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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: S IaS pp pg ey�y. 9 Permit N
a� umber:
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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 .IMPROVEMENT LOCATION:
Address: 1335 Nettles Blvd. Jensen Beach, FL 34957
Legal Description: NETTLES ISLAND INC, A CONDO -SECTION II PARCEL 1335 AND PRO-RATA SHARE IN COMMON ELEMENTS (OR 247-1532: 3050-2454, 2455)
Property Tax ID #: 4502-501-1522-000-3
Site Plan Name: Corace Residence
Project Name: Corace Residence
Setbacks Front S Back: `% Right Side: S Left Side: 8
DETAILED DESCRIPTION OF WORK:
New construction single family residence.
Lot No.
Block No.
CONSTRUCTION INFORMATION:
��Adclitional work to be nortormed under this permit — check all that apply: J
L 1HVAC Gas Tank Gas Piping _ Shutters ❑� Windows/Doors
Electric 0 Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: l 'L qpt S . FtFt. of First Floor: _
Cost of Construction: $ / 41 & ao o. a -a Utilities: Lr J Sewer ElSeptic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Frank Corace
Name: Richard Murray f
Address: 33656 Sebastian Lane Dr.
Company: Shoreline RV & Mobile Home Repair, Inc.
City: Sterling Hts. State: MI
Address: 1290 NE Business Park Place J
Zip Code: 48312 Fax: n/a
City: Jensen Beach State: MI
Phone No. S�S(o' I S'3 `1yS
Zip Code: 34957 Fax: 772.334.4335
E-Mail:
Phone No. 772.334.4334 I
Fill in fee simple Title Holder on next page ( if different
E-Mail: RFM9815@aol.com
from the Owner listed above)
State or County License: 16673/CRC57268
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: x Not Applicable
MORTGAGE COMPANY: x Not Applicable
Name: 5 HI1wN
Name:
Address: Son Ave >P C R A MV 16 0-s
Address:
City: PALM rbr.A<_0 C-hrrcDENS State: FL.
Zip: 3 ; 4CO Phone:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not.Applicable
BONDING COMPANY: x Not Applicable
Name: %
Name:
Address:
Address:
City:
City:
Zip: Pho
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 vour Notice of Commencement.
Signature of Owner/ Agent/ Lessee Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA .
COUNTYOF.A4a#irr ct, COUNTYOV' S-I'.
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 15d day of May , 20 14 by this 15th day of May , 20 14 by
Richard F. Murray Richard F. Murray
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary PLMlic- State of Flor' P�����'o�F�O�� 0�6 (Signature of Notary PLYblic- State of Florida ) r
DEANNAGIV`Not
Personally Known k' OR ucec� 11°te`a�� ss° Personally Known . O ed Identif'Z�ltm•
Type of Identification Pro N �� N° Tyke of Identification Produ d -0-" P �%,^MdlalI E.n
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Revised 07/15/2014
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