HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONr
5
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLIC TION TO BE ACCEPTED r
Date: �L �� �® Permit Number:
St. Lucie County
RECEIVED
Building Permit Application AUG 19 2019
Planning and Development Services Permitting Department
Building and Code Regulation Division St. I,ucle County
2300 Virginia Avenue, Fort Pierce FL 34982
Phone:-(772)-462-1553 -Fax: (772) 462-1578-Cornmer_cia)_ Residential X
PERMIT APPLICATION FOR: Dock/Seawalt-
�9;ii]Z�b7x�11�1I9;ii��l1_�11�iI�LI�L�
Address: 38 NETTLES BLVD
Legal Description: NETTLES ISLAND INC, A CONDO -SECTION II PARCEL 38 AND PRO-RATA SHARE IN COMMON ELEMENTS(PR 81-0 ) (OR 3 1807)
Property Tax ID #:4502-501-0224-000-7
Site Plan Name:
Project Name: STEVENS DOCK
Setbacks Front Back:
Right Side: Left Side:
Lot No. 38
Block No.
I DETAILED DESCRIPTION OF WORK: III
CONSTRUCT AN 11' 16' DOCK . tA D e-L�'
CONSTRUCTION INFORMATION: III
]u I it on dI WurK Lu ue
EHVAC
11 Electric
per
1-1
I urr it eu uI r Liu uIn per 11111 —Cr ICLK d I I apply.
Tank ❑Gas Piping _Shutters Windows/Doors
Plumbing Sprinklers 1:1 Generator Roof
_Gas
0
Total Sq. Ft of Construction:
Cost of Construction: $ ,
S Ft. of First Floor: _
Utilities: Sewer 0 Septic
Building Height:
Roof pitch
OWNER/LESSEE:
CONTRACTOR:
Name JOHN STEVENS
Name:
Address: 38 NETTLES BLVD
Company: TREASURE COAST BARGE, INC
City: JENSEN BEACH State: FL
Zip Code: 34957 Fax:
Phone No. (217)553-2546
Address: 1200 SE CUTOFF ROAD
City: STUART State: FL
Zip Code: 34994 Fax:
Phone No. 772-201-9777
E-M aik PSTEVENS53@GMAIL.COM
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail: JERNER@BELLSOUTH.NET
State or County License: 20077
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name: PAUL WELCH, INC
MORTGAGE COMPANY:
Name:
_ Not Applicable
Address: 1984 BILTMORE DR #114
Address:
City: PORT ST LUCIE State: FL
Zip: 34982 Phone 772- -9888
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY:
Name:
_Not Applicable
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 jobsite
before the first inspection. If you intend to obtain financing, consu t�with lender orp attorney before
commencing workeor recordine vour Notice of Commencement.`
as Agent for Owner I Sigrature of
STATE OF FLORIDA STATE OF FLORID
�/1 _
COUNTY OF S� -LQ Ca. t-2- COUNTY OF Ptl �L-�
The forgoing instn.�ment was acknowledged before me The
this $ day of '\e-b20 19 by this
Name of person making statement
Personally Known ,/ OR Produced'Identiffcation en
Type of Identification
Produced Prop
_0&-�aT"4-0I�
(Signature of Notary Public -State of Florida I
CARI A NELSVNeol)
Notary Public - State of Florida
Commission # FF 965535
COUNTER
DATE
Rev.
of
was
me
aking statement
OR Pro4ed Identification
of Notary Pu/alic-Mate of Florida I
Commission
PLANS