HomeMy WebLinkAboutBuilding PermitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
•
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PERMIT TYPE: New Construction of single family home
PROPOSED IMPROVEMENT LOCATION. -
Address: 382 Nettles Blvd Jensen Beach FL 34957
Property Tax ID #: 4502-501-0568-000-0
Site Plan Name:
Project Name:
DETAILED DESCRIPTION OF WORK:
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit —check all that apply:
Mechanical Gas Tank _ Gas Piping _ Shutters
Electric _ Plumbing ` Sprinklers Generator
Total Sq. Ft of Construction:
Cost of Construction: $ Ate)
Sq. Ft. of First Floor:
Utilities: _Sewer _Septic
94
Lot No. 382
Block No.
Windows/Doors
Roof Pitch
Building Height:
OWNER/LESSEE:
Name Joseph & Pamela Braun
CONTRACTOR:
Name: James Newman
Address: 382 Nettles Blvd
Company: JWN Builders, LLC.
City: Jensen Beach State: _
Zip Code: 34957 Fax:
Phone No.
Address. 1701 SE Carvalho St.
City: Port St. Lucie State: FL
Zip Code: _:5'4933 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)
If vMl11n of rnne+r..�+:.... I.- &gCnn ,.
E-Mail jwnconstruction@comcast.net
State or County License CRC1328282
.. _�•�_ �• ��••��• + .Y...y.+.+y ul nwfc, a ne4VnuCu IVOiICU Oi 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:
Name: —
Address.
Address:
City: State:
City: State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER: — Not Applicable
BONDING COMPANY: Not Applicable
Name:
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
r%%a ►en/fAIUTnn A—'r n err....,. _
I _. I nR-. i vn MrrlLI V I I : ,vppiication is nerepy 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 IMPROYEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY SFFn12F PFrnDnimr Yni tp Anrirr r►e rnuururc••r.,T ie
?Signae
Signature of Owner/ Lessee/Contractor as Agent for Owner
Contractor/License Holder
STATE OF FLO
COUNTY OF � �,_
FLOR DA
COUNTY OF
The fo going instr ent was acknowledged before me
his tday of Z0� by
The or oing inst ent_ was acknowledged before me
this day of 1 _ 20by
Name of person making statement.
Na of persoh making statement.
Personally Known X,"" OR Produced Identification
Personally Known OR Produced Identification
Type of Identification
Produced
I
Ab
Type of Identification
�IA1MIS ��i,HI
!t �i
Produced
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(Signature of Notary Public- State _ V4rid )
•
(Signature of Notary Public- State of ** }
Commission No.
#m 180160
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PLANS
VEGETATION
SEA TURTLE
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REVIEW
REVIEW
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REVIEW
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REVIEW
DATE
RECEIVED
DATE
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