HomeMy WebLinkAboutBuilding Permit Application_ %low w.
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED ���� ro q2__�)_
Date: 7-q- / 'Permit Number:
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: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT LOCATION:
Address: 1053 NETTLES BLVD
Legal Description: NETTLES ISLAND INC, A CONDO -SECTION II PARCEL 1053 AND PRO-RATA SHARE IN COMMON ELEMENTS (OR 617-2847)
Property Tax ID #: 4502-501-1240-000-2 Lot No.
Site Plan Name: Block No.
Project Name: FETHERLIN
Setbacks Front j Back: J1T , Right Side: r).7,) Left Side:
DETAI:LED.'D'ESCRIPTION OF WORK:,' S�
2015 NEW MOBILE HOME REPLACEMENT 20X39/40
CONSTRUCTION] N FORMATION:,
Additional work to be nertormed under this permit— check all apply:
✓❑— HVAC l _1 Gas Tank Gas Piping _ Shutters a Windows/Doors
❑✓— Electric ✓❑_ Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: 790
Cost of Construction: $ 2475.00
Sq. of First Floor: _
Utilities: I r I Sewer ElSeptic
Building Height: 13'
OWNER/LESSEE:
CONTRACTOR:.
Name Edward A Fetherlin
Name: THOMAS GRUNDEL
Address: 1053 NETTLES BLVD
Company: TOM'S MOBILE HOME SETUP
City: FT PIERCE State: FIL
Address: 3344 HENRY J AVE
Zip Code: 34957 Fax:
City: ST CLOUD State: FL
Phone No.
Zip Code: 34772 Fax:
Phone No. 407-908-5468
E-Mail:
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: IH'i025148
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
�SUPPLEMENTAL''CONSTRUCTI
`I�""�I-E;N 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 recorded and posted on the jobsite
before the first inspection. If you intend to obtain financing, con with lender or an attorney before
commerrclu work or recordinja vour Notice of Commencement/ J 4
_ Signature of Owner/ Lessee/Agent
STATE OF FLORIDA
CO U NTY OF st lucie
ature of Contractor/License
STATE OF FLORIDA
COUNTY OF stlucle
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this day of , 20 _by I this 23 day of june , 20 by
Thomas Grundel 1 Thomas Grundel
(Name of person acknowledgin ) (Na a of erson acknowledging )
ut'n' rrs. q
re c tary Public- State of Florida) (Signature of Not y ubli - e of Florida )r;.�
Personally Known X OR Produced Identification
Type of Identification Produced
Personally Known x OR PrdduEed Id'7"Ification
Type of Identification Produced d
Commission No. (Seal) Commission (Seal).
NANCY MIMS'4RMS7 BONG
" NANCY MIMS ARMSTRONfa
MY COMMISSION # FF197899 ' •' EXPIRES Februa 978�
Revised � 07 EXPIRES February 10, 2019 1 :a FiWda ry 10• 2019
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