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HomeMy WebLinkAboutbuilding permitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: F ..4" COUNTY F L 0 R 1 n Planning and Development Services Building and Cade Regulation Division 2300 Virginia Avenue, Fart Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Permit Number: Building Permit Application Commercial Residential X PERMIT TYPE: NEW CONSTRUCTION PROPOSED IMPROVEMENT LOCATION: Address. 1106 Nettles Blvd Jensen Beach, FL 34957 Property Tax 1D #: 4502-501-1293-000-8 Site Plan Name: Project Name: I DETAILED DESCRIPTION OF WORK: Construction of 2 story 3 bedroom 2 math All impact openings Lot No.1106 Block No. CONSTRUCTION INFORMATION: Additional work to be performed under this permit — check all that apply: _Mechanical — Gas Tank _ Gas Piping — Shutters — Electric _ Plumbing Total Sq. Ft of Construction: 1861 Cost of Construction: $ Sprinklers — Generator Sq. Ft. of First Floor: 812 Windows/Doors Roof Pitch Utilities: —Sewer Septic Building Height. OWNER/LESSEE: CONTRACTOR: Name Todd & Colleen Withers Address: 34 New Water Oak Drive Name: James Newman Company: JWN Builders LLC City: Palm Coast State: j[-lam' Zip Code: 32137 Fax: Phone No. 904-349-7823 Address:1701 SE Carvalho Street City: Port St. Lucie State: FL Zip Code: 34983 Fax: 772-871-9500 Phone No 772-871-9500 E-Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) E-Mailjwnconstruction@comeast.net State or County License CRC1328282 If value of construction is 52500 or more, a RECORDED Notice of Commencement is required. If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: Not Applicable Name: QEA Name: Address: 6415 Lake worth Rd. #toy Address-, City: Greenacres State: FL City: State: Zip: 33463 Phone 772-285.1652 Zip: Phone: FEE SIMPLE TITLE BOLDER: Not Applicable BONDING COMPANY: Not Applicable Name: Name: Address: Address: City: City: Zip: Phone: Zip: Phone: OWNER/ CONTRACTOR AFFIDVIIT: 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. 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 JOB SITE BEFORE THE FIRST INSPECTION. F YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YO R LENDER OR AN ATTORNEY BEFORE RECORDING UR NOTICE OF COMMENCEMENT." • /"7�� Y /xo L sig re of Owner/ Lessee/Contractor as Agent for Owner Signat re of Contractor/License Holder STATE OF FLORIDA STA E OF FLORIDA COUNTY OF COUNTY OF S . LUCIE The forgoing instrument as acknowledged before me The forgoing instrument was acknowledged before me this day of Z©A by this day of 20_ by Name of person making` statement, Name of person making statement. Personally Known OR Produced Identification Personally Known x OR Produced Identification Type of identification Type of Identification Produc Produced /r Z (Sign i - ort a ° yr� (Sign —at Of H up Zt ^ Gdnmisaiort HH 091074 Com 1:i'A .. (Seal Commis SHARONK.kEV MAN (Seal " q °"V Bonded TW Tory F* NO-U&7019 M ; It H 091074 �::I?lR19420,.2025 019 REVIEWS FRONT ZONING SUPERVISOR PLANS VELETA ANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DACE COMPLETED ev. 2171113