HomeMy WebLinkAboutBuilding Permit Application D1=�ao�Coovy S
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: ,�(ll ` ►�.
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce F134982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential
PERMIT APPLICATION FOR: Alteration -,
PROPOSED IMPROVEMENT LOCATION: ���r ,
Address: 1036 Nettles Blvd
Legal Description: Nettles Island Inc A Condo-Section II Parcel 1036 &Pro-Rata share in common elements
Property Tax ID#: 4502-501-1223-000-7 Lot No.
Site Plan.Name: Block No.
Project Name: Thomas
Setbacks Front Back: Right Sider Left Side:
DETAILED DESCRIPTION OF WORK: ! s
CONSTRUCTION INFORMATION: TV
.,
Additional work to be nertormed under this permit—c eck all tha appy:
1]HVAC :Gas Tank:' ;'--.T_]Gas Piping Shutters Q Windows/Doors
Electric 0 Plumbing Sprinklers E]Generator Roof Roof pitch
Total Sq. Ft of Construction:-
S . Ft.of First Floor:
Cost of Construction:$ O "�
Utilities: Sewer Septic Building Height:
OWNER/LESSEE: CONTRACTOR ''
Name Nelson &Norma Thomas Name: Edward J Heritage
Address: 2401 Windsor Forest Dr Company:-;Folding Shutter,Corporation "
City: Louisville' - Stater Address; 7089'Hemstreef;F'I
Zip C6de:.40272; Fax: City: West'Palm Beach ,' x State:FL
502-836=1847?.r: - 33,41-3-.,;;: 561-640-8204
Phone.No.. Zip Code: Fax:
E-Mail: Phone No. 561-683-4811
Fill in fee simple Title Holder on next page(if different E-Mail: info@foldingshutters.com
from the Owner listed above) State or County License: SCC131151041
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
I
'SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: I Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
I
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 hrestrict or prohibit such
structure.Please consult with your Home Owners Association and review your deed for any restrictions wich 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 plan's,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 recordinglyour Notice of Commencement.
l^ s .
Signatu=re of Own r/Le racto' as Agent for Owner ;T�gature`ofrCont or L' older .
COUNTY OFSTATE OF ORIDA STA��I �jz.gch C UTE OF NTY OFORIDA
The for oing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this day of P6y 201Qo by this T day of O .20 by
Edward 7. Heritage
i . --Edward J. Heritage
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary7OR
tate of Florida) (Signature of Notary Public-State of Florida)
Personally Known Produced Identification Personally Known �//OR Produced Identification
Type of Identification Produced i Type of Identification Produced
Commission No. F� I5e)167 ((Se Commission No. F_-F1 S-0 ?r? (Seal)
otomy PTAM&A.EVANS
NOTARY PUBLIC CRY qss PAMELA A.EVANS
Revised 07/15/2014 A ENOTARY PUBLIG
STATE OF FLORIDA
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44'CE 191e Expires 10/11/2018 �s/N 191-b Comm#FF150967
REVIEWS FRONT . ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS