HomeMy WebLinkAboutBldgPermitApplication All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Da(t�e: Permit Number:
61,5,
.�..
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential X
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: Renovation
PROPOSED IMPROVEMENT LOCATION:
Address: 61 Nettles Blvd
Property Tax ID#: 4502-501-0247-000-4 Lot No.
Site Plan Name: Block No.
Project Name:
DETAILED DESCRIPTION OF WORK:
Remove windows and doors and replace with new impact. Change layout of front bay window. Rebuild front
and back decks. Install new Hardi plank siding
New Electrical Meter Second Electrical Meter (Affidavit required)
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit—check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters Windows/Doors Pond
Electric _Plumbing _Sprinklers _Generator Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 30,000.00 Utilities: Sewer _Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Michael Mulligan Name: Nathan Cooke
Address: 295 Head of the Bay Rd Company: Cooke Construction, Inc
City: Buzzards Bay State: MA Address: 1276 NE Business Park PI
Zip Code: 02532 Fax: _ City: Jensen Beach State: FL
Phone No. 508-294-4859 Zip Code: 34957 Fax:
E-Mail: sunnyand80@gmail.com Phone No 772-530-0659
Fill in fee simple Title Holder on next page ( if different E-Mail nate(a)_cookeconstructioninc.com _
from the Owner listed above) State or County License CGC1520585
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.
i I .EI KAAL CONSTRUCTION LIEN LA INFORMATION
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _ Not Applicable
Name:Earthworks Name:
Address:7410 S US Hwy 1 Address:
City: Port St Lucie State: FL City: State:
Zip: 34952 Phone 772-405-7871 Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
OWNER/CONTRACTOR AFFIDVIT: 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 paying twice for
improvements to your property. A Notice of Commencement must be recorded in the public records of St.
Lucie County and posted on the Jobsite before the first inspection. If you intend to obtain financing, consult
with lender or an attorn_ey be re commencing work or recording our Notice of Commencement.
Signature of Owner/Lessee/Contractor as Agent for Owner
STATE OF FLORIDAj
COUNTY OF /7//— ` 0
Sworn tg(or affirmed)and subscribed before me of Physical Presence or Online Notarization
this ay of 20'z-k by ——
Name of person making statement.
Personally Knov"6'_1�OR Produced Identification
Type ofTdentifica iot n Produced
(Signature of Notary Public-State of Florida ) � r"o'�,, WALTER D PAYNE II
• °: Notary Public State of Florida
Commission No. 3'�'O 3-3 (Seal : 4.0 Commission u HH 32033
of n ` My Comm.Expires Aug 25,2024
Bonded through National Notary Assn.
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
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