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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE I FO WIT BE COMPLETFECrb(illlftICATION TO BE ACCEPTED r h rTe Date: I �© I BY Permit Number: St. Lucie COunt�, R - 11' RECIEVED Building Permit Application OCT 2 0 2017 Planning and Development Services Building and Code Regulation Division Permitting Dept. St. Lucie County, FL 2300 Virginia Avenue, Fort Pierce FL 34982 ' Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial x Residential PERMIT APPLICATION FOR: Fence .:PROPOSED IMPROVEMENT LOCATION. ' Address:-•1'6U( -)O- UCeIQ-YI /Jle• tJ-W5e d`RLI% -Y-l. Legal Description: OUTDOOR RESORTS AT NETTLES ISLAND, PB 16, PAGE 1, 1A-1J, ST. LUCIE COUNTY, FL Property Tax ID #: 4502-501-0000-000/0 Site Plan Name: Project Name: NETTLES ISLAND Setbacks Front Back: Right Side: Left Side: DETAILEp DESCRIPTION;OFWOR'K , - SAFETY FENCE FOR SPORTS COURT AREA — &f AIrJ (J/JIC Or 10 f / 'C Lot No. Block No. (CONSTRUCTION 4NFORM%1TION Aaaitional wor to e ertormed under tispermit—check all apply: 11HVAC Gas Tank ❑Gas Piping _Shutters ❑ Windows/Doors 11 Electric ElPlumbing Sprinklers Generator Roof Roof pitch Total Sq. Ft of Construction: S Ft. of First Floor: Cost of Construction:$ 4���, Do Ft of Building Height: :OWNER_%LESSEE'? _ � CONTRACTOR v • �' ' '- _ Name Name: D2gr,1e'C, Address;,?OI CPlk Company: DANIELS FENCE City: \Tev, .., it l7r State:FL Zip Code: 34957 Fax: Phone No. 772-229-2930 Address:L2%�1� S City: 51 UW-4— Zip Code: 34997 Phone No. 772-283-2383 State: FL Fax: 772-283-2565 E-Mail: (aura@nettlesislandcondo.com Fill in fee simple Title Holder on next page (if different from the Owner listed above) E-MaiI:�P(ir+I I C��I f CS �—�� Ce • CA Y� State or County License: 2197_l0 r*`C.—� oifl IT vame or construction Is >25uu or more, a ntcuRDED Notice or Commencement is required. SUPPLEMENTAL 1CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: Name: _ Not Applicable MORTGAGE COMPANY: _ Not Applicable Name: Address: Address: City: Zip: Phone State: City: State: Zip: Phone: FEE SIMPLE TITLE HOLDER: Name: Not Applicable 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 contlict 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 your Notice of Commencement. I)a, / eg- Signature of Onpprj Lessee/Contractor as Agent for Owner Sig4afure of Contra icense Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF--- COUNTY OF rns9e+iO The forgoing instrument was acknowledged before me The far oing instr ment was acknowledged before me this +t day of ocroeea 20 by this day of d(V fo?l- . 20,by �A li e.hae ( WA I(a.n o Pg_S'I deny nmt k /a c Name of person rhaking statement Name of pers aking statement Personally Known XX OR Produced Identification Personally Known OR Produced Identification Type of Identification Type of Identification Produced Produced � �t ��j�/'�,J � � �� f��,, � l�l. ��� 8_ 1 u-�-�d-„-' (Si (Signature of Notar u is -Stay F�lcrriidjrns ) •••�,� ,••Ama 'ci CARLA NELSON Co Fn I g Notary Public - Mete el Flori(Ike ) Commission No CoulftYPUBL� I) - Cotnmiselan M FF 965535 ;H�, �Ny Comm. Expires Feb 29. 2020 3 OF FLOAI�3�1 CgMlii GG049730 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev.8/2/17