HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: o1.�O 1 Permit Number: \10 1 -113 y4bli
RECEIVr:D JANi 2 n 2017
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: Siding — \A
PROPOSED.IMPROVEMENT LOCATION: ;
Address: 834 NETTLES BLVD JENSEN BEACH, FL 34957
Legal Description: NETTLES ISLAND INC,A CONDO-SECTION II PARCEL 834 ANDPRO-RATA SHARE IN COMMON ELEMENTS
(OR 280-1681: 1017-798:3594-2969)
Property Tax ID#: 4502-501-1020-000-4 Lot No.
Site Plan Name: Block No.
Project Name: Edward&Jean Bonville
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Install Siding
CONSTRUCTION INFORMATION
Additional work to .e e orme under this permit-c ec a t appy:
HVAC f]Gas Tank Das Piping Shutters E]Windows/Doors
Electric 0 Plumbing Sprinklers E_Generator Roof Roof pitch
Total Sq. Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ /0���,Z7� Utilities:Sewer Septic Building Height:
OWNER/LESSEE - `: CONTRACTOR:
Name Edward&Jean Bonville Name: MICHAEL HOLEMAN
Address:834 NETTLES BLVD Company: HOLEMAN INC
City: JENSEN BEACH State:FIL Address: 212 N US HWY 1 #17
Zip Code: 34957 Fax: City: TEQUESTA State:FL
Phone No.(772)229-0860 Zip Code: 33469 Fax: (561)743-3787
E-Mail:ebonville@outlook.com Phone No. (561)743-0687
Fill in fee simple Title Holder on next page(if different E-Mail: Mike@Holemaninc.com
from the Owner listed above) State or County License: CBC 1250217
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
4
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 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.
S
tgnature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA, �^, ' ^
COUNTY OF � -3- . Lk) t- COUNTY OF V&\Vk f_�n (y
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this LL_day of )Q_E1,p 20 C-by this (c'il'-day of J_aNdLLq ,20 11 by
1R I(_�u e� a V\
(Name of person acknowledging) (Name of person acknowledging)
0A00 I- &L�a U,-U c�
(Signature of Notary Public-State of Florida) �1 (Signature of Notary Public-State of Florida)
Personally Known OR Produced Iden "fication Personally Know "'✓
MELANIE OUINN
Type of Identification Produced L L Type of Identific ti t,ceq,
_ e o on a,
„uw,,, :•. . a Commission,GFf55112
Commission o?:►jt1P:% CARLANi(Mq Commission No. =�.f • p•; mm Ezpu ss5lfj''a 17,2020
Notary Public•State M Florida Bonded inrough National NotaryAssn.
Commhi'ion•FF 885535 - --..
My Contfn.Expire Fab 28,2020
Revised 0 -
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DATE S
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INITIALS