HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: SCANNED Permit Number:
By RECEIVED
• St. Lucie County
_______•_ APR 12 2019
Building Permit Application
Planning and Development Services ST. Lvcla County, Pqm
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential x
PERMIT APPLICATION FOR: Other
PROPOSED IMPROVEMENT LOCATION: III
Address: 819 Nettles Blvd., Jensen Beach, FL 34957
Legal Description: Nettles Inc., a condo -Section II parcel 819
Property Tax ID #: 4502-501-1005-000-3
Site Plan Name:
Project Name:
Setbacks Front_ Back: Right Side: Left Side:
Lot No. 819
Block No.
DETAILED DESCRIPTION OF WORK: III
9 f'bvllee �'-XI AJ Aw ®-0
CONSTRUCTION INFORMATION: I
AII
' rrfdmnna wn�P. �erfnrmPdiindnr.this nprmit—chprk all that ann yr
OHVAC LiGasTank OGasPiping
11Electric 0 Plumbing Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $ �2 7?
Shutters 0 Windows/Doors
Generator 0 Roof = Roof pitch
S Ft. of First Floor:
Utilities:llSewerOSeptic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Michael and Marguerite Doherty
Name: James Newman
Address: 819 Nettles Blvd.
Company: JWN Builders LLC
City: Jensen Beach State:FL
Zip Code: 34957 Fax:
Phone No.
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
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGN /ENGjNEER:
Name: ,T
_ Not Appl'cable
a
MORTGAGE COMPANY: _ Not Applicable
Name:
Address: 300 r —f e
5 a
Address:
City: ,.,
Zip: A a IN Phone:
Stater
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 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 jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencing work or recording vour Notice of Commencement.
—1�
Signature of ner/Lessee/Contractor as Agent for Oy ner
STATE OF FLORIDA
COUNTY OF ST. LUCIE
The fo oing instrJJJJ{{{{jjjj����e��-nt w��� acknowledged fore me
this
20 7by
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'(Signature
'(Signature of Notary Public- S e of Florida )
Personally Known OR Produced Identification
Type of Id ti !Na#rqn SrMWt r4....,
,. ommisslonAG0094675
Commissio = '<FC} 2021 (Seal)
Revised 07/15/2014
STATE OF FLORIDA
COUNTY OFsT. UCIE
The for oing mstru ent was knowledged before me
this day of 20 JI by
(Name of
Type
of Notary PGblic�-State of Florida )
Known OR Produced Identification
COmmIS3100 4 GG 094675
Fall Insurance 800.385.7019
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