HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Bate:
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Permit Number:
Building Permit Application
PERMIT TYPE: Demolition of trailer
PROPOSED IMPROVEMENT LOCATION:
Address: 1069 Nettles Blvd, Jensen Beach FL 34957
Property Tax ID #: 4502-501-1256-000-7
Site Plan Name:
Project Name:
DETAILED DESCRIPTION OF WORK:
Demolition of trailer
WS-A
CONSTRUCTION INFORMATION:
Commercial Residential X
Additional work to be performed under this permit —check all that apply:
Mechanical _ Ga Tank _ Gas Piping _ Shutters
�lectric Plumbing _ Sprinklers — Generator
Total Sq. Ft of Construction:
Cost of Construction: $ 2650.00
Sq. Ft. of First Floor:
Lot No. 1069
Block No.
Windows/Doors
Roof Pitch
Utilities: Sewer — Septic Building Height:
OWNERAESSEE:
Name Robert & Angelica Lower
Address: 1011 Croton Dr.
City: Alexandria State . -VA
Zip Code: 22308 Fax:
Phone No.571-212-2027
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
CONTRACTOR:
Name: James Newman
Company: JWN Builders, LLC
Address:1701 SE Carvalho St.
City: Pod St. Lucie - State: FL
Zi rode: 34983 Fax: 772-871-9500
p —
Phone No 772-871-9500
E-Mail iwnconstruction@comcast.net
State or County License CRC1328282
if value of construction is $2500 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: 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:
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 YOUR PAYING
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED ON E JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOU ENDER OR AN ATTORNEY BEFORE RECOR71NROF COMMENCEMENT."
Signature f Owner/ Lessee/Contractor as Agent for Owner or/License Holder
STAT OF FLORIDA ACO TY OF st. Lucia
The forgoing instruqent w s acknowledged before me The for oing instrument Was acknowledged before me
this day of #� 20c� by this day of h � , 20 by
James Newman James Newman
Name of person making statement. Name of person making statement.
Personally Known \,/ OR Produced IdentificgUT'n
Type of Identification XN��,,M MIQ 51/i.
Produced _.�;. •••••
Personally Known OR Produced Identification
Type of Identification
Produced �U�1/1/0
BE1Z?gM.,
[Sign ture of Notary Public- State of 6da j W
(Si— grndure of Notary Public- State of Florfda
•Q �� Commission No.Commission No.
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CDUNTER REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
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