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Home My WebLink AboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: �b� 115 Permit Number: RECEIVED OCT 2 0 2015 Building Permit Application Planning and Development Services 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 ,M PROPOSED IMPROVEMENT LOCATION: Address: '1` % Legal Description: Property Tax ID#: `\Sba-`=ib\-\\yam\\ 'DOO Lot No.Q ,%5% Site Plan Name: e Z c� Block No. Project Name: J- SX_1P1 14& Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK: CONSTRUCTION INFORMATION: itiona work to be performed under this permit-check all appy: HVAC Gas Tank ❑Gas Piping _Shutters ❑Windows/Doors ❑Electric ❑ Plumbing Sprinklers Generator ❑ Roof Total Sq. Ft of Construction: S Ft.of First Floor: Cost of Construction:$ '�O� Utilities:Sewer❑Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name N�'es1 `mac ei�cSD� Name: Address'__N`A 'e>�'14LpNV\c-.1'1 ON Company:�R..%z Qg,1z%.zN City: State:Tc\1 Address: 7�� Zip Code:y%3y9s Fax: City:'R (7 2z� Statea-L Phone No. of V1% '�'S�o�- O��b Zip Code:3-\<I�b Fax: E-Mail: Phone No. Fill in fee simple Title Holder on next page(if different E-Mait4wCg�,.,-N,.,..,y, ,, m, from the Owner listed above) State or County License:Cl C_oy` : \3S If value of construction is$2500 or more,a RECORDED Notice of Commencement is required. -SUP.PL-EMENTAL-CONSTRUCTION-LIEN LAW INFORMATION': DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: _Not Applicable Name: Name: Address: Address: City: State: City: State: Zip: Phone: Zip: Phone: FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable Name: Name: Address: Address: City: City: Zip: Phone: Zip: Phone: 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 our Notice of Commencement. MU 'l s _Signal!re of Owner/Lessee/Agent Sp4turp of Contractor License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF "C-L COUNTY OF`%-� The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this _day of v 20\ by this`1 day of v v�� 20 Naby (Name of p&son acknowledging) (Name of person acknowledging) (Signature of Notary Public-State of Florida) (Signature of Notary Public-State of Florida) Personally Known ✓ OR Produced Identification Personally Known Produced Identification Type of Identification Produced Type of Identification Produced Commission No. ,,,,,,,Mr Commission No. STE ms's Notar HUNTER po11.AY P(,e�� TEL A M..h a • , y Public-State of Florida .�•- Notary Public•Statt -,• •' Comm • = mss On#•FF it F F F�o.10%;••'� y Comm,Exp(res Jan 23 2 ' •�° ,I� <<p, My Comm.Expires Jan 23, :T SOndedt 2019 Revised 07/15/201 „, Bonded through NaHanal Notary ti hrargh National Notary Assn. a-. .. REVIEWS FRONT 7N PERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER,,,,, STE REVIEW REVIEW REVIEW REVIEW 10 SX,.Y'LvvDATE :' 0- w% Notary Pu)llc-State of Florida COMPLETE • COMMh cion#FF 160552 yComm.Expires Jan 23,201 INITIALS Banded thM gh National Notary Assn NeWes Wand hc-, a condominium 9801 South Owen Driva,Jensen Beach, FL 34957 FAN(772)229-9901 August 31,2015 Kay Pearson&Robin Cutler 958 Nettles Blvd. Jensen Beach, Fl. 34957 Re. Lot 958 Construction Plans The review of your plans for lot#958 is complete. The site plan complies with the required setbacks,and meets Nettles Island, Inc.two vehicle parking space requirements, we have no objections. Any modifications that affect the foot print of the home must be resubmitted to Nettles Island for approval. Please adhere to the enclosed Nettles Island Procedures Governing Contractor and Building Activity on Nettles Island. Please provide us with a copy of the permit before proceeding with construction or demolition. Upon completion,please send a copy of your final survey for our files. Respectfully t Tom Bellavance&Janice Mc ghlin Architectural Chairperson CC: Laura Jones,LOAM,File tb/bh