HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COM
Date:
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 3
Phone: (772) 462-1553 Fax: (772)
ED FOR APPLICATION TO BE ACCEPTED
,SCANNED, Permit Number:
BY
SmucleC®unw RECEIVED
Building Permit Application JAN 2 3 2018
ST. Lucie County, Permitting
1578 Commercial Residential X
PERMIT APPLICATION FOR: Pock/Seawall
PROPOSED IMPROVEMENT LOCATION:
Address: 1248 NETTLES BLVD I
Legal Description: NETTLES
Property Tax ID #: 4502-501-1
Site Plan Name:
Project Name: COE DOCK RE
Setbacks Front
INC, A CONDO -SECTION II PARCEL 1248
DETAILED DESCRIPTION OF WORK:
REPLACE STORM DAMAGED DOCK
Right Side:
Left Side:
Lot No. 1248
Block No.
CONSTRUCTION INFORMATION:
Additional work to e e orme under this permit —check a apply:
0HVAC Gas Tan Ik ❑Gas Piping _Shutters a Windows/Doors
11 Electric E] Plumbing Sprinklers F Generator 11 Roof
Total Sq. Ft of Construction: I
I
Cost of Construction: $ :2, OD + '
S Ft. of First Floor: _
UtilitiestSewer n Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name MADELINE COE I
Name: .�, ` % U
Company: IRUASURE COAST BARGE INC
Address: 1248 NETTLES BLVD
City. JENSEN BEACH State: FL
Address: 1200 SE CUTOFF ROAD
Zip Code: 34957 Fax:
City: STUART State: FL
Phone No. 772-224-2127
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)
i
State or County License: 20077
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
�j
'SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ jVot Applicable
MORTGAGE COMPANY: _ Not Applicable
Name: PAUL WELCH I
Name:
Address: 1984 SW 13ILTMORE ST #114 I
Address:
City: PORT ST LUCIE I State: FL
City: State:
Zip: 34984 Phone: (772)785-98es
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
BONDING COMPANY: _Not Applicable
Name:
Name:
Address:
City:
Address:
City: I
Zip: Phone:
Zip: Phone: I
I
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 Fjome 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 riequested permit, I do hereby agree that I will, in all respects, perform the work
in accordance with the approved plans, he 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, Iences, 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. JA Notice of Commencement must be recorded and posted on the jobsite
before the first inspection. If yot4 intend to obtain financing, consult with lender or an attorney before
commencing work or recording vour Notice of Commencement. _
Signature of Owner/ Agent/ Lessee
Signature of Contractor/Lice se Holder
STATE OF FLORIDA -
STATE OF FLORIDA
COUNTY OF SA-
COUNTY OF
The fo going instrument was acknowledged before me
The r in Zent was ac nowledg efore me
this day of C� 20 by
this � day of �(1l?GLry . W by
(Name of person acknowledging)
(Nam df erson ack wledging )
(Signature of Notary Public- State of Florida)
ate of Florida )
( nat re of N acL
Personally Known OR Produced Identification
Personally Known Produced Identification
?du
Type of Identification Produced I
Type of Identification o
Commission No. .�� "" ��,
1 .,, i CARLWISON
A. :u L CYJULIANO r
Commission No. ' �` Noto
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'_,•�;° No Public Public - State of Florida
issiontGteof=loids
r`" •= commission=GG' J'643
My Comm. Ewi es A,:g 30, 2021
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Revised 07/1 1%�" My Comm. Expires Feb 28, 2020
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