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Home My WebLink AboutBUILDING PERMIT APPLICATIONAll APPLICABLE �INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: '(' d / ) g, SCANNED Permit Number: SLC-1904-0128 BY RE --JTmMr In St. Lucie County F � 1;M 11 Building Permit Application APR 2 9 2019 Planning and Development Services Permitting DeNartmer Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 St. Lucie County, FL Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential PERMITTYPE:NeW 2 Story CBS Home PROPOSED IMPROVEMENTLOCATION: Address: 1343 Nettles Blvd., Jensen Beach, FI 34957 Property Tax ID #: 4502-501-1530-000/2 Lot No. Site Plan Name: Block No. _ Project Name: Saul Residence DETAILED •DESCRIPTION' OFWORK Remove existing trailer, build a 2-story single family home, 2 bedrooms, 2-1/2 baths CONSTRUCTION INFORMATION: • I Additional work to be performed under this permit— check all that apply: -Mechanical _Gas Tank Electric Plumbing Total Sq. Ft of Construction: 1904 Cost of Construction: $ 305,000.00 _ Gas Piping _ Shutters _ Sprinklers _ Generator Sq. Ft. of First Floor: 911 Utilities: (Sewer _ Septic ( Windows/Doors Roof Pitch Building Height: 2 OWNERAESSEE: CONTRACTOR: Name Walter & Gretchen Saul Name: Mack Matos Address:1343 Nettles Blvd. Company: Mel-Ry Construction City: Jensen Beach State: FL_ Zip Code: 34957 Fax:772-229-9440 Phone No.772-229-9439 Address:10967 S. Ocean Dr. City: Jensen Beach State:FI Zip Code: 34957 Fax: 772-229-9440 Phone N0772-229-9439 E-Mail: Fill in fee simple Title Holder on next page (if different from the Owner listed above) E-Mail Mack@mel-ry.com State or County UcenseCGC 059412 If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/EN INEER: _ Name: &-aeh Not Applicable MORTGAGE COMPANY: _ Not Applicable Name: Address: l'l iewli.l- 04 Address: City:!&4 0C. - Zip:'?c(Qe?Yp Phone 7w.- Z?11 State: -B'aST- City: State: Zip: Phone: FEE SIMPLE TITLE HOLDER: _ Name: Not Applicable BONDING COMPANY: _Not Applicable Name: Address: Address: City: City: Zip: Phone: Zip: Phone: OWNER/ CONTRACTOR AFFIDVIT: Application Is hereby made to obtain a permit to 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 permit will authorize the permit holder to build the subject structure which is 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, 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 JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Signature of Owr1 r/ Lessee/Contractor as Agent for Owner Signature of Con ractor/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTYOF S} Ltic ia COUNTYOF SA' UUCt2 The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this l_dayof�20 11 by this Z9 day of iafio.,r 1 20� by YV�ja � 1° U, I l �k V n P It YM S Name of person making statement. Name of person making statement. ✓ Personally Known OR Produced Identification Personally Known OR Produced Identification Type of Identification Type of Identification Produced Produced �7 �1 - LL (Signatuft4 of No blic-Sta o Forida (signatu f ota blic-Stat CommissianNo. av`r a MYPublic State ofFlo an R Schafer g00 Notary Public State of FI 'tl�p ission No. 6elll}anRSchafer 7� My commission GG 308 My Commission GG 306 2 �lo,�� Expires 03/0612023 dR Ex Ire REVIEWS FRONT ZONING SUPER I S VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev. 21 // 19