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Building Permit Application
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO -BE ACCEPTED Date: 'Permit. Number: 00c11. • Building Permit Application OCT 0.1 1015 Planning and Development Services PERMITTING Building and Code Regulotiori Division 2300 Virginia Avenue, Fort:Pierce FL 34982 St. Lucie County, FL Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X.... PERMIT APPLICATION FOR: Building PROPOSED ;IMPROVEMENT LOCATION: Address:. , 515 Nettles Blvd , Lot 515 Sectioh 1l in that certain Condominium known as- OUTDOOR RESORT Legal Description: OF AMEkICA AT NETTLES ISLAND, as dhowh,by the Plat recorded' in Plat. Book 16at pages 1, 1A through 1J, and reflected in the Declaration:-of.Condominium as recorded in Official Records' Book 186 at pages 2720 et.sec.,both of the public records of St. Lucie County, Florida. Property Tax ID #: 4502-501-0701-000-5 Lot No, b15 Site Plan Name: Block No. N/A Project Name: Snyder Residence Setbacks Front Back: 'Right Side: Left Side: DETAILED DESCRIPTION.OF WORK: New construction - Wood frame. over concrete pilings, foundation & CMU stem wall. Cementicious siding & me eif roof - 875 SF 1st: Floor Conditioned Space; 115 'SF Covered Deck & Porch, 166 SF Loft Conditioned Space- II1 CONSTRUCTION INFORMATION: Additi.655.1 work to be performed n© un ert is:permit— OHVAC Gas Tank, XiGasBong ec a app.,: c�S Q Windows/Doors . - _Shutters Electric D Plumbing 1A� Sprinklers ❑ Generator Roof Total Sq. Ft of Construction: 1156 S . Ft, of First Floor: 875 . f�::.. 136,000 Cost of Construction: $ Utilities: ❑ Sewer Septic Building Height: 21'-4" OWNER/LESSEE:. ...: :.:` CONTRACTOR: ; Daniel .S Sri der & Barbara A' r Sn de Name .....Y . Y ... Name: Owner Address; 8847 Haven,Circle. ,, Company:. . Address: Brewerton City: State; Zip Code:.13029: Fax:.:... City: State: Phone No. 3154544842 , Zip Code:. Fax: :dan sn dersn der:net E-Mail: Y Y Phone No. Fill in fee simple Title Holder on next:page ( if different E-Mail: from the Owner listed above) State or County License: - If value of construction is 2500 or more, a RECORDED Notice of Commencement is required. A-r 1 s SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: _ Not Applicable MORTGAGE. COMPANY: x Not Applicable Name: LanceyoglArchitect -------------- 'Name: Address: 201 SE Hibiscus Ave Address: City: Stuart State: FL City: State: : Zip: Phone: 772-284-5327 Zlp: Phone: FEE SIMPLE TITLE HOLDER: x 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, consult with lenderor an attorney before commencing work or recording your Notice of Commencement. s _Signature of Owner/ Less a/Agent Signature of Contractor/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF .5 COUNTY OF The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged.before me this '1- day of. C1C7 N _LI�by this day of 20 by (Name of person acknowledging) (Name of person acknowledging) (Signature of Notary PubPic- State of Florida) (Signature of Notary Public- State of Florida ) Personally Known OR Produced Identification Type of Identification Produced n1 1 I "SOA ALA Q Commission No. (Seal) _ . • �= Notary Public - State of Florida Revised 07/15/2014 Z WE My Comm. Expires Dec 20, 2018 Commission # FF 1779e4 Personally: Known OR Produced Identification . .. Type of Identification Produced Commission No. (Seal) on a through National Notary As in. REVIEWS. FRONT ZOIVNG §TPER' ,• ,PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW qEVIEW, REVIEW REVIEW REVIEW REVIEW DATE COMPLETE 6 INITIALS -M