HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONSCANNED
BY
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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:- ®�
RECENED
JUN 15 2018
Building Permit Application
Planning and Development Services Permitting Department
Building and Code Regulation Division
St. Lucie Cou;ow
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: 367 -NETTLES BLVD
Legal Description: NETTLES ISLAND INC, A CONDO -SECTION II PARCEL 367N ANDPRO-RATA SHARE IN COMMON
ELEMEN IS
Property Tax ID #: 4buL-5u I-ub93-uuu-Z
Site Plan Name:
Project Name: BAKER DOCK
Setbacks Front Back: Right Side:
J•DETA)LED`DESCRIPTION OF WORK: I-—
CONSTRUCT A NEW RESIDENTIAL DOCK WITH (1) BOAT LIFT
Side:
-- Lot No. 367
Block No.
CONSTRUCTION INFORMATION: ri ,
Additional work to be performed under tis permit —check all- app y:
LJnHVAC LJ Gas Tank ❑Gas Piping i Shutters ❑ Windows/Doors
Electric El Plumbing OSprinklers Generator Roof Roof pitch
Total,Sq. Ft of Construction: S . Ft. of" irst Floor:
Cost of Construction: $ �� . u/ Utilities: Sewer Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name WAYNE-BAKER
Name:
Address: 367 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. 781-799-9713
Zip Code: 34994 Fax:. 221-1611
Phone No. 201-9777
E-Mail: WAYNBAKE@COMCAST.NET
Fill in fee simple Title Holder on, next page (if different
E-Mail: JERNER@BELLSOUTH.NET
'State or County License: 20077
from the Owner listed above)
If value of construction is 52500 or more,` a RECORDED Notice of Commencement is required. I
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SUPPLEMENTAL CONSTRUCTION LI€N LAW INFORMATION:\ —
DESIGNER/ ENGINEER: _ Not Applicable
Name: PAUL WELCH
Address: 1984131LTMORE #114
City: PORT ST LUCIE State: FL
Zip:34984 Phone 785-9888
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY:__ _ Not Applicable
Name: V
Address:
City: State:
Zip: Phone: s
BONDING COMPANY: _Not Applicable
Name:
Address: �-
City: ,
Zip: Phone,
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permitfo 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 Hermit will authorize the ermit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or ancovenantsthatmay restrict or prohibit such
structure. Please consult with your Home Owners Association and review your deed for any restrictions �whtch may apply.
In consideration of the granting of this requested permit, I do hereby agree that 1 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-fo another non-residential use
WARNING TO OWNER: Your failure to Record a Notice of Commencement inay result in your paying twice for
improvements to your property. A Notice of Commencement must Pi recorded and posted on the jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
Pa—mTencing work or(recording
n our Notice of Commencement..-..) J
1 \ Y 1 r n1 P_ 1 n.
SignaturEyof Owner/ Lessee/Contractor as Agent for Owner 'J Signature of
STATE OF FLORIDA
COUNTY OF S+• LAjL C' ,t -e,
The forgoing instrument was acknowledged before me
this as day of 20 IT by
— Name of person making statement
'Personally Known V" OR Produced Identification
6e of Identification
(Signature of Nofary Public- State of Florida )
CARLA NELSON
Siam# FF 965535
RECEIVED
I COMPLETED
Rev. 8/2/17
OF FLORIDA p
fY OF
of
by
me
Name of r making statement
v Kno OR Produced Identification
Type of -.Identification
1c7t1ff9#y6da )
Notary Public - State of Florida
carnmission4GG101 dal)
My Comm. Expires kig 3 .2021
Bonded through Naticral notary Assr.
JPERVISOR I �1 V GETATION �I�S REV RILE I MANGROVE
REVIEW RPLA