HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
SCANNED Permit Number:
BY RECEIVED
an St. Lucie County APR 12 7018
Building Permit Application
ment Services Permitting Department
Planning and Development St. Lucie County
Building and Code Regulation Division
2300 Virginia Avenue, • Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENTyLOCATION,
. _ . `-
9801 South Ocean Drive, Jensen Beach, Florida 34957
Legal Description- Outdoor Resorts @ Nettles Island, P.B. 16, Pages 1, 1A-1J.
Property Tax ID #: 4502-501-0000-00010
Site Plan Name:
Project Name: NETTLES ISLAND
Setbacks Front Back:
Right Side:
Left Side:
Lot No.
Block No.
DE_ TAILEp DESCRIPTION„O,F, WOR
r
PVC FENCING wc)I
C f _o 6% c
iL. ? �=it i`Te�° 3•'�ki *r"u NN 'K 'ftx '.t R }iNH y4 M i }. t n y y ; ^ sY xb .etu. �= i� .. -
CONSTRUCTION INFORMATION F�
K
Additional worK to e performed under Ims permit - cNe-clTall 11551 apply:
0HVAC Gas Tank ❑Gas Piping _Shutters Windows/Doors
11 Electric Plumbing Sprinklers 11 Generator gRoof = Roof pitch
Total Sq. Ft of Construction: ScFt. of First Floor:
Cost of Construction: $ 6? , �DO Utilities:Sewer OSeptic Building Height:
`CONTRACTOR 's s�:` = a •"x
NameNEVLES ISLAND, INC., A CONDOMINIUM=.'
Name:
801 SO. Address:8.
Company-) .17u-��c1•s ,,FcncZ ,
JENSEN BEACH - ;'. 'FL
City: State:_
'34957
Zip Code: Fax:
Phone No.772-229-2930 -
+- ' :' ^';�'. '
Address: •28555 .SC Jc �5o i 5
_
City: �•1-'�ar.,F-_ _ _ _ - State:
Zip Code: 3`(qq,�- Fax: 7- ;7 2 - 215 2i - 2%
Phone No. 287, - 238 3
E-Mail: laura@nettlesislandcondo.com
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail: OkZ. k +e oB' ro w
State or County License: 2(, 2-6
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
DESIGNER/ENGINEER: Not Applicable MORTGAGE.COMPANY: Not Applicable
NETTLES ISLAND, INC., ACONDOMINIUM
Name: Name:`
Address: 9801South OceanDdw,Jensen Beach, Flodda34957 Address: 9301SO.00EANDRIVE
City: JENSEN BEACH State: City:j J State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
City:
Zip: Phone:
BONDING COMPANY: _Not Applicable
Name:
Address:
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 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, consult with lender or an attorney before
commencing work or recording your Notice of Commencement.
ign� ature of Contractor/License Holder
Signature of er/ Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
I
STATE OF FLORIDA
Ltiu
COUNTY OF S� . iu O\e
COUNTY OF S e
The forgoing instrument was acknowledged before me
The forgoing instrument Was acknowledged before me
this 21 off. MARCH 20_ by
this � day of 106 rc, 20 116 by
``,,day
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rnG Lk COLD CD l\(l 'r (�
�c�n 21 L La ✓rtn C.2
Name of pelrs6n making statement
Name of person making statement
Personally Known ✓ OR Produced Identification
Personally Known ✓ OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
1�,�-
\ 'Uk6'- '^�n,� r�
/�
(Signature of Notary Public- State of Florida I
IS re of Not P li - a e 9f F orida.
Commission N,o,•;'t�'P'•. (Sea
,•'oi n�r'r\,•.: JONATHAN AI)§I� CIA
Commission No. Q yyqqqq
RLA NELSON
; YJOtaryM01IC-slateo7f(orida
• . _ Notary Pubilc •State 01 Florida
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3,� P; Commissiont GG 78937
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Commission d FF 965535
MyComm.Fxpires Marl 2021
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My Comi
i. Expires Feb 28,
2020
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Rev.8/2/17