HomeMy WebLinkAboutBUILDING PERMIT APPLICATION1
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
'
COouUr-J-rNTY
r' t o a i o n
SCANNED
BY
St. Lucie County
Permit Number: L b b % 4�
Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 4624578 Commercial
PERMIT APPLICATION FOR: Dock/Seawall
1161:0 D
14
NOV. 219 Perm ttin9 D
St.. r ucle �amnent
count
vent
Residential X
I PROPOSED IMPROVEMENT LOCATION: 11 1 1 1 i III
Address: 1290 NETTLES BLVD
Legal Description: NETTLES ISLAND INC, A CONDO -SECTION II PARCEL 1290 AND PRO-RATA SHARE IN COMMO
ELEMENTS (OR 1143-1798; 3604-693)
Property Tax ID #: 4502-501-1477-000-2 Lot No. 1290
Site Plan Name: Block No.
Project Name: MONAGHAN DOCK REPAIR
Setbacks Front Back: Right Side: Left Side:
;DETAILED DESCRIPTION OF WORK: `I
REPLACE AN EXISTING 10' X 20' DOCKJ
cQov- �-S coon �s�s
;CONSTRUCTION INFORMATION: `
Mona workto e e r11 me underthispermit—c ec a appy:
11HVAC Gas Tank RGasPiping_Shutters ❑Windows/Doors
Electric Plumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction: $. DG['J- o o Utilities:RSewer Septic Building Height:
OWNER/LESSEE;"
CONTRACTOR:
Name` DAVE MONAGHAN
Name: TUC9G ISP�PP�1�
Company: TREASURE COAST BARGE, INC
Address: 1200 SE CUTOFF ROAD
Address: 1290 NETTLES BLVD
City: JENSEN BEACH State: FL
City: STUART - State: FL
Zip Code: 34957 Fax:
Phone No. 772-229-0362
Zip Code: 34994 Fax:
E-Mail: DAVEMONAGHAN2000@AOL.COM
Phone No. 772-201-9777
Fill in fee simple Title Holder on next page (if different
E-Mail: JERNER@BELLSOUTH.NET
from the Owner listed above)
State or County License: 20077
If value at construction is $2500 or more, a RECORDED Notice
required.
I -
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ _ Not Applicable
Name: PAUL WELCH. INC
MORTGAGE COMPANY., Not Applicable
Name:
Address: 1984 BILTMORE DR #114
Address: _
City: PORT ST LUCIE State: FL
Zip: 34982 Phone - 88
City: State:
Zip: Phone:
FEE SIMPLE TITLEHOLDER: Not Applicable
Name:
BONDING COMPANY: Not Applicable
Name:
Address:
Address:
City:
Zip: Phone:
City:
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 make no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in conflict witt 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 pos on the jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an orney before
commencing work or recording vour Notice of commencements
ner/ Lessee)/Cony r as Agent for Owner
nature of O�wgFLORIDA
Signature of Contractor/ tense Holder
STATE F P6ylStCt�JlG
t R r
COUNTY
COUNTYOF lug
The forgoing instrum nt was acknowledged before me
0 I�
The forgoing instrument wwpa acknowledged befo mg. -is: o .
this�dayof�i�V• 20g by R `'• `
this day of 2l by .
NO✓IG kah
di
Gfy,,&/H
1C P l cech— •
Name of person makin & atement
"
Name of perso making statement
V
Personally Known OR Produced Identification
Personally Known OR Produced Identifi
Type of Iden ific tion !
Type of Identification
3 3 L9
Produt
Produced
mN F:'
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(S nat a of Notary ublic- State of Florida)
(Signature o Notary blic- State of Florida)
E a a
"' ,F �SARRAH ROSE PINKN
Commission No. •.o (eal)
Commission No.69 I A7Z (Seal)
w
.
r r Notary Public
Y.,
Commonwealth of Massachuse
is
— '�`-- - -• My Commission Expires Aug. 31,tO23
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Rev.8/2/17