HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: �a1 N°\ SCANNED Permit Number: , qo\d 9-1
_- BY
• St. Lucie County CEIVED
Building Permit Application 12 ?019
Planning and Development Services
Building and Code Regulation Division Li
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Other - Sace 5
,PROPOSED IMPROVEMENT LOCATION: .
Address: 44 Nettles Blvd., Jensen Beach, FL 34957
Legal Description: Lot 44, Nettles Island Inc., a condo -section II
Property Tax ID #: 4502-501-0230-000-2
Site Plan Name:
Project Name:
Setbacks Front ID Back: S Right Side: d Left Side:
DETAILED DESCRIPTION OF WORK:
Install new steps in rear entry of home
CONSTRUCTION INFORMATION
itiona wor to
IJHW
e e orme
Gas Tank
under MISpermit-check all
❑Gas Piping
apply:
In Shutters
11 Electric
0
Plumbing
Sprinklers
FIGenerator
Total Sq. Ft of Construction:
Cost of Construction: $ 855-. Do
5 Ft. of First Floor: _
Utilities:cn Sewer El Septic
Lot No. 44
Block No.
QWindows/Doors
0 Roof = Roof pitch
Building Height:
OWNER/LESSEE:
CONTRACTOR: J.
Name David and Ellen Moellering
Name: James W. Newman
Address: 3281 W Shore Drive
Company: JWN Builders LLC
City: Orchard Lake State:Ml
Zip Code: 4832'4/ Fax:
Phone No. `7 - 7
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: Jwneonstruction@comcast.net
State or County License: CRC1328282
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION,
LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _
Name: v ) -Urn "NI
Not Applicable
MORTGAGE COMPANY: Not Applicable
Name:
Address: i)v 13-.
f
Address:
City: lax
Zip: 3.,3u,3 tQ Phone:
SState: �/-
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 Countty� 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, 1 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, con It with lender or an attorney before
commencing work or recording vour Notice of Commencement./
as
STATE OF FLORIDA
COUNTY OF 6} . L-U C4'1C
The for Ding instrument wasac owledged' ,b�efore me
this day of 20 Eby
1
(Name of person acknowledging)
OF FLORIDA Z-�C c�
lY OF iJ;V -
The for Ding instru� nt �wa�s �yckno�wledged) abefore me
this— ��ayof 20 Aby
(Name of
(Signature of Notary Public- St to of Florida) (Signature of Notary Public- State of Florida )
Personally Known _- OR Produced Identification Personally Known ✓ OR Produced Identification
Type of Ide tiQGRr,,hyrPd Type of I
"::r%'•t $,HARON.K. NEWMAN ,•"�°;�;, SHARONK. NEWMAN
Commissio x°. �': 40009461(Seal) Commiss' N `Commission#GG094675 (Seal)
z�; ExpnesApri120"2921 ; , , . ExpiresApd120, 2021
'••;PF:F:°°• 9aMeIIThn Tmvcl Bonded Tin TmvFain
Revised 07/15/2014
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