HomeMy WebLinkAboutBUILDING PERMIT APPLICATION111I PPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED u
Da lle: a`'1 SCANNED Permit Number:
ByRECEzvE®
Q _ Sit. Luck? county AUG 4 2018
�,� Building Permit Application
Pla�nmgand Development Services ST_ Lucie County, Permitting
Building and Code Regulation -Division
23, �6 Virginia Avenue, Fort Pierce FL 34982
PhI�ne: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PE
EMIT APPLICATION FOR: Dbck/Seawall
'I
PRdPOSED
IMPROVEMENT (OCATION:
1082 NETTLES BLVD
NETTLES ISLAND INC, A CONDO -SECTION II PARCEL 1082 AND PRO-RATA SHARE IN COMMON ELEMENTS
Prop rty Tax ID #: 4502-501-1269-00071 Lot No. 1082
Site,plan Name: Block No.
Proje t Name:
Setblalcks Front t,)I,A Back: 0 LA11ight Side: 0 eft Side: YZi
Additional work to b _pej rtormed under this permit — check all apply:
_ HVAC _,LJ Gas Tank —]Gas Piping _Shutters a Windows/Doors
_'If Electric Plumbing Sprinklers Generator � Roof Roof pitch
Total'.q. Ft of Construction: S . Ft: of'First Floor:
II � �
Cost of Construction:$67Utilities: Sewer Septic Building Height:
— —
OWMER/LESSEE:
CONTRACTOR:
Name
JAMES TANERI
Name:
lsi 1082 NETTLES BLVD
Company: TREASURE COAST BARGE, INC
Address: 1200 SE CUTOFF ROAD
Addre
City:
PENSEN BEACH State: FIL
Zip C i'de:
34957- . Fax:
City: STUART State: FL
Phone;INo.
908-500-7292
34994
Zip Code: Fax:
: jtaneri@outlook.com
E-Mai
Phone No. 772-201-9777
ee-simple Title Holder on next page (if different
Fill in
E-Mail: JERNER@BELLSOUTH.NET
from t
e Owner listed' above)
State or County License: 20077
is $2500 or more,-9 RECORDED Notice of Commencement is regNired.
• 4. � yt,
SYPPLEMENTAL
CONSTRUCTION LIEN LAW INFORMATION:
D
SIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: Not Applicable
NI�me:
PAUL WELCH, INC
_
Name:
A(J
s: 1984 BILTMORE DR #114
Address:
Ci
�� : PORT ST LUCIE State: FL
City: State:
Zi
'• 34982 Phone 77 -785- 88
I•
Zip: Phone:
FE
SIMPLE TITLE HOLDER: Not Applicable
BONDING COMPANY: Not Applicable
Name:
_
Name:
Address:
Address:
Cit11
City:
y:
Phone:
1
Zip: Phone:
Zip'
OW / CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit.to do the work and installation as indicated.
I cTee iER
fy that no work or installation has commenced prior to the issuance of a permit.
St. L cie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
whic J is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
stru ure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In c6sideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
in ac Iordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
The Billowing building permit applications are exempt from undergoing a full concurrency review: room additions,
acces ory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
WA NING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for
impr', vements to your property. A Notice of Commencement must be recorded and posted on the jobsite
befo le the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencing work or recording vour Notice of Commencement. A
The
this
Com
!ure of Owner/ Lessee/Contragi'or as Agent for Owner
:E$� 40
NTY OF i,G_S,Tr'%
)reoine instrument was acknowledeed before me
-day of 201 �6 by
Name of person'making statement
Ily Known OR Produced Identification
Idenj�tif'cca` i P<
wed Notary Pub ic- State \\\\\MU.111C
......AC
sion No.
T%
FRONT'
COUNTER
DA
COMPLETED
Rev. 8/V17
Signature of Contractor/Lice sn a Holder
STATE OF FLORIDAA
COUNTYOF �,4=1
The 'no
instru ent was acknowled before me
thisday of 2t by
�t
Name of person aking statement
Personally Know OR Produced Identification
Type of Identi ication
Produced,,*�>
(Sign -tit a of Nota
Ulu—
o�N
C�oommission No. 2:
R PLANS VEGETATION
REVIEW REVIEW
Notary Publi��,,-,Stat of Florida
Commiss�d0201693
My Comm. Expires Aua 30. P
Bonded through NavalKota, .
SEA TURTLE I MANGROVE
REVIEW REVIEW