HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONti
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ALL APPLICABLE INFO MUST BE COMPLETED FOR APIPLICATION TO BE ACCEPTED
Date: 3 �� I Permit Number: I� 03J 010
R E C E I V73D MAR 0 4 2016 SCANNk.0
Building Permit Application,{} BY
Planning and DevelopmentServices I` �����flP��
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
mmercial Residential X
PERMIT APPLICATION FORS Buirdin_
PROPOSED IMPROVEMENT LOCATION:'{
Address: 689 NETTLE BLVD
Legal Description: NETTLES ISLAND INC, A CONDO -SECTION II PARCEL 689 ANDPRO-RATA SHARE IN COMMON ELEMENTS (OR 3617-2930)
Property Tax ID #: 4502-501-0875-000-5
Site Plan Name:
Project Name: MCGHEE
Setbacks Front 13'-0" Back: 5'-0"
ght Side: •5"
DETAILED DESCRIPTION OF WORK: I ,
Left Side: 8'-5"
BUILD NEW CBS HOME 1 STORY
Lot No. 689
Block No.
CONSTRUCTION INFORMATION:
Additional work to be er orme un er this permit— check a apply:
ZHVAC0 Gas Tank ❑Gas Piping _ Shutters Q Windows/Doors
W1Electric 0 Plumbing ` []Spl inklers El Generator W1 Roof
Total Sq. Ft of Construction: 7G ( S . Ft. of First Floor: -7
Cost of Construction: $ � I Utilities: Sewer E Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Paul McGhee & Phyllis McGhee
Name: MACK MATOS
Address: 429 NETTLES BLVD
Company: MEL-RY CONSTRUCTION
City: JENSEN BEACH State: FL
Address: 10967 S OCEAN DRIVE
Zip Code: 34957 Fax:
City: JENSEN BEACH State: FL
Phone No. 772-229-0012
Zip Code: 34957 Fax: 772-229-9440
Phone No. 772-229-9439
E-Mail:
Fill in fee simple Title Holder on next page (if different
E-Mail: MACK@MEL-RY.COM
State or County License: 23630
from the Owner listed above)
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW, INFORMATION:
DESIGNER/ENGINEER: — Not Applicable'
Name: BRADEN&BRADENAIA#AAC000032
Address: 417 SE COCONUT AVE
City: STUART State: FL
Zip: 34996 Phone: 772-287-8258 1
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable I
Name:
BONDING COMPANY: Not Applicable
Name:
Address:
Address: I
City: I
Zip: Phone: I
i
City:
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 dolhereby 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.
ignature of Owner/ Lessee/Agent Signature ofContractor/License Holder
STATE OF FLORID I STATE OF FLORIDA
COUNTY OF , ZuCi a- COUNTY OF k V \
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The for Ding instrume t was acknowledged before me The forgoing instrument was acknowledged before me
thi day of �eVi?✓G�I 20 /�by this'A day ofd`►\'\ �' 20 by
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(Name of pe son acknowledging) (Name of person acknowledging)
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(Signature of Notary Public -State of Florida )
ersonally Known P o uced Identification
ication Pr du
ro �•NOWY PubfiC State of Florid
Chrisil
Commission No. L� a Tdos
My Co on EE 224190
OF Expires 10/1212016
Revised 07/15/2014
(Signature of Notary P4blic- State of Florida )
Personally Known pEA €^'.S-
Type of Identification Pr uF� ....... 1� p nt Florida
`" ` 201 E
5. '�� '�'•°, My Cry ma.� xpires Dec 16,
Commission No. t ion # EE 858761
Bonded Through NationalNotary s`
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