HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 3- Permit Number: 01-- 7rvr� ofpr
Building_ Permit Application
Planning and Development Services
Building and Code Regulation Division
2300.Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
REcENED
MAR 0 5 2018
P®rmltung department
St. Lucle County
Commercial Residential X
PERMIT APPLICATION FOR: Other JI+HM%f III
Address: 1382 Nettles Blvd., Jensen Beach, FL
Legal Description: Nettles Island Inc., a Condo, Section 11, Parcel 1382, St. Lucie County, Florida
Property Tax ID #: 4502-501-1569-000-4
Site Plan Name:
Project Name:
Setbacks Fr
Back: it Right Side:jK �- Left Side:
Lot No. 1382
Block No.
DETAILED DESCRIPTION OF WORK: S /1
Construction of residential home//�✓�� %ol/c�f.1i'-f
CONSTRUCTION INFORMATION:
Additional wor to be nertormed under tispermit—check all apply:
Z✓ HVAC Gas Tank ❑Gas Piping _ Shutters Q Windows/Doors
ZElectrlc Plumb Sprinklers Generator nn Roof Roof pitch
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction: $ Z i utilities. Sewer Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Joel M Haase and Paulette R. Hoose
Name: James Newman
Address: 14154 Iroquois Woods Drive
Company: JWN Builders, LLC
City: Fenton State: MI
Zip Code: 48430-1640 Fax:
Phone No, X 10 -,A�V , 7.50 (
Address: 1701 SE Carvalho Street
City: Port St.Lucie State: FL
Zip Code: 34983 Fax: 772-871-9500
Phone No. 772-871-9500
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail: jwnconstruction@comcast.net
State or County License: CRC1328282
It value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER:
Name: nuU a5 J£ewuar
_ Nat A
plicable
oC.
MORTGAGE COMPANY: _ Not Applicable
Name:
Address: Son Adrr,.,12CQ
Address:
City: P 6 a
Zip: 3 3 4Q Phone:
Stab— e:�
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
Name:
_ Not Applicable
BONDING COMPANY: _Not Applicable
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
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 ano 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. A Notice of Commencement must be recorded and posted on the jobsite
before the first inspection. If you intend to obtain financing, co suit with lender or an attorney before
commencing work or recording vour Notice of Commencemedd.
SiViture of Owner/L ssee/Contractor as Agent for Owner Sign ure of Contractor/License Holder
STATE OF FLORIDA S ATE OF FLORIDA
COUNTY OF - L—L) COUNTYOF cSt. L) Lc
The/ day
instrurr�at was acknowledge J71bore me The forgoing instrument edged J�ef y me
this day of � rt.c�V.li20 J�by this ��day of 20 � by
1
'(Signature of Notary PubTc- S to of Florida) (Signature of Notary Public- State of Florida )
Personally Kn d I entification Personally n �� OR Produced Identification
Type of Identi c�}}Ki%;oRAR�ggyM Type of Id tiELign t R
SdVVMAN
t.. Commisslon#00094676 r+ ;' Comm19910n#00094676
Commission ,,v r; Ex Iy0,P041(Seal) Commissi '021 (Seal)
'•9,3�'• IktM�drryNi(AyFe41.........884.38S7919 "•A���4" NAMftwh8yF011119111M c.UMA1e
Revised 07/15/2014
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