HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONI I
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Dat�'1 Permit Num
L,
Building Permit Applicatfo SEP 8 2018
Plant in and Development Services `_ ,a FAIT
9 p Permitill5,,,; [...,.�
Build g and Code Regulation Division St. `UCi�' t;°t�i'i� r ��
2300 (Virginia Avenue, Fort Pierce FL 34982
Pho i�e: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential XC--���
PER d IT APPLICATION FOR: Building
AN
PROOPSED IMPROVEMENT LOCATION: w ;
Addre : 1104 Nettles Blvd., Jensen Beach, FL 34957 St Lucie Countv
Legal 1'escription: Lot 1104-N, Section II, Outdoor Resorts of America at Nettles Island
Prope
Site PI
Projec
Setba
DIET
y Tax ID #: 4502-501-1291-000/4
n Name:
Name: i o.3
<s Front— Back: �� Right Side: _0 Left Side:
LED'DESCRIPTION'OF WORK:
Lot No. 1104
Block No.
Residl ntial two story single family home 1L�'�"" 1
CON TRUCTION INFORMATION:,
Additi 'nal work to e e orme under this permit— check a apply:
zi VAC r] Gas Tank ❑Gas Piping _ Shutters Q Windows/Doors
Zectric 0 Plumbing Sprinklers Generator Roof Roof pitch
Total S �. Ft of Construction,:—L582— c -1 S . Ft. of First Floor: 6M A0
Utilities: Sewer Se g g
I Cost ofl��Construction: $ R Septic Building Height:
OWNtR/LESSEE:
CONTRACTOR:
Name !an E. Eggert
Add res:1104 Nettles Blvd.
Name: James Newman
Company: JWN Builders LLC
City: J I,nsen Beach State:
Address: 1701 SE Carvalho St.
34983
Zip Co%e: Fax:
Port St. Lucie FL
City: State:
11
Phone I; o. .YO�f'%���
Zip Code: 34983 Fax: 772-871-9500
E-Mail
Phone No. 772-871-9500
E-Mail: jwnconstruction@comcast.net
Fill in f
esimple Title Holder on next page (if different
f1i
from tli
Owner listed above)
State or County License: CRC1328282f
If value Of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL
CONSTRUCTION LIEN LAW INFORMATION:
DESI
Nam
Ad d re�SS:
City:
Zip: 3.,418
NER/ENGINEER: _ Not Applicable
: Quantum Engineering
MORTGAGE COMPANY:_ Not Applicable
Name:
300 Avenue of Champions
Address:
City: State:
Zip: Phone:
►; ai m Beach Gardens State: FL
Phone: 561-202-6994
II
FEE S'!MPLE
Name:
Address:
City:
Zip:
TITLE HOLDER: _ Not Applicable
BONDING COMPANY: _Not Applicable
Name:
Address:
City:
I
III Phone:
II
Zip: Phone:
I certi that no work or installation has commenced prior to the issuance of a permit.
St. Luc a County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
struct "re. 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 fo ,lowing building permit applications are exempt from undergoing a full concurrency review: room additions,
access, ry structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
WAR I ING 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
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencing work or recording your Notice of Commencement. Af _
III •V /VW•_ /J/ �'iU VI / /�A� i/JZ S
Agent for Owner
STATE OF FLORIDA
COUI"TY OF ST. LUCIE
The
this
# GG 094675
20, 2021
I (Nam
(Signi, ure of Notary Pub il'c- State of Florida )
Personally Known OR Produced Identification
Type of Identification Produced
on No. (Seal)
07/15/2014
SignatI
of Contractor/License Holder
ST E OF FLORIDA
C NTY ST.
OF LUCIE
The forgoing instrume t wa acknowledged b fore me
this jday of 20 acknowledged
ly
(Nam
Bonded Tfw {:aglns nce 800 385•I019
(Signature of Notary Public- State of Florida )
Personally Knowny/OR Produced Identification
Type of Identification Produced
Commission No. (Seal)
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE1I1
COMPLETE
INITI
I 1
11 LS
1
ND
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