HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO YUST BE COMPLETED FOR A"' "1YJjBCEPTtD
Date: NOV 07
20
17Permit Number: 0 ,
PERN71171NG
St. Lucie County, FL
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 X
PERMIT APPLICATION FOR: Dock/Seawall
PROPOSED IMPROVEMENT LOCATION:
Address: 1129 NETTLES BLVD JENSEN BEACH
Legal Description:
NETTLES ISLAND INC, A CONDO -SECTION II PARCEL 1129 AND PRO-RATA SHARE IN COMMON ELEMENTS (OR 1213-2100; 3933-1428)
Property Tax ID #. 4502-501-1316-000-6
Site Plan Name: NETTLES ISLAND
Project Name: MITCHELL DOCK REPAIR
Setbacks Front Back: Right Side: Left Side:
Lot No.1129
Block No.
I DETAILED DESCRIPTION OF WORK: I
REPLACE AN EXISTING DOCK IN SAME LOCATION & DIMENSIONS
CONSTRUCTION INFORMATION:
Aaclitional work to je performed under tis permit—checka apply:
L 11HVAC J Gas Tank Gas Piping _ Shutters a Windows/Doors
11 Electric � Plumbing Sprinklers I Generator 11 Roof
Total Sq. Ft of Construction:
Cost of Construction: $ D c)
S Ft. of First Floor:
Utilities:11Sewer Septic Building Height:
OWNER/LESSEE:
CONTRACT R:
Name RAY MITCHELL
Address:1129 NETTLES BLVD.
Name: I JI r,
Company:/26s,< <
Address:'. O of
City; JENSEN BEACH State:FL
Zip Code: 34957 Fax:
City: .}' State: FL
Phone No. S / Lt %-�',�T 0
Zip Code: Fax:
E-Mail: i'�Lu V`, wi � 6 � 11 P0_4�, (n A^
Phone No.
Fill in fee simple Title Holder on next page (if different
E-Mail: Co
from the Owner listed above)
State or County License:
If value of construction is 52500 or more, a RECORDED Notice of.Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name: PAUL WELCH
Address:1984 SW BILTMORE ST #114
City: PORT ST LUCIE State: FL
Zip: 34984 Phone: 772-785-9888
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone: _
_ Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY: ^Not Applicable
Name:
Address:
City:
Zip: Phone:
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 the jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencing work or recording vour Notice of Commencement. A
. 0, � �
Signature of wner/ Agent/ Lessee Signature of Contractor/License Holder
STATE OF FLORID
"� // STATE OF FLORID,�pyj
COUNTY OF l'177;� COUNTY OF crJ`i�
The forgoing instru nt was a knowledged before me The forgoing instr i?nt was ac cnowledged before me
this day of 20 -by this C day of .nth 20—ir by
(Name o person acknowledging) (Name of person acknowledging)
(Sign atu rg-&Wota ry PuVic- State of Florida )
blic- State of Florida )
Personally Known ----'OR Produced Identification Personally Known r OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. Commission No. 06 An*0LI- KONRATH
;.' ABI AY E KONRATH •; MY COMMISSION # GGOf . 206
Revised 07/15/201 EXPIRES January 05.2021
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