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OFFICE USE ONLY:
DATE FILED: C o I �0 Off_
PLANREVDiW� t�r—]C� RECEIPTNO.: AQ_-13Lp PERMIT NUMBERQ(_LQaD_C, -o
CONCURRENCY FEE: 7 RECEIPT NO.: CERT. CAP. NO.: l _
ALL INFO MUST BE COMPLETE & FILLED IN TO BE ACCEPTTED
St. Lucie County Building and Zoning
,r. 2300 Virginia Avenue
Ft. <ORVO Ft. Pierce, FL 34982-5652 @9!'60CI
772462-1553 By
�RQ. WPiorninti,
I APPLICATION for BUILDING PERMIT
CERTIFICATE of CAPACITY/ZONING COMPLIANCE
PROJECT INFORMATION
I. LOCATION/S1TE ADDRESS: / A F /Ve±t/es Kl l u d . f7e rLS-a ^_ a �c
2. S/D NAME./ P_ ff/e s T c /crn o[ SITE PLAN NAME:
3. PROPERTYTAXID#:S
4. LEGAL DESCRIPTION (attach extra sheets if necessary):
I I P 6? rc e / '7.X iTN n N,/ )0,. -
5. PLAT 6. PAGE 7. BLOCK
BOOK , 6-;r/,q NO. 073 NO.
8. LOT
NO. 7-2�
9. PARCEL SIZE: ACRES/B@-FF: 0 OC LOT DIMENSIONS S- e e
10. DESCRIPTION OF CONSTRUCTION PROJECT OR WORK ACTIVITY:
(T
I I. SETBACKS (ACTUAL) FRONT: p BACK: , , I,,R RIGHT: �, f LEFT.
D N SIDE SIDE
12. TYPE OF CONSTRUCTION (Check all appropriate boxes)
13.
14.
[t 'NEW CONSTRUCT
[,f RESIDENTIAL
[ ] OTHER (SPECIFY)
[ ] EXPANSION/ADDITION [ ] INTERIOR RENOVATION
[ ] COMMERCIAL [ ] INDUSTRIAL
DESCRIPTION OF PROPOSED USE: S/�Q
Sq. FUCONSTRUCTION: /3
15. Sq. Ft. 1st Floor. ! oZy
g 2-3, Vi
d"
16. VALUE OF CONSTRUCTION: $ ,L
The value of construction is used to determine the mountof permit fees to be assessed. St Lucie County reserves the right to question and/or modify the indicated
value of construction if it is demonstrated that the submitted figures arenot consistent with similar types of construction activities. If the value is $2500 or more, a
RECORDED Notice of Commencement must be submitted with ads application.
SLCCDV Form No.: 001-02
I
OWNER INFORMATION n �
— - NAME: —
ADDRESS: AO/ /V t-f & C
CITY: s P n s �.. 'A 7 � c Ay STATE: E l ZIP
PHONE (DAYTIME): I31) V ��{ S email:
IF THE FEE SIMPLE TITLEHOLDER (PROPERTY OWNER) IS DIFFERENT FROM THE OWNER LISTED ABOVE, PLEASE
FELL IN NAME AND ADDRESS BELOW.
FEE SIMPLE TITLEHOLDER
ADDRESS:
CITY: STATE: ZIEp
PHONE (DAYTIME):
CONTRACTOR INFORMATION
ST. of FL REG✓CERT #: C G C U 0 3 K S- j ST. LUCIE COUNTY CERT 2 03-Y
BUSINESS NAME: All /.'S L C'Cp u Ad a r7rY.. C>t
QUALIFIERS NAME: 8i u / -T-
ADDRESS: 7 9 lV F D / ,X / -e
STATE: F Z zip 3 '{ 9 &'-'"
PHONE (DAYTIME): 77 2e FAX NO.'17a - 3 311/-VO2, email:
ARCHITIFNGINEER
ADDRESS:c;L-2 S'
CITY: _r0 /T
PHONE (DAYTIME):
BONDING COMPANY:
ADDRESS:
CITY:
MORTGAGE LENDER:
ADDRESS:
CITY:
eC�11
oC USG / _ STATE: L
33�- sr/o")-
STATE:
STATE:
ZIP
ZIP
ZIP
IMPORTANT NOTICE: When a permit is issued and it is not picked up within 60 days after notification
it will be voided and returned to you by mail.
CERTIFICATION:
This application is hereby made to obtain a permit to do the work and installations as indicated, and to obtain a certificate of capacity,
if applicable, for the permitted work I certify that no work or installation has commenced prior to the issuance of a permit and that all
work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits
tray be required for ELECTRICAL, PLUMBING, -SIGNS,, WELLS,-POOIS, FURNACE9,-80II,ERS, HEATERS, TANKS,
AND AIR CONDITIONERS, ETC., not otherwise included with this building permit application.
