HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONi
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Vf1)
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Date: (l/ '�% �,Permit Numbe
SCANNED K lat Lt LD
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Buit Lu ie County JUN 2 7 2018
l ing hermit Application
Planning and Development Services Permitting Department
Building and Code Regulation Division St. Lucie County, FL
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT APPLICATION FOR: DOCV5WU_ff
Address: 53 NETTLES BLVD JENSEN BEACH FL 34957
Legal Description: NETTLES ISLAND INC A CONDO - SECTION II PARCEL 53 AND PRO-RATA SHARE IN COMMON ELEMENTS
(OR411-29)
Property Tax ID #: 4502-501-0239-000-5 Lot No.
Site Plan Name: PALMIERI Block No.
Project Name: PALMIERI A
Setbacks Front Back: Right Side: Lk. Left Side: d'1
1. FURNISH & INSTALL 1 'PC. UP TO 220 SQ FT WOODEN DOCK
12. FURNISH & INSTALL 1 PC. 16,000 LB MODEL BOAT LIFT
"HVAC Gas Tank
11 Electric 0 Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 25,000.00
"Gas Piping "Shutters
Sprinklers FIGenerator
S�FtJj of First Floor: _
Utilities: LSewer 0 Septic
QWindows/Doors
"Roof Roof pitch
Building Height:
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OWNERf LESSEE k� � � �
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Name VINCENT PALMIERI
Name: ROBERT WILLIAMS
Company: WILCO CONSTRUCTION INC
Address: 10751 ORANGE AVE
Address: 13 COUNCIL CREST RD
City- SLOATSBURG State: NY
City: FORT PIERCE State: FL
Zip Code: 10974 Fax: N/A
Phone No. 646-522-5091
Zip Code: 34945 Fax: 772-460-6929
E-Mail: NIA
Phone No. 772-460-6928
E-Mail: WILCOINC@BELLSOUTH.NET
Fill in fee simple Title Holder on next page ( if different
State or County License: SCC131151026 29115
from the Owner listed above)
If value of construction is 52500 or more, a RECORDED Notice at Commencement is requires.
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DESIGNER/ENGINEER: _Not Applicable
MORTGAGE COMPANY:
x Not Applicable
Name: DANIELPAULRETHERFORD
Name:
Address: 1402 HARTMAN RD
Address:
City:
State:
City; FORT PIERCE State: FL
Zip: 34947 Phone: 772-2249826
Zip: 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 lender or an attorney before
rnmmanrinu Xninrk nr rPrnrriing vnur Notice of Commencement.
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Signatfre of Owner/Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF l /
COUNTY OF
The f r ing instru nt was acknowledgec�efore me
thiday of 20 10by
The forgoing instr ment was acknowledggd�efore me
this�day of 20 +1—�(= by
It i lams
(Name of person acknowledging)
(Name of person acknowledging)
(Signature of Notary Public- State of Florida)
(Signature of Notary Public- State of Florida )
1/
Personally Known V OR Produced Identification
Personally Known OR Produced Identification
Type of Identification Produced
Type of Identification Produced
Commission No.
Commission No.
"°4; ; DAWN fITZGERAID
2is+?i� , DAWN FITZGERALD
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I. �: :*: MY COMMISSION # GG 1
EXPIRES: December 17, 2021
a EXPIRES: December 17; 2021 'j�O BWed Thru No taryPublicUndervmters
Revised 07/15/2'Fi;Fac�P�
BondedThruNotarYPublicUr,derwr�ers
REVIEWS FRONT ZONING SUPERVISOR P S VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW RE REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS