HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1>\aA 11 Permit Number:
£ ^` RECEIV7D MAR 02 10¢7
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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: Building
PROPOSED 1MPROUEMENTaLOCATI F
Address: 2005 Nettles Boulevard Jensen Beach,FL 34957
Legal Description: Nettles Island Inc,A Condo-Section I Parcel 5 and Pro-Rata Share in Common Elements(OR 3917-1558)
Property Tax ID#: 4502-501-0008-000-7 Lot No.2005
Site Plan Name: / / Block No.
Project Name:
Setbacks Front 10 Back: 5 Right Side: -6 Left Side: 8
DETAILED DESCRIPTION OF WORK }�
Removing trailer and building new single family home
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CONSTRUCTION INFORMATION ` ` °
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Additional work to b e nprtormed under this permit—check}all appy:
VAC Gas Tank []Gas Piping Shutters Windows/Doors
Electric Plumbing ❑Sprinkl s ❑Generator LrL�l Roof ` ( Roof pitch
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Total Sq. Ft of Construction: Sq. Ft.of First Floor: l
Cost of Construction:$ 001 Utilities: [SiSewer❑Septic Building Height:
OWNER/LESS:EE a C,QNTRACORLw
Name Ronald R Kexel&Mary D Kexel Name: Mack Mack
Address:2005 Nettles Blvd. Company: Mel-Ry Construction
City: Jensen Beach State:FL Address: 10967 S Ocean Drive
Zip Code: 34957 Fax: City: Jensen Beach State:FL
Phone No.561-254-8416 Zip Code: 34957 Fax: 772-229-9440
E-Mail: Phone No. 772-229-9439
..Fill in fee simple Title Holder on next page(if different E-Mail: Mack@mel-ry.com
from the Owner listed above) State or County License: State:059412 County:23630
1f value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Braden&Braden AIN PA Name:
Add ress:417 coconut Avenue Address:
City: Start State: FL City: State:
Zip: 34996 Phone: 772-267-8256 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 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.
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S' nature of Owner/Le se / ntr c r as Agent for Owner Signature of Contra ctor/License Holder
STATE OF J1 / STATE OF FLORIDA
COUNTY OF FLORIDA,T- LG4•C COUNTYOF S-Y.
The fo oing instruMeyit was ac nowledged before me The forgoing instrument was acknowledged before me
this day of OK�C 20 ( by this"�+ day of M k f— 20 \1 by
(Name of perso acknowledging) (Name of person acknowledging)
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(Signature of Notary Public-State of Florida) (Signature of Notary Publf4 State of Florida}
�yerrsonally Know OR Produced Identification Personally Known ro gg FG062$tT;�
often i ication Produced Type of Identificati ��16N# 23
EXPIRES.December ,
Commission No. "....., C IS NE MATOS Commission No. ndodTtwN It
IelJndanvriters
o•, Notary u,�C'-State of Florida
• Commission N GG 007074
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Revised 07/15/2 14 "�"` �� Bonded through Natio nal Notary Assn.
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS
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