HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONR
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date �o'13T Permit Number:,,
R E C ' 1'," - D OCT 13 2016
Building Permit Application By
Planning and Development Services Chifid
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: 2124 NETTLES BLVD
Legal Description: 2124 NETTLES BLVD I
NETTLES ISLAND INC A CONDO SECTION II PAR�l EL
Property Tax ID #: 4502-501-0127-000-7
Site Plan Name:
Project Name:
Setbacks Front Back: _
'DETAILED DESCRIPTION OF.WORK:
2017 NEW MOBILE HOME
24W 'ill
Right Side: Left Side:
Lot No. 2124
Block No.
CONSTRUCTION INFORMATION:
Additionalworktoberiertormed un er t is permit check all apply:
❑✓ HVAC lJ Gas Tank ❑Gas Pipi g _Shutters ❑Windows/Doors
Electric Z Plumbing ❑Sprinkl:iIities"2
❑ Generator ❑ Roof
Total Sq. Ft of Construction: Sof First Floor:
Cost of Construction: $ 2475.00 Sewer ❑ Septic Building Height: 13'
OWNER/LESSEE:
CONTRACTOR:
Name PHYLLIS CERRONE
Name: THOMAS GRUNDEL
Address: PO BOX 299 �,
Company: TOM'S MOBILE HOMES
City: CLINTON State: CT
Address. 3344 HENRY J AVE
Zip Code: 06413 Fax: I
City: ST CLOUD State: CT
Phone No. I
Zip Code: 34772 Fax:
E-Mail:
Phone No. 407-908-5468
Fill in fee simple Title Holder on next page (if different
E-Mail: nancyarmstrong61@gmaii.com
State or County License: IH1025148
from the Owner listed above) II
I
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
I
NEER: _ Not App
Name:
Address:
City:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Appli 'able
Name:
Address:
City:
Zip: Phone:
I certify that no work or installation has commenced I
St. Lucie County makes no representation that is grant
which is in conflict with any applicable Home Owners i
structure. Please consult with your Home Owners Ass(
In consideration of the granting of this requested pern
in accordance with the approved plans, the Florida Bu'
The following building permit applications are exempt
accessory structures, swimming pools, fences, walls, si
WARNING TO OWNER: Your failure to Record
improvements to your property. A Notice of I
before the first inspection. If you intend to of
commencing work or recibrdinla vour Notice c
re of Owner/ Agent/ Lessee
STATE OF FL
COUNTY OF
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY:
Name:
Address:
City:
Zip: Phone:
or to the issuance of a permit.
Not Applicable
g a permit will authorize the permit holder to build the subject structure
sociatlon rules, bylaws or and covenants that may restrict or prohibit such
iation and review your deed for any restrictions which may apply.
t, I do hereby agree that I will, in all respects, perform the work
ling Codes and St. Lucie County Amendments.
-om undergoing a full concurrency review: room additions,
is, screen rooms and accessory uses to another non-residential use
Notice of Commencement may result in your paying twice for
)mmencement must be recorded and posted on the jobsite
ain financing, consult with lender or an attorney before
of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF STLUCIE
The f r ng instr m nt was c nowledged fore me The forgoing instrument was acknowledged before me
this day of 20 by this 15 day of SEPT , 20_g by
Gni rca vM0,55
(N,am,e of person acknowledg' ) (Yaiv a of person acknowledging)
(Signature of ota Public- tate of Florida) Q`
Personally Known �R Produced Identification
Type of Identification Produced
Commissio
•'� NANCY MIMS
. � :il'
Revised
re of
of Florida )
Personally Known N' OR Produced Identification
Type of Identification Produced FLOL
Commission
EXPIRES February 10, 209
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