HomeMy WebLinkAboutBuilding Permit Application ALL APPLICAB E INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: ! Permit Number:
J
•
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 X
PERMIT APPLICATION FOR: Window/door
PROPOSED IMPROVEMENT.LOCATION:
Address: 2088 Nettles Blvd.,Jensen Beach, FL
Legal Description: Lot 88,Section I, Outdoor Resorts of America at Nettles Island
Property Tax ID#: 4502-301-0194-000 Lot No.88
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION'OF WORK:
All windows on second floor being replaced with impact windows `
CONSTRUCTION INFORMATION
Additional work toe nerformed under this permit—check all appy:
HVAC 0 Gas Tank I Gas Piping _Shutters ✓Q Windows/Doors
11 Electric ❑ Plumbing Sprinklers L Generator F] Roof Roof pitch
Total Sq. Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ ,��� Utilities:Sewer[]Septic Building Height:
'QW NER%LESSEE CONTRACTOR:
Name Robert Salvato and Dolores Salvato Name: James Newman
Address:2088 Nettles Blvd. Company: JWN Builders, LLC
City: Jensen Beach State:FL Address: 1701 SE Carvalho St.
Zip Code: 34957 Fax: City: Port St.Lucie,FL State:FL
Phone No.772-214-4470 Zip Code: 34983 Fax: 772-871-9500
E-Mail: Phone No. 772-871-9500
Fill in fee simple Title Holder on next page(if different E-Mail:jwnconstruction@comcast.net
from the Owner listed above) State or County License: CRC1328282
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL 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, coDf ult with lender or an attorney before
commencing work or recording our Notice of CommencemerAl
s
QgIdRure of Owner/Le see Contractor as Agent for Owner Sig ture of Contractor/License Holder
STATE OF FL(!rL. ATE OF FLQgIQA
COUNTY OF • �C�.� COUNTY OF
The f rgoing instrument was acknowledged before me The forgoing instru ent was acknowledged before me
this day of� l4i�l 20�by this day of �� 20 ta�._by
1
(Name of person acknowledging) (Name of person acknowledging)
N(Si ure of Notary Public-State of Florida) ( lgna ure of Notary Publico-State of Florida)
Personally Known "y R8 P AftIfttification Personally Known
Type of Identificatio o c Commission#FF 023763 Type of Identification Pro .k �
A; Expires June 3,2017 '+` Expires June 3,2017
Commission No. y'�,p�, ,0.•
Bonded I nce800395.7019 Commission No. ''4, :14, BmMed4,&Qj� 900m&7019
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS