HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED ��11aa
Permit Number:
Date:
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 A.. • FOR:
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Address: 1186 Nettles Blvd Jensen Beach FL 34957
Legal Description: Nettles Island Inc. A Condo -Section II Parcel 1186 and Pro -Rats Share in Common Elements (OR 592-1185; 3949-2609)
Property Tax ID #: 4502-501-1373-000-3
Site Plan Name: Neubauer
Project Name:
Setbacks Front Back:
Right Side: Left Side:
Remove existing shingle roof and replace with new metal roof
Lot No.
Block No.
itiona work to be erformed under this permit —check all
F]HVAC Ei Gas Tank ❑Gas Piping
11 Electric 0 Plumbing Sprinklers
apply:
Shutters ❑Windows/Doors
Generator Roof
_
El
Total Sq. Ft of Construction: 1175
Cost of Construction: $ 6500
Name James & Karen Neubauer
Address: 1186 Nettles Blvd
City. Jensen Beach State:
Zip Code: 34957 Fax:
Phone No. 772-919-2066
E-Mail: bigkidbikers@aol.com
Sq. Ft. of First Floor: 1175
Utilities: Sewer _ Septic
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
Name: Jamie Cisco
Building Height: 8'
Company: Sunshine Roofing, LLC
Address: PO Box 1083
City: Palm City
Zip Code: 34991 Fax:
Phone No. 772-260-8195
E-Mail: sunshineroofingllc@gmail.com
State or County License: CCC1327796
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
State. FL
DESIGNER/ENGINEER: _ Not Applicable
Name: _
Address:
City:
Zip:
Phone:
State
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name: _
Address:
City:
Zip:
Phone:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY:
Name:
Address:
City:
Zip: Phone:
certify that no work or installation has commenced prior to the issuance of a permit.
Not Applicable
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.
Signature of Owner/ Agent/ Lessee Signatur of Contractor/License Holder
STATE OF COUNTYOFO9TD�u _1 e I OUNTYOFSTATE OF O6f LL)6 (_
The for ping ins Tent was acknowledged before me
this dayof e.tm6e*- , 20 17 by
rer, dew Iola L)
TN-amd of person ackno ledging )
(Signatule of Notart P tlic- State f Florida
Personally Known OR Produced Identification X
Type of Identification Produced License
Commissio Val Y ftp, Notary public State of F�IsrO)
��OY� - ;—Mar'iyrnifluegel t
if My Commission FF 230179
Revised 07/15/2014
The for ing instru�ent was acknowledged before me
this ay of Decem be - . 20-il by
Jamie Cisco
(Name of person acknowledging)
yy)Q44_� P-) ' - -
(Sign ure of Not4y Public- St to of Florid )
Personally Known X OR Produced Identification
Type of Identification Produced
Commission Ni!o1P¢Y P�e�� Notary Public State 1a
P. -myn Kluegel
cq My Commission FF 230179
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