HomeMy WebLinkAboutUntitled ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED n/^
Date: Permit Number: I ' ' — b D( ++
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Building Permit Application p�,�itt, ®I ?6,4?
Planning and Development Services andCode Regulation Division 9t lyae
BuildingDepe
Co /1.14
2300 Virginia Avenue,Fort Pierce FL 34982 d4
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Plumbing
PROPOSED IMPROVEMENT LOCATION:
Address: 582 NETTLES BLVD
Legal Description: NETTLES ISLAND INC,A CONDO-SECTION II PARCEL 582 ANDPRO-RATA SHARE IN COMMON ELEMENTS
Property Tax ID ft: 4502-501-0768-000-2 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
/7 ,')V.5
CONSTRUCTION INFORMATION:
Additional work to be pertormed under this permit—check all apply:
HVAC _Gas Tank Gas Piping _Shutters Q Windows/Doors
ElElectric El Plumbing L,jSprinklers I I Generator _Roof Roof pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction:$ 300 .e—r.) Utilities: I _Sewer _Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Finley Randall&Lisa Name: ALLEN STEINMAN
Address:8053 S Indian River DR Company: SERVICE AMERICA
City: Fort Pierce State:FL Address: 2755 NW 63RD CT
Zip Code: 34982 Fax: City: FT. LAUDERDALE State:FL
Phone No. Zip Code: 33309 Fax: 954-977-3591
E-Mail: Phone No. 954-979-1100
Fill in fee simple Title Holder on next page(if different E-Mail: epermitsgroup@servicesmerica.com
from the Owner listed above) State or County License: CFC057026
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 represu
sentation that is granting a permit will authorize the permit holder to build thesubject 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.
il
C—
Signature of\Qy ; Le see/Contractor as Agent for Owner Signature. fa •6. License Holder i1v
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF Drn /Qr i COUNTY OF brDyvQrd
The forgoing instrument was acknowledged before me The forgoing instrument� was acknowledged before me
this� nq
day of 9°t�Kf , 20 15 by this day of WI c )l ,20 I ci, by
Men S'e Inca) 4 \€n) 'iin rnCAv'1
(Name of person acknowledging) (Name of person acknowledging)
.:1. J ;.L i ?` zed} .r �,c OP _______S
(Signature of No ry Public-State of Florida) (S gnature of No ry Public-State of Florida)
Personally Known J OR ProducecU.deatificat• Personally Known I OR Produced Identification
Type of Identification Pi-m:104 pc,,TTIF JO NETTLES Type of Identification Produce_d
t y viY COMMISSION#FF952981 � r s`�Ta iC JO NETTLES
Commission No. a • ' 14 Expl eal�anuary 21,2020 Commission No. q
o., �' s �; MY COMMISSION#FF95 29$
n071;48-0153 Fw!itlaNO14,, ica cUn rte.,
.i,�^,1 EXPIRES January 21 ,0.2rr
(4071398-01"+3.. - ..FN)firiaNiHarySemce Gum
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS