HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
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Building Permit Application
Planning and Development Services
Building and Code RegulationDivision Commercial Residential XX
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: W1ndv.n, Replace►rent
PROPOSED IMPROVEMENT LOCATION:
Address: 1235 NETTLES BLVD
4502-501-1422-nno-2 + R
Site Plan Name: NE I TLES ISLAND iNC, A CONDO -SEC I ION II PARCEL 1235 Block No.
Project Name: Murphy
DETAILED DESCRIPTION OF WORK:
RrR tiNindovis - 2 openings - impact II
Npw Flartriral Mortar Cprnnri Flartrirnl Mortar
CONSTRUCTION INFORMATION: -
Additional work to be performed under this permit —check all that apply:
Trviecnanicai _ L7as ianK _ uas Viping _,)nutters vvinaowsluoors _ Vona II
Electric — Plumbing — Sprinklers
Total Sq. Ft of Construction:_
Cost of Construction. $ 3800-00
Generator _ Roof Pitch
Sq. Ft. of First Floor:
Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE: I CONTRACTOR:
Name Blil Murphy Name: Jonathan starratt
Address: 1235 Nettles Company: White Aluminum
rit— Jensen Beach c+pro• Aririrc. c• 1720 NW Federal Hwv
Zip Code: 34957 rax: City: Stuart
Phone No. 772-475-4757 Zip Code: 34994 Fax: _
E-Mail: bmurphyi@bellsouth.not Phone No 772-692-0090
Fill in fee simple Title Holder on next page ( if different E-Mail niohnson@whitealuminum.com
lfrom the Owner listed above) State or County License.
If value of construction is 25DO 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.
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State: FL
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: !
NEER: x Not A
Name: seaside EnginerslEdward Rorke
Address: +m5 mh c,
City: vem Beach State: FL
Zip: 329E7 Phone
FEE SIMPLE TITLE BOLDER: x Not Applicable
Name:
Address:
City:
Zip: Phone.
MORTGAGE COMPANY: x Not Applicable
Name:
Address:
City: State: _
Zip: Phone:
BONDING COMPANY:
Name:
Address:
city_
Zip: Phone:
x Not Applicable
OWNER CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as inaicatea.
'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 subiect 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 Budding 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 artornev nerore commencine work or recordinia your Notice of Commencement.
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Signature of Own r/ Les a/Contractor as Agent for Owner
Signature of Col5f.cto icense Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF u-1,
COUNTY OF Martin
Sworn to (or affirmed) and subscribed before me of
Sworn to (or affirmed) and subscribed before me of
x Ph sica! Pres ce orr � QgIine Notarization
this!) day of I ,f1 2020 by
x h sical Prese ce or 0 line Notarization
this day of 2020 by
_,
"
J9Nllhan Srar atl
;onathan Slaaall
Name of person making statement.
Name of person making statement.
Personally Known x OR Produced Identification
Personally Known x OR Produced Identification
Type of Identification
Type of Identification
Produced
Prod ed P
tn�
-1
(Signature of NcOary Public- 5
Pu he State °I rtor ea
Si at re of tart' Public- Stat
Notary public State 01 ¢Ic
NoWY
�1t� lee
Commission No. GGtastoz �: MY�cirdniayion GG 275102
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e4® 5taP4es
mmISSlon N0. GG236102 �omll't�ea'on GO 235
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ExP �4H 07104l2022
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ExPi<®L 0710AI2022
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COUNTER
REVIEW
REVIEW
REVIEW REVIEW
REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
R—ev.516/20