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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALLi� PPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Permit Number: 1510 G03i st. wele � RECEIVED OCT 02 2015 d� Building Permit Application ping and Development Services C V ring and Code Regulation Division dVirginia Avenue, Fort Pierce FL 34982 i e: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X PER, ' IT APPLICATION FOR: Building PROFOSED IMPROVEMENT LOCATION: Addresss: 40 NETTLES BLVD, JENSEN BEACH, FL 34957 Legal I�Ilescription: NETTLES ISLAND INC, A CONDO -SECTION 11 PARCEL 40 AND PRO-RATA SHARE IN COMMON ELEMENTS (OR 317-782) Prope`y Tax ID #: 4502-501-0226-000-1 Lot No. 40 Site PI n Name: Block No. Projecti Name: LASH setbacks Front 10 Back: 5 Right Side: •5 Left Side: 8 DETA LED DESCRIPTION OF WORK: BUILDING NEW CBS 2 STORY HOME ON VACANT LOT�a,�a CONSTRUCTION INFORMATION: Add Itlolna workto e e orme under this permit— check a apply: �H AC � Gas Tank —]Gas Piping _Shutters Q Windows/Doors E ectric 0 Plumbing Sprinklers F]Generator 7 Roof Total Sql, Ft of Construction: S . Ft. of First Floor: 5— ,I Cost of i'onstruction: $ 188,000 Utilities: 0 Sewer []Septic Building Height. 22 OWNF<R/LESSEE: CONTRACTOR: Name Sidney & Ann Lash Name: MACK MATOS Address!�IF`0 Box 518 Company: MEL-RY CONSTRUCTION Address: 10967 S OCEAN DRIVE City: Wharton, NJ 07885 State: I�; 07685 Zip Cod Fax: Phone NI . 772-229-0012 JENSEN BEACH FL City: State: Zip Code: 34957 Fax: 772-229-9440 E-Mail: �I�I Fill in fe 'I`Isimple Title Holder on next page ( if different Phone No. 772-229-M439 E-Mail: MACK@MEL-RY.COM State or County License: 23630 from the I�Owner listed above) If value of,lconstruction is $2500 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: _ Not Applicable Name: JOHN CRESWELL PE 27002 Name: Address: 308 SW 2ND ST Address: City;VJOKEECHOBEE State: FL City: State: Zip: 4974 Phone: 863-467-1111 II Zip: Phone: FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: Not Applicable _ Name: Name: Address: Address: City: lid City: Zip: I, Phone: I:I Zip: Phone: I certifly 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 i� 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, 1,1 accessol y 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 impro'ements to your property. A Notice of Commencement must be recorded and posted on the jobsite before�lthe first inspection. If you intend to obtain financing, consult with lender or an attorney before commencin work or recording our Notice of Commencement. s _ Signa i,il re of Owner/ Lessee/Agent Signature of C tractor/License Holder STATE�OF FLORIDA STATE OF FLORIDA , COUN ; OF COUNTYOF Z . cice I The for of g instrument was acknowledged before me The forgoing instrument was acknowledged before me �C this I`� day of 20 _by this 0- day of © C-106 le- 20 L by ame o,person acknowledging) of Notary Public- State of Florida ) Personally% Known OR Produced Identification Type of Identification Produced No. (Seal) 07/15/2014 " GY1 oz o S (Name of person acknowledging) (Signature of Notary Public- State of Florida ) Personally Known ✓ OR Produced Identification Type of Identification Produced SUN(l9W) Notary Public - State of Florida o - .... .......... rvnitPC nec 19. 2017 16 Cornmission # FF 069543 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE 1'I COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE I!I COMPLETE INITIALS `I '2. Jl x. r. €L-��a.5.�r:r,�4.?;5'£�jEf�r`!�@'?ce�.sw_�,-:a�:<?4�'. ,seYl�3 `i..'�°,%k k5,.,: 1�15.,k`C.�1;-�.�rE.FAa.b.:.'�W.�k. .'S�iiS.fY.u�..k3�,..r�.�`csv.E'"�;<�'n.C„�'Va: r�;. wvea.'•s�u Y.. v, a..,�.. �F.,t§".4 +,P .?'r-''� DESIGNER/ENGINEER: x Not Applicable MORTGAGE COMPANY: Not Applicable Na e: Ad ress: Name: Address: Cit �i : State: City: State: Zip Phone: Zip: Phone: FE(SIMPLE TITLEHOLDER: Not Applicable BONDING COMPANY: x Not Applicable _ Na l e: Name: Ad-ress: Cite Zip Phone: Address: - I City: Zip: Phone: In c in a The The this Type that no work or installation has commenced prior to the issuance of a permit. County makes no representation that is granting a permit will authorize the permit holder to build the subject structure in conflict with any applicable Home Owners Association rules, bylaws or and' covenants that may restrict or prohibit such Please consult with your Home Owners Association and review your deed for any restrictions which may apply. leration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work lance with the approved plans, the Florida Building Codes and St. Lucie County Amendments. awing building permit applications are exempt from undergoing a full concurrency-review: room additions, y structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use ING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for ements to your property. A Notice of Commencement must be recorded and posted on the jobsite the first inspection. If you intend to obtain financing, consult with lender or an attorney before �ncine work or recordingvour-lntice of Commencement. .--? of Owner/ Lessee/Agent OF FLORIDA IY 0 11 - �1�J ing instrument was acknowledged before me day of 0 r � . 20 Liby person acknowledging) Notary Public- State of Florida 07/15/2014 EEN C. SUMMERS es Der,�017 # FF 695 13 G Signature STATE OF FLORIDA COUNTY OF The forgopg instrument was acknowledged before me this A" -day of © QAo 6wt - 20 � by S (Name of person acknowledging) (Signature of Notary Public- State of Florida ) Personally Known .� OR Produced Identification Type of Identification Produced Commission No.6--- 0& % 5- (Seal) Notary Public - State of Florida - My Comm. Expires Dec 19, 2017 rr flCf1G A.l REVIE, I� S �I FRONT COUNTER ZONING REVIEW SUPERVISOR REVIEW PLANS ' REVIEW j1G ANGROVE REVIEW l REVIEW "W-rfflt REVIEW DATE COMP I E INITIALS M