HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED /I
Date: 13•1=;V Permit Number: D-F-04
RECEIVE®
Building Permit Application
Planning and Development Services MAR 2 i 2017
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: Mobile home
PROPOSED IMPROVEMENT LOCATION: -
Address: 1408 NETTLES BLVD
Legal Description: NETTLES ISLAND INC A CONDO SECTION II PARCEL
Property Tax ID#: 4502-501-1595-000-5 Lot No. 1408
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side:_�Left Side:
DETAILED DESCRIPTION OF WORK:.
2017 DOUBLEWIDE MOBILE HOME
20X41
CONSTRUCTION INFORMATION:
Additional work to be nertormed under t ispermit—check all apply:
WIHVAC Gas Tank ❑Gas Piping _Shutters Q Windows/Doors
ZElectric ❑✓ Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: a-Q S . Ft.of First Floor:
2475 Sewer E]Septic Building Height: 13'
Cost of Construction:$ Utilities:
OWNER/LESSEE: CONTRACTOR:
Name MICHAEL MORABITO Name: THOMAS GRUNDEL
Address:6401 NW 57TH LANE Company: Tom's Mobile Home Set-up
City: PARKLSND State:LA Address: 4433 HENRY J AVE
Zip Code: 33067 Fax: City: SAINT CLOUD State:FL
Phone No.954-439-2199 Zip Code: Fax:
E-Mail: Phone No. 863 529 2370
Fill in fee simple Title Holder on next page(if different E-Mail: nancyarmstrong6l@gmaii.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
SILIO.EMENTAL 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
improvements to your property.A Notice of Commencement must be r corded and posted on the jobsite
before the first inspection. If you intend to obtain financing, consult It lender or an attorney before
commencing wormr recordinf6 your Notice of Commencement.
s
_Signature of Owner/Lessee/Agent Signat •re of Contractor/License Holder
STATE OF FLORIDA � STATE OF FLORIDA
COUNTY OF L C COUNTY OF STLUCIE
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this I day of Z� � 20 17 by this 15 day of;�`l�-1�-� 20 l by
I `0YV'S THOMAS GRUNDEL
(Name of person acknowledging) (Name of person acknowledging)
(Signature of ota Public-State of Florida) (Signature of Not ublic-State of Florida)
Personally Known OR Produced Identification Personally Known x OR Produced Identification
Type of uced Type of[den •
�°`�r'`diF;: �1ANCYMIMSARMSTR t ,14+= e _ MS ARMSTREM
NANO
Commi Sfpo'..: I Commission 0. MY COlAM1SSION#F,F���a9s
,�. TMISSI6N#FF7 EXPIRES Februaryll0,2 99
?aR���' EXPIRES February 10,2019
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59
Revised 07/15/2014 _
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW RE IEW REVIEW REVIEW REVIEW REVIEW
DATE 1�COMPLETE
INITIALS
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