The following building permit applications are exempt from mmdergoing a fiilI cenctvrency review: room additions, accessory
structures (all types), swimming pools, fences, walls, signs screen rooms, utility substations & accessory uses to another non-
residential use.
NOTICE TO OWNER: FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO
OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE
RECORDING YOUR NOTICE OF COMMENCEMENT.
NOTICE TO APPLICANT: AS THE APPLICANT FOR THIS BUILDING PERMIT, IF IT IS NOT YOUR RIGHT, TITLE
AND INTEREST THAT IS SUBJECT TO ATTACHMENT; AS A CONDITION OF THIS
PERMIT YOU PROMISE IN GOOD FAITH TO DELIVER A COPY OF THE ATTACHED
CONSTRUCTION LIEN LAW NOTICE TO THE PERSON WHOSE PROPERTY IS SUBJECT
TO ATTACHMENT.
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance
with all applicable laws regulating construction and ing.
el
AATE
GNATURE4_
NTRA R SIGNATURE
LORIDA STATE OF FLORIDA
COUNTY OF 5 f, o(, , c i e COUNTY OF SZ. 41 e- e
The foregoing instrument was acknowledged
before me this a day of /1/ R y, 200, by
. who fss personally
known to me or who has produced
as identification.
k/ Y✓I 43 Y H S
Type orPrint N of Notary -
The foregoing instrument was acknowledged
before me this /-�! day ofej�a 20_'by
. who is personally
known to me or who has produced
as identification.
Signature ofNotary t
��� 6 /k , P � 'ems
Type or Print Name of otary
Commission NoaQAM C-�g,,, l LRI Y R BURNS Cowrmission It��J57,3 6/6 (Seal)
btlf COMMISSION # 0320 0 6
4�tPIRBS: January
to _M c� p ICI�IDERLY R BURNS
NOTE: TWO (2) SIGNATURE NATURE MUST BE NOT
THIS BUI LING PE OWNER/BUII DER, THE OWNER MUST PE
THIS APPLICATION IN THE OFFICE LISTED ON THE FRONT OF THE APPLI
For specific instructions see appropriate permit checklist.
r)
Code Compliance Division
2300 Virginia Avenue
FL Pierce, FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1148
http://stiucieco.gov/ce
BUILDING PERMIT
Page 1
Issued: 07/13/2006 Conf #: 564 Permit #: SLC- 0606-0476
Job Location: 728 NETTLES BLVD City: JENSEN BEACH
Permit Type: Building Residential (SFR)
Job Description: —CONSTRUCTION OF-A-NEW-SFR 2!
Subdiv: Outdoor Resorts at Nettles Island
Lot: 728 Block: Parcel: 4502-501-0914-000/1
Contractor PAUL MASON MB CORPORATION OF MARTIN COUr (772) 225-9784
879 NE DIXIE HWY UNIT # 2 JENSEN BEACH, FL 34957
Property Owner JOHN MCGLOIN (631) 848-6648
201 NETTLES BLVD JENSEN BEACH, FL 34957
Setbacks Left: 8.00
Right:
1.00 Front: 8.00
Rear: 9.00 Zoning: HIRD
Number of Units: 1.00
Floors:
1 Buildings:
1 Square Footage: 1,431.00
Minimum Floor Elevation:
Flood Map: 311G
Flood Zone: AE Elev: 7
Job Value: $ 223,379.10
Permit holder acknowledges through acceptance of this permit that separate permits must be obtained as required by the Florida Building Code
including those for all electric, plumbing, mechanical, roofing, and structural work. Further, he/she acknowledges responsibility to comply with all
requirements of the 2004 Florida Building Code.
NOTICE: In addition to the requirements in this permit, there may be additional restrictions applicable to this property that may be found in the
records of this County, and there may be additional permits required from other governmental entities such as water management districts, state
agencies, or federal agencies. s:553.79(10), F.S.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR
BUILDING IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN
ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. s.713.135, F.S.
Building Official Date
For Automated Inspections, Call (772) 462-1261
For Questions, Call (772) 462-2172
St. Lucie County Land Development Code Section 11.05.01 (A) (2) states; Building Permits shall expire and
become null and void if work authorized by such Building Permit is not commenced, having called for and
received a satisfactory inspection, within six (6) months from the date of issuance of the permit, or if the work
is not completed within 18 months (permit by contractor) or 24 months (permit by owner) from the date of
issuance of the Building Permit.
�5br,c)L.'� W i s rner
(-Ili2Z-q-D06