HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO ,MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 4 Permit Number:
SCANNED BY
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St. Lucie County S (rr, I&IS
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Building Permit Application C°" M-0 Z'Z'S
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Ptione: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential Yes
PERMITTYPE: Landing and Stairs at Back Entry
PROPOSED -IMPROVEMENT LOCATION: 435 Nettles BLVD, Jensen Beach, FL34957
Address: 435 Nettles BLVD, Jensen Beach, FL 34957
Property Tax ID #: 4502-501-0621-000-0
Site Plan Name:
Project Name:
DETAILED DESCRIPTION OF WORK:
Install Landing and Stairs at Rear Entrance
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit— check all that apply:
Lot No.
Block No.
_Mechanical _Gas Tank _Gas Piping _Shutters —Windows/Doors
_ Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 500.00
Sq. Ft. of First Floor:
Utilities: _Sewer _Septic Building Height:
-OWNER/LESSEE:
CONTRACTOR:
Name Ward, Ronald & Donna
Name:Jeffrey P Baker
Address:435 Nettles BLVD
Company:Castle Contractors, Inc
City: Jensen Beach State: V`L
Zip Code: 34957 Fax:
Phone No.616-901-2093
Address:1807 N 45th Street
City: Fort Pierce State: FL
Zip Code: 34947 Fax:
Phone N0772-631-9992
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mailjeffpsil971@gmaii.com
State or County License CGC1 514747
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.
0
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:_
DESIGNER/ENGINEER: _ Not Applicable
Name:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLEHOLDER: _ Not Applicable
Name:
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 INSPECTIO IF YOU INTEND TO OBTAIN FINANCING, CONSULT
. WIT YOUR LENDER OR AN ATTORNEY BEFORE RECORDING IVOUR NOTICE OF COMMENCEMENT."
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Signature df Owner/L ss a/Contractor as Agent for Owner
Signatu a Ara for/License Holder
STATE OF FLORIDA
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STATE OF FLORIDA L
57 41y -C—
COUNTY OF ,2t\ U C' �
COUNTY OF C `
The foJ�,oing instrume�},tas acknowledged before me
The forming instrument was acknowledged before me
this 2i day oof�(M201by
this g day of 0C4V b'e"` 20ZI by
r-e� /5GrGe4—
Name of person making st tement.
Name of person makings ement.
Personally Known OR Produced Identification
Personally Known OR Produced Identification
Type of Identification / l /
Produced �� l��(��t/�
Ty ntification
Produced
NDERSON
(Signature of Notary Public- State of Florida)
(Signature of Notary Pub iGS- ' -f yore ISSIONR"GGOT4775
7,�ra EXPIRES July 24, 2020
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Commission No. „��, ELL �AUGHN
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Commission No.660t
l'° State of Florida -Notary Public
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Rev.2/7/19 ' 1