HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE I FO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: ol, Permit Number:
RECEIVED
Building P"ermitAplication ; BAN 2'3 2018
Planning and Development Services ST. Lucia County, Permitting
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: 1126 NETTLES BLVD
Legal Description:
NETTLES ISLAND INC, A CONDO -SECTION II PARCEL 1126 AND PRO-RATA SHARE IN COMMON ELEMENTS (OR 351-2555)
Property Tax ID #: 4502-501-1313-000-5
Site Plan Name:
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
REPAIR EXISTING STORM DAMAGED DOCK
Lot No. 1126
Block No.
CONSTRUCTION INFORMATION:
Additional work to be
De orme under this permit —check all that apply:
0HVAC L _l Gas Tank ❑Gas Piping Shutters a Windows/Doors
0 Electric 0 Plumbing Sprinklers 1:1 Generator E] Roof
Total Sq. Ft of Construction:
Cost of Construction: $ "-
S Ft. of First Floor:
Utilities:0Sewer Septic Building Height:
OWNER/LESSEE:
CONTRACTOR.
NameJOHN WILDE
Name: -
Address: 1126 NETTLES BLVD
Company: TREASURE OAST BARGE INC
City: JENSEN BEACH State: FL
Address: 1200 SE CUTOFF ROAD
City: STUART State: FL
Zip Code. 34957 Fax:
Phone No.229-1065
Zip Code: 34994 Fax: (772)221-1611
E-Mail:
Phone No. (772)201-9777
Fill in fee simple Title Holder on next page ( if different
E-Mail: JERNER@BELLSOUTH.NET
from the Owner listed above)
State or County License: 20077
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
..a
Im
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name: PAUL WELCH
Name:
Address:
Address: 1984 SW BILTMORE ST #114
City: PORT ST LUCIE State: FL
City: State:
Zip: 34984 Phone: (772)785-9e88
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 vour Notice of Commencement.
_ h a ," I L�
Sid' at'ure of Own6r/ Agent/ Lessee
/ _ATE OF FLORIDA
COUNTY OF SA_ , ��A C.l -C.
Signature of
Holder
STATE OF FLORIDA (�, /�
COUNTY OF II 11..i L60
The forgoing instrument was acknowledged before me The rstr t wa acknowledge fore me
this � day of - 20 � by this �dav of 20,Y
(Name of person acknowledging) (N e-or p rsoin1�-- n, .'er.gin
(Signature of Notary Public- State of Florida) (Signature of Notary VubIi4,S19Je o Florida )
Personally Known
Type of Identificgi
Commission No.
1. Revised 07/1
OR Produced Identification
CAR N o
Lary Publlt-`St�t of Florida
Commission # FF 965535
Personally KnowB/�. _OR Produced Identification
Type of Identification Produced
Commission No. (0 ib "' S UCYJU:iANO
(Ffo�a��ubl'c - S;a;e of Florida
i • a' t'!1� Carrmission=GG101693
corded VDuch National NataryAssn.
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