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HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED ry Date: n ' Permit Number: 1 I ���� RECEIVED ©� 14iiw: Building Permit Application OCT 2 3 2017 Planning and Development Services PERMITTING Building and Code Regulation Division St. Lucie County, FL 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 Lit PROPOSED IMPROVEMENT LOCATION: Address: 1221 Nettles Blvd. Legal Description: Nettles Island Inc A Condo-Section II PArcel 1221 and Pro Rata Share in Common Elements (OR 3417-342) Property Tax ID#: 4502-501-1408-000-8 Lot No. Site Plan Name: Block No. Project Name: Mial- 10397032 Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK: reroof 10 squares asphalt shingles 3. ►Z CONSTRUCTION INFORMATION: Additional work to brformed under this permit-check a appy: ❑HVAC Gas Tank E]Gas Piping _Shutters Windows/Doors Electric ❑ Plumbing Sprinklers Generator ❑ Roof Total Sq. Ft of Construction: Sq. Ft. of First Floor: Cost of Construction: $ 4414.00 Utilities:0 Sewer 0 Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name Paul Mial Name: Raquel Swanner Address: 1221 Nettles Blvd. Company: The Home Depot City: Jensen Beach, State:FL Address: 6500 NW 12TH Ave. Suite 110 Zip Code: 34957 Fax: City: Fort Lauderdale State:FL Phone No. Zip Code: 33309 Fax: E-Mail: Phone No. (754)224-2010 Fill in fee simple Title Holder on next page ( if different E-Mail: from the Owner listed above) State or County License: CCC1331113 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 thepermit 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 ail 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 comme .ng work or record'ng your Notice of Comme Signatur Ow r/ nt/Lessee Signatu a of Cont actor/License Holder ST F FLORIDA STATE OF FLORIDA COUNTY OF t'ZJ4� COUNTY OF The forgoing instrument was acknowledged before The forgoing instrument was acknowledged before me me thisV.J day of CC� 20 17 by this�day of �1 ,20_17 by G f T-4-��Ln�cr- (Name of person acknowledging) (Name of person acknowledging) (Signalure of Notary Public-State of Florida ) (Signature of Notary Public-State of Florida ) Personally Known x OR Produced Identification Personally Known x OR Produced Identification Type of Identification Produced Type of Identification Produced Commission No. ion No. t:;::v�9•, TIMOTHY R.O'MALEY MY COMMISSION#G 117135 <�PY TIMOTHY R.O'MALLEY GOMMISSION#GG 117135 �.• EXPIRES:August 7,2021 1 `."• �= EXPIRES:August 7,2021 Revised 07/15/2014 '�°,;°'• Bnndad Thru Notary Public Underwriters %;�F —•o p F; Bonded Thru Notary Public Underwriters REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS � D��j�o3Z