HomeMy WebLinkAboutBuilding Permit Applicationi
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: I C) r5) � 5
RECEIVED
Building Permit Application OCT 2 4 2017
Planning and Development Services PER-MITTING
Building and Code Regulation Division St. Lucie County, FL
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X.
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSEyD;IMPROVEMENT,LOCATION
:
Address: 802 Nettles Blvd, Jensen Beach, FL 34957
Legal Description: NETTLES ISLAND INC, A CONDO -SECTION II PARCEL 802 ANDPRO-RATA
SHARE IN COMMON ELEMENTS (OR 3447-1945)
Property Tax ID #: 4502-501-0988-000-0 Lot No.
Site Plan Name: Block No.
Project Name: Grillo /'/40e_tC'k RCdL7_11_
Setbacks Front Back: Right Side: Left Side:
DETAhLED� D'ESCRLPTION OF WORK: .
Roof re-cover with 24 Gauge Standing Seam Metal
CO"NSTR'UCTION INFORMATION:
Additional worK to e er orme under this permit —check a apply:
ElHVAC E] Gas Tank []Gas Piping _ Shutters a Windows/Doors
Electric ❑ Plumbing Sprinklers 11 Generator Z Roof Roof pitch
Total Sq. Ft of Construction: ��(� �� lid- S . Ft. of First Floor: _
Cost of Construction: $ g660 Utilities: L_I Sewer E]Septic
Building Height:
OWNER/LESSEE:a _
CONTRACTOR:
Name Norick Realty
Name:
Address:
Company: Leeward Roofing
city: Jensen Beach State: FL
Zip Code: 34957 Fax:
Phone No. �-�Z^ �LQ3 -moo �{2
Address: 9577 Gator Drive, Unit #4
City: State: FL
Zip Code: 32958 Fax: 772-589-2429
Phone No. 772-589-2400
E-Mail:� gywl I'ID e!q'MO..IL . !�YYl
Fill in fee simple Title Holder on next page ( if different
from thle Owner listed above)
E-mail: leewardroofing@bellsouth.net
State or County License: FL CCC#1326409
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SeU.PPL.EMEN:TAL CONSTRU,CTJON LIEN LAW INFORMATION -
- - . ?= —
DESIGNER/ENGINEER: Not Applicable
MORTGAGE COMPANY: F;� Not Applicable
Name: Norick Realtv
Name:
Address:
Address: 802 Nettles Blvd. ns n ch. FL 8
City: Jensen Beach
City: State:
Zip: Phone_4 .
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
BONDING COMPANY: V1 Not Applicable
Name: I
Name:
Address: 9577 Gator Drive. #4r
Address: I ti
-Unit
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. lie 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
com,niqncing work or recording our Notice of Commencement.
qSighre
n essee/Contractor as Agent for Owner
o4ON-
Signature ontractor/License Holder
STATE OF FLORIDA
S-� L� L) o—I,2.
STATE OF FLORIDA (�
COUNTY OF Paz
COUNT .
�.0
Th for instrument was acknowledged before me
The forgoing instrument was acknowledged before me
t is 120LY by
this c 'day of L12C-4p6,r— , 20 / 7 by
G1 2 LLO
Q.�, r J, �) % s Dr.GL
\ a e o person making statement
Name of person making statement
Personall Known X OR Produced Identification
Personally Known u OR Produced Identification
Type of Identification
Type of Identification
Produced
1 q)ASAZIM
Produced
(Signatur t at
(Signatur ' -
►�" 4;•; CARLA NELSO
Commiss' rr o. S al)
- State o Florida
Commissi r3 1 :: MY COMMISSION * GG
_ .
- Commission # FF 965535
•? EXPIRES January 25, 021
My Comm. Expires Feb 26, 2020
REVIEWS
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
FRONT
ZONING
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17