HomeMy WebLinkAboutBuilding Permit Application i
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rAIIAPP�ICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1123 2020 Permit Number: F U
91ro LUCE _ , RECEIVED
O
OCT 15 2020
Building Permit Application St.Lucie County
Planning and'Devetopment Services Permitting
Building and Code Regulation Division Commercial Residential X
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553. Fax: (7.72)462-1S.78.
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PERMIT APPLICATION FOR: COiVCMT8 PARKING APRON
PROPOSED 'IMPROVEMENT LOCATION:
Address:2040,NETTLES,ISLAND.JENSEN,BEACH,FLORIDA 3495.7.
Property,Tax IQ#: 4502 501 0043 000 4 Lot No.2040
Site Plan Name: HARRIS Block No.
Project Name: HARRIS
DETAILED DESCRIPTION Of WORK:
INSTALLATION OF NEW 22 1/2'X 1T @ 4"THICK 3000 PSI CONCRETE WITH FIBER MESH. THE REMOVAL OF TWO EXISTING PALM
TREES.
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit—check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters _WindowsJDoors _Pond
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_Electric _Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: 382.5 SQ FT Sq. Ft.of First Floor:
Cost of Construction:$ 3,500.00 Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE; CONTRACTOR:
NameNETTLES REAL ESTATE, LLC Name:ROBERT E BURNS
Address:POST OFFICE BOX 3249 Company:BURNS AND SONS CONCRETE INC
City: ALLIANCE, OHIO State:_ Address:POST OFFICE BOX 2.335
Zip Code: 44601 Fax: City: PALM CITY I State:FL
Phone No.303 418 6297 Zip Code: 34991 Fax:
E-Mail:LINDA@BARNETT-INSURANCE.COM Phone No7722600776
Fill in fee simple Title Holder on next page(if different E-Mail BURNSANDSONSCONCRETEINC@GMAIL.COM
from the Owner listed above) State or County License25364
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.
FSu7plPLEMENTAL
CONSTRUCTION LIEN.LAW INFORMATION:
'DESIGNER/ENGINEER: _°Not Applicable MORTGAGE COMPANY: j Not Applicable
Name: Name:
Address: Address.-
City: Stater City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: I _Not Applicable l
Name: - Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone
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OWNER/CONTRACTOR AFFIDVIT:Application is hereby made to obtain a permit to clothe 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 f
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
w' h lender or an attorney before commencing work or recording our Notice of Commencement.
TJ A46 �6) e IIIZ4,14-j
Signature of Owner Lessee/Contractor as Agent for Owner Signature f6f ontractor Licen s Holder
STATE OF•FI:6RIM 0q0 STATE OF FLORIDA
COUNTY OF fu ge COUNTY OFhART!N
Sworn to(or affirmed)and subscribed before me of Sworn to(or affirmed)and subscribed before me of
Y Physical Presence or Online Notarization Physical Presence or x Online Notarization
this!', day of n�,(I pm OQ .2020 by this 23 day of NOVEMBER .2020 by
ROBERT E BURNS/PRESIDENT/OWNER
Name of person making statement. Name of person making statement.
Personally Known _OR Produced Identification Pers Known x OR Produced Identification
Type of Identification Ty a of I ntification
Produced Pr du e I
pAnjanette M Brown "" AUTUMN N.BURNS
J/N
(Sign re of No of I (Signature of Notar��P E - t
the State of Ohio ( g � �. 18 ��
RecQ�de{�in Stark County
Commission No. .;"H� - �z�7� BondediMrNaleryPubNcUt�rtf�s
My �Fhission Expires Co mis on N .
March 30, 2024 — ,
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REViEW REVIEW
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