HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED I /
Date: 7/15/2016 Permit Number:
VI�
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rBuilding Permit Application
Planning and Development Services NIAR 15 207
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982 F'Ubiic ;�/c;i,s
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residendil 'Xlcia Coc ej, f=L
PERMIT APPLICATION FOR: Mobile home
PROPOSED IMPROVEMENT LOCATION:
Address: 187 NETTLES BLVD
Legal Description: 187 NETTLES BLVD
NETTLES ISLAND INC A CONDO SECTION II PARCEL
Property Tax ID#: 4502-501-0373-000-6 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
2017 NEW MOBILE HOME
20X35/40
CONSTRUCTION INFORMATION:
Additional work to be nertormed under t is permit—cleck all apply:
ZHVAC E Gas Tank ❑Gas Piping _Shutters Q Windows/Doors
❑✓—Electric ❑✓ Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: S . Ft.of First Floor:
2475.00 Sewer Septic Building Height: 13'
Cost of Construction:$ Utilities:
-OWNER/LESSEE:" 'CONTRACTOR:
Name GEORGE OR GRETCHEN SHOWELL Name: THOMAS GRUNDEL
Address: 179 WILLETS AVE Company: TOM'S MOBILE HOMES
City: LITTLE EGG HARBOR State:NJ Address: 3344 HENRY J AVE
Zip Code: 08087 Fax: City: ST CLOUD State:NJ
Phone No. Zip Code: 34772 Fax:
E-Mail: Phone No. 407-908-5468
Fill in fee simple Title Holder on next page(if different E-Mail: nancyarmstrong61@gmail.com
from the Owner listed above) State or County License: IH1025148
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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1
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
improve men o your property. A Notice of Commencement must be recorded and posted on the jobsite
before the Irst i spection. If you intend to obtain financing, cons ith lender or an attorney before
commen n w rk or recording our Notice of Commencement.
Signature of Owner/Agent/Lessee Signatlur4 of Contractor/License Holder
STATE OF FLORIDA4� STATE OF FLORIDA
COUNTY OF COUNTY OF STLUCIE
The forgoing instryTent was acknowledged,mbefore me The forgoing instr en as acknowledged before me
this day of 20—by this 15 da of U` 20 by
(Name of person acknowledging) (NPN of person acknowledging)
Sign ure of o ry Publi -State of Florida) (Signatu a of No a Public-State of Florida)
Persona ly Kn Personally Kn QRftQdMVA#AM7V6WbO1
Type of Identi d Y MIMS AR Type of Identi ficb _@004T
MY COhltvilSS10N#FF997899 `'� orr EXPIRES Febn�8�l �p19
Commission No: EXPIFIESFeb.JVQ.2019 Commission qo,!;� ,a Neroa ,11 )
i0y 7)39e 53 Ftorklallota '- YSetvfce.0pfri
Revised 0 115/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS