HomeMy WebLinkAboutBuilding PermitALL APPLICABLE INFO (MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: �' I l Permit Number:
RECE
Building Permit Application FEB 17 2016
Planning and Development Services PERMITTING
Building and Code Regulation Division St. Lucie County, FL
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Building
PROPOSED IMPROVEMENT LOCATION:
Address: 19 NETTLES
Legal Description: NETTLES ISLAND INC, A CONDO -SECTION II PARCEL 19 AND PRO-RATA SHARE IN COMMON ELEMENTS (OR 3800-251)
Property Tax ID #: 4502-501-0205-000-8
Site Plan Name:
Project Name: ALEXANDER
Setbacks Front 10 Back: 5
DETAILED DESCRIPTION OF WORK:
NEW ONE STORY CBS HOME
Right Side: 8 Left Side: 6„
':� )k %4
Lot No. 19
Block No.
CONSTRUCTION INFORMATION:
Additional work to be oertormed under this permit — check all apply:
ZHVAC L _J Gas Tank Gas Piping _ Shutters Fvl] Windows/Doors
Electric ❑✓ Plumbing Sprinklers Generator 7 Roof
— c1 C/
Total Sq. Ft of Construction: 7 S . Ft. of First Floor: J 7
Cost of Construction: $ 190,000 Utilities: Lr J Sewer Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Edward Millan & Debra A Alexander
Name: MACK MATOS
Address: 11348 Briarwood PL
Company: MEL-RY CONSTRUCTION
City: North Palm Beach, State: FL
Zip Code: 33408 Fax: S 41-110 - Y958
Phone No. 772-229-0012 'Sy-VIS-ByL�)
Address: 10967 S OCEAN DRIVE
City: JENSEN BEACH State: FL
Zip Code: 34957 Fax: 772-229-9440
Phone No. 772-229-9439
E-Mail: de bra l 1 t i0�p yo 6 o- I"
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail: MACK@MEL-RY.COM
State or County License: 23630
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
J
L
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name: BRADEN % BRADEN AAC000032
Address: 417 SE COCONUT AVE
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
City: STUART State: FL
Zip: 34996 Phone: 772-287-8258
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY: _Not Applicable
Name:
Address:
City:
Address:
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 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.
_ Signature of Owner/ Lessee/Agent
STATE OF FLORIDA
COUNTY OF N .
The forgoing instrumen was acknowledged before me
this day of �F3- 20Y �6 by
(Name of person acknowledging)
(Signature of Notary Public- State of Florida )
Type of Identi='11'
is
Commission EgMlPo
16
Revised 07/ 15/2014
s
Signature of Cont ctor/License Holder
STATE OF FLORIDA
COUNTY OF A - � lc ,It
The forgoing instrument was acknowledged before me
this ,T day of 20 � by
wwC� .IL fy\B T LS
(Name of person acknowledging)
(Signature of Notary Public- State of Florida )
Personally Known OR Produced Identification
Type of Identification Produced -VT. F). , .
Commission No.
KAREN S. NIELSEN
My Commission Expires
June 12, 2018
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• 6
PLANNING & DEVELOPMENT SERVICES DEPARTMENT
" Building & Code Regulations Division
FORT PIE CE FL 34 82 5652 RECEIVED
(772)462-1553
FEB 17 2016
FILLED LAND AFFIDAVIT PERMITTING
St. Lucie County. FL
I, the undersigned, am the owner of the following described property,
450Z- 501 • du6 - a tl0- k
(Parcel Id#/L,egal descripdon/Address)
for which I have applied to St. Lucie County for a Final Development Permit. In
accepting this Final Development Permit, BP Number , I acknowledge
that as owner of the above described property, and in accordance with Section
7.04.01(D), St. Lucie County Land Development Code, I shall be responsible for assuring
adequate drainage so that the immediate community WILL NOT be adversely affected.
I further acknowledge that in granting this permit for the development of this property,
St. Lucie County is neither obliged nor liable to provide for, or maintain in any form,
adequate drainage off my property which will not adversely affect the immediate
community.
6JWa,rd M i l lgn
Property Owner Name (Please Print)
Property Owner Signature Date
STATE OF FLORIDA, COUNTY OF 5i - z -" t' C
ACKNOWLEDGED BEFORE ME THIS DAY OF ;C-746• . 20AP—
BY ��CN�C �� ACL W�[O IS M--- nr r e r r v uNnWN T _ .___ i—) OR WHO HAS
OF NOTARY PUBLIC
COMMISSION NUMBER
SLCPDSD Revised 04/I 1/2011
TYPE OR PRINT NOTARY
Y
Notary Public State o(fSFlorrida
Christine Matos
My Commission EE22�&
Expires 10/12/2016
AS IDENTIFICATION.