HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: �a.' IT Permit Number: III
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Building Permit Application DEC 0 12017
Planning and Development Services PEWA11 TI,,,GSt. Lucie County, FL
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 1
PROPOSED IMPROVEMENT LOCATION:.
Address: 1249 NETTLES BLVD
Legal Description: NETTLES ISLAND INC, A CONDO -SECTION II PARCEL 1249 AND
PRO-RATA SHARE IN COMMON ELEMENTS (OR 4007-1608)
Property Tax ID #: 4502-501-1436-000-3
Site Plan Name: NETTLES ISLAND
Project Name: POWELL DOCK REPAIR
Setbacks Front Back: _
DETAILED DESCRIPTION OF WORK:
Right Side: Left Side:
REPAIR AN EXISTING DOCK IN SAME LOCATION & DIMENSIONS
Lot No. 1249 I
Block No.
CONSTRUCTION INFORMATION:
Additional work to e e orme under this permit —check a apply:
F]HVAC El I�
Gas Tank Gas Piping _Shutters Q Windows/Doors
11 Electric 0 Plumbing OSprinklers 11 Generator Roof
Total Sq. Ft of Construction:
Cost of Construction: $ c
S . Ft. of First Floor: _
Utilities: L _l Sewer E Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name JEFFERY POWELL
Name:.,. J
Address: 1249 NETTLES BLVD
Company: TREASURE COAST BARGE INC
City: JENSEN BEACH State: FL
Address: 1200 SE CUTOFF ROAD
Zip Code: 34957 Fax:
City: STUART State: FL
Phone No.757-515-9449
Zip Code: 34994 Fax: (772)221-1611
E-Mail:powelljposu@yahoo.com
Phone No. (772)201-9777
E-Mail: JERNER@BELLSOUTH.NET
Fill in fee simple Title Holder on next page ( if different
State or County License: 20077
from the Owner listed above)
it value of construction is 15Z500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name: PAUL WELCH
Name:
Address: 1984 SW BILTMORE ST #114
Address:
City: PORT ST LUCIE State: FL
City: State:
Zip: 34984 Phone: (772)785-98as
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
BONDING COMPANY: Not Applicable
Name:
Name:
Address:
Address:
City:
City:
Zip: Phone:
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 your Notice of Commencement.
of Owner/ Agent/
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Signature of Conitra—cta-rii_Jtviise Holder
STATE OF FLORIDA AA/I STATE OF FLORIDA
COUNTY OF L�i1� COUNTY OF
The f ring instr ment wa§ acknowledged�kjefore me
this day of 20 11 by
The ff pig instr ent was acknowledge fore me
this ray of tC 20 y
(Name of Berson acknowledr
)
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of
Personally Known o�bQKProduced 18entification Personally Knowri � OR Produced Identification
Type of Identification Produced I Type of Identification Produced
Commission No. ` �,� (Seal) ��
Commission No. `t)7 V (Seal)
< Y plr Notary Public State of Florida
Revised 07/ 5 Lucia Cdstoforo p4gy °bNotarylic State of Florida�MY Commission FF 079827 � toforo
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