HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONI
SCANNED . 1'
BY
st LucieCount'/
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
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Date: 5 01 � Permit Number:
RECEIVED
_ _ - - ___ • - I Building Permit Application MAY 2.9 2018
Planning and Development services ST. Lucie County, Permitting
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 3,4982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential x
PERMIT APPLICATION FOR; Dock/Seawall
Address: 163 NETTLES BLVD
Legal Description:
NETTLES ISLAND INC, A CONDO -SECTION II PARCEL 163 AND PRO-RATA SHARE IN COMMON ELEMENTS (OR
Property Tax ID #: 4502-501-0349-000-9 Lot No. 163
Site Plan Name: NETTLES ISLAND Block No.
Project Name: LECLERC DOCK
Setbacks Front ! Back: Right Side: Left Side:
CONSTRUCT AMARGINAL DOCK. NO ELECTRIC, NO BOAT LIFT AT THIS TIME
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Additional work to be performed under this permit— check all apply:
E1HVAC LJ Gas Tank Gas Piping _ Shutters
Electric Plumbing Sprinklers Generator
Total Sq. Ft of Construction: 200 S . Ft. of First Floor: _
1
Cost of Construction: $ Utilities: _ Sewer Septic
Building Height:
owN`R/LESSEE ,Y w .)Y
n._ a 3
coivTAACTOR ffa s
Name RONALD LECLERC
Name I- -
Company: TREASURE COAST BARGE INC
Address: 163 NETTLES BLVD
City:' JENSEN BEACH State:FL
Zip Code: 34957 I Fax:
Phone No. (514)919-9266
Address: 1200 SE CUTOFF ROAD
City: STUART State: FL
Zip Code: 34994 Fax: 221-1611
Phone No. 201-9777
E-Mail: Ronald. leclercQa live.com
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail: JERNER@BELLSOUTH.NET
State or County License: 20077
I If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. I
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SUPPLEMENTALCONSTRUCTION
LIEN 1.,41N'INFt?RNlAT101tii
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DESIGNER/ENGINEER: _Not Applicable
MORTGAGE COMPANY:
_ Not Applicable
Name: PAUL WELCH, INC
Name:
Address:
Address: 1984 SW BILTMORE ST #1j14
City: PORT ST LUCIE I State: e-
City:
State:
Zip: 34984 Phone (772)785-9888
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Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
BONDING COMPANY:
Not Applicable
Name:
Name:
Address: I
Address:
City: I
City:
Zip: Phone: I
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. 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.JA 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
commencina work or recordin our Notice of Commencement.
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Signature of Owner/ Lessee Contra I'tor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA
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STATE OF FLORIDA
COUNTY OF �
COUNTY OF �7 /1<
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The for oin instrument was acknowledged before me
The f Instru t wa acknowledg efore me
this �d �y of 20� by
this 2S� day of L�%J� /21 Z 20jk by
�bIr1GL t cQ I �v r l� rG
Name of person making statement
Name of person ing statement
Personally Known OR Produced Identification
Personally Known OR Produced Identification
Type of Identificatio i
Type of Identification
Produced I
Produc
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'�€ C M IQN #-FF187339
' nature of -A - ilic- te'te o or�idla`f ry 5' 2019 '
(Sigl9atgre of otary Pub I - tate of Florida
(407) -0153 Floridallot�ryServicexcrj
Commission No. / / I (Seal)
Commission No. LUC � 0
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A". . Commission k GG 10' 643
:,� ♦ g: M Comm. f ltplies Aug 30.2021
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Rev. 8/2/17