
Name: Name:
Address: Address:
City:
Zips: Phone:
zip: Phone.
�VV1'VG� %�r1■ J 1%Ag1.1 K vr1u 11 ,Application is hereby made to obtain a permit to do the work and installation as indicated.
I certify that no work or installation has commenced prior to the issuance of a permit.
t. Lucie Count mal es no representation that is granting a permit will authorize the permit homier to build the subject structure
which is in conflict with an applicable Igoe w �
pp 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.
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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 result in paying twice f
improvements to oarproperty. ► Noticerecorded' � or
Commencement must be in the public records of St.
Lucie County and posted on the jobsite before the first inspection. If you intend to obtain financing,
with leader n o� tune before corn consult
commencing work or recording your Notice of Commencement-
,
Signature ofOwner/ Lessee/Contractor as Agent for Owner
STATE of FLORID
COUNTY of T I I J: 1 F
Sworn to (or affirmed) and subscribed before me of
Physical Presence orX online notarization
this 10 day of Ida o2 1 2020 by
David Hurd
Name of person making statement.
Personally Known X OR Produced Identification
Type of Identification r-_ .. A
of Iota
Commission No.
Signature of Contractor/License Holder
STATE of FLORIDA
COUNTY of MARI
Sworn to (or affirmed) and subscribed before me of
Physical Presence orX Online Notarization
this day of MaV 2021 , 2020 b
Naive of person making statement. --
Personally Known X OR Produced ldentifica ion
Type of ldenr ification
Prot used _ t I
i
y 1% ,
s
Lc�
AN
R W--Rlr-h
r Pub of F� (Sign tur of I ar lic-AWMU'%W&�kwid
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Joy hhs#i e a Joy hh ti Cgpeland
My comet 937752 Commission ion I"�io. '� ray ��m si oon �'
xPr 01 f,
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
